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911 Simulation

StudentName__________________________________Date___________________

CATEGORY

Studentwas
attentiveand
respectfulto
otherstudents.
Student
participatedwith
agoodattitude
andeffort.

Studentdidnot
interruptpeers.
Student
participatedwith
agoodattitude
andeffort.

Student
participated,but
didsoonlyafter
multipleprompts.

Student
interruptedtheir
peersandrefused
toparticipate.

PhoneNumber

Studentrecite
phonenumber
withoutany
assistanceor
references.

Studentneeded
12verbalcues
whenreciting
theirphone
number.

Studentneeded
34verbalcues
whenreciting
theirphone
number.

Studentneeded
toreadtheir
phonenumber
offoftheir
referencecards.

Address

Studentrecite
Studentneeded
addresswithout 12verbalcues
anyassistanceor whenreciting
references.
theiraddress.

Studentneeded
34verbalcues
whenreciting
theiraddress.

Studentneeded
toreadtheir
addressoffof
theirreference
cards.

Context

Studentresponds
withaddressand
phonenumber
whenprompted
andexplainsthe
situation.

Studentneeds
verbalreminders
ofwhento
respondwith
theirpersonal
informationand
assistancewith
explainingthe
situation.

Studentisunable
torespondwith
personal
information
whenprompted.

911

Student
Studentcan
accuratelydials verbalizethe

Studentdoesnot
knowwhat

911Professionalism
Simulation

Studentneeds
verbalreminders
ofwhento
respondwith
personal
information.

911 Simulation

Total________________________________________

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