Resident Application Post Graduate Assessment Form

Assessor Info

Name of Person Completing the Assessment(Required)
Email(Required)

Candidate Info

Name of Candidate(Required)

Please rate the candidate on the following topics. 10 is the highest(best) and 1 is the lowest(worst). Choose n/a if you have no experience on a certain topic.

Attendance/Promptness(Required)
Public Speaking(Required)
Ethics/Integrity(Required)
Focus During Lectures(Required)
Technical Skills(Required)
Confidence(Required)
Professional Maturity(Required)
Comprehension of Orthotic Principles(Required)
Comprehension of Prosthetic Principles(Required)