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Paramedic Evaluation Form

The document is a paramedic assessment form used to evaluate paramedics, with sections for interviewer details, candidate details, scoring criteria, and signatures.

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Riyan Sulistian28
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86 views1 page

Paramedic Evaluation Form

The document is a paramedic assessment form used to evaluate paramedics, with sections for interviewer details, candidate details, scoring criteria, and signatures.

Uploaded by

Riyan Sulistian28
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PARAMEDIC ASSESSMENT FORM

Interviewer 1 : Date :

Interviewer 2 : Category : First time / Remedial

Paramedic/Company :

Interviewer 1 adding +1 Point (If interviewer think enough capable but not reach total score 7 point) =

Interviewer 2 adding +1 Point (If interviewer think enough capable but not reach total score 7 point) =

Conclusion : Pass / Pass with remedial 1 month ahead (not reach 7 Point)

Name and sign ( Interviewer 1) Name and sign ( Interviewer 2) Name and sign ( candidate)

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