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

Name*

First Last

Email*

Paddle Canada Membership Number*

Name of Evaluating IT Mentor*

IT Mentors Email*

Paddle Canada Membership Number*

Certification Level*

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: 400 MB, Max. files: 3.

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