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Course Audit

"*" indicates required fields

Name*

First Last

Email*

Paddle Canada Membership Number*

Name of Evaluating IT*

Email*

Paddle Canada Membership Number*

Certification Level*

Certification Discipline*

Course Name*

Course Dates*

Course Location*

Paddle Canada Sanctioned Course Number*

Paddling School or Organization Name

Is the auditee using the most current course content?

Yes

No

Policy and Procedure Quiz Completed?

Quiz completed, OR auditing IT has reviewed policies and procedures.

Yes

No

I recommend*

Full Pass awarded

Conditional Pass

If a conditional pass is awarded, please provide feedback and a plan to succeed*

Submission Confirmation*

I confirm that this submitted document is accurate.

150

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