To submit this form successfully you will be asked for:

membership information for both you and your IT candidate,
the sanctioned course number that the mentorship took place on,
proof of completion of your candidates online training (a photo of or an electronic copy of the certificate),
specific feedback on various aspects of the mentorship on areas where your candidate took the lead.

After submission, a copy of this evaluation form will be sent to both yourself and the IT Candidate.

"*" indicates required fields

Step 1 of 5 – Candidate and Mentor Information

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Instructor Trainer Candidate Information

Name*

First Last

Email*

Paddle Canada Membership Number*

Instructor Trainer Mentor Information

Name of Evaluating IT Mentor*

IT Mentors Email*

Paddle Canada Membership Number*

Certification Level*

Instructor Course Information

Certification Discipline*

Instructor Course Name*

Course Dates*

Course Location*

Paddle Canada Sanctioned Course Number*

Paddling School or Organization Name

Total Number of Registered Instructor Candidates*

Please describe this mentorship.*

This is mentorship number 1 of 2.

This is mentorship number 2 of 2.

This is mentorship number 1 of 1.

This is mentorship number 3 or above.

IT Candidates Level of Participation on this Mentorship*

Only observed throughout the course.

Co-taught & provided support throughout the course.

Co-taught & took the lead throughout the course.

Online Training Proof of Completion*

Please take a photo and upload a copy of the IT candidates online certification of completion.

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 100 MB, Max. files: 3.

Mentorship Evaluation

The Instructor Trainer Candidate was to be evaluated by:

observation and discussion before, throughout and after the apprenticeship(s),
written and oral presentations demonstrating ability to communicate course content,
ongoing evaluation (by observation) of the participant’s performance in the areas of safety, care of equipment, group dynamics, student assessment and feedback, self-care and leadership.

A pass is required on all competency items in a category, but one weak skill may be accepted at the discretion of the mentor.

Instructor Trainer Candidates must demonstrate all the skills at a high level of proficiency suitable for instructional demonstration purposes. Rescue and general paddling skills will exceed minimum skills and be suitable to the instructional environment.

Paddle Canada Organization and Structure

Described the historical origins of Paddle Canada.*

Yes

Demonstrated familiarity with the fundamental principles and goals of Paddle Canada.*

Pass

Weak

Fail

Not Observed

Stated the mission of Paddle Canada.*

Yes

Demonstrated familiarity with the local, regional and national structure of Paddle Canada and its provincial/territorial members.*

Yes

Demonstrated understanding of how Paddle Canada is funded, governed and managed.*

Yes

Paddle Canada Organization and Structure Section Optional Comments

Policies and Procedures

Demonstrated knowledge and understanding of the respective program manual.*

Yes

Demonstrated knowledge and the proper process of Paddle Canada course registration and sanctioning.*

Yes

Demonstrates knowledge of the policies and appropriate decision-making skills regarding Pass, Fail and Conditional Pass.*

Yes

Policies and Procedures Section Optional Comments

Communication & Instructional Skills

Provided clear and appropriate feedback to instructor candidates.*

Pass

Weak

Fail

Not Observed

Provided clear directions that were easy to understand and heard by all.*

Pass

Weak

Fail

Not Observed

Demonstrated ability and willingness to serve as a Paddle Canada role model.*

Pass

Weak

Fail

Not Observed

Demonstrated the effective use of various teaching and student engagement methods.*

Pass

Weak

Fail

Not Observed

Demonstrated the effective use of instructional aids.*

Pass

Weak

Fail

Not Observed

Demonstrated effective use of natural environment to maximize learning.*

Pass

Weak

Fail

Not Observed

Facilitated and engaged the candidates providing individual feedback as necessary.*

Pass

Weak

Fail

Not Observed

Assisted with both mid-course and post-course debriefing process.*

Pass

Weak

Fail

Not Observed

Responsible for and took the lead on all pre & post course communication with instructor candidates.*

Pass

Weak

Fail

Not Observed

Responsible for and took the lead on both mid-course and post-course debriefing.*

Pass

Weak

Fail

Not Observed

Took the lead on teaching at least 75% of the course.*

Yes

Assigned Teaching Topic #1 Subject*

Teaching Topic #1 Overall Assessment*

Pass

Weak

Fail

Not Observed

Teaching Topic #1 Specific Feedback*

Assigned Teaching Topic #2 Subject*

Teaching Topic #2 Overall Assessment*

Pass

Weak

Fail

Not Observed

Teaching Topic #2 Specific Feedback*

Assigned Teaching Topic #3 Topic*

Teaching Topic #3 Overall Assessment*

Pass

Weak

Fail

Not Observed

Teaching Topic #3 Specific Feedback*

Communication & Instructional Skills Section Optional Comments

Planning & Logistics

Described the process to register a course with Paddle Canada.*

Yes

Not Observed

Describe the materials and equipment needed to teach an instructor course.*

Yes

Not Observed

Can identify environmental factors/climate setting that may influence a course setting. Is able to mitigate those factors as appropriate.*

Pass

Weak

Fail

Not Observed

Developed an outline for the full course, and lesson plans for all segments where the IT Candidate is responsible for course delivery.*

Pass

Weak

Fail

Not Observed

Planning & Logistics Section Optional Comments

Documentation & Course Follow-up

Demonstrated use of skill sheets and evaluation forms.*

Yes

Documented instructor candidates learning and areas of needed improvement throughout the course.*

Yes

Not Observed

Accurately registered the Paddle Canada training on the course administration website.*

Yes

Accurately reported the Paddle Canada training on the course administration website.*

Yes

Documentation & Course Follow-up Section Optional Comments

Assessment Recommendation

My recommendations for the second assessment*

The IT Candidate should observe.

The IT Candidate should co-teach (support).

The IT Candidate should co-teach (lead).

The IT Candidate should lead.

Other

I recommend*

the IT Candidate is ready for certification.

the IT Candidate should be reassessed via another mentorship.

Recommended certification level*

Please justify your reasons.*

Submission Confirmation*

I confirm that this submitted document is accurate.

79974

NOTE: If you click the SAVE button, you will be re-directed to a new page with instructions on how to return to your work!

Instructor Trainer Candidate Mentorship Evaluation Form

Instructor Trainer Candidate Information

Instructor Trainer Mentor Information

Instructor Course Information

Mentorship Evaluation

Paddle Canada Organization and Structure

Policies and Procedures

Communication & Instructional Skills

Planning & Logistics

Documentation & Course Follow-up

Assessment Recommendation

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