Name

• Email Address

Use this form to help you assess your progress in the EMT class. If you don't have all your scores and other information to fill this in, some of it may be found on the grades page in the Tools section on blackboard.

Module Scores

Module one -

Module two -

Module three -

Module Four -

Add the four scores, and divide the total by 4 to get your average . Given this average, using the box above, what would be your letter grade?

You must complete each module with at least a 75%. At the end of the course you must have earned at least a “C” to take the National Registry Practical and Written tests.

Quizzes

The quizzes will be worth a small percentage of the final grade. See the class policies page on the class webpage for more details. Based on the scores of the quizzes you have taken, how will they affect your grade?

they will raise it they will lower it they are about the same

Absences and absences not made up

Attendance is very important to completing this class. Have you missed any Saturday practice sessions or not completed any quizzes so far?

If you have missed a class, have you made it up? Yes No

Skills

Of the skills we have gone over up to now, how do you feel about your ability to handle the equipment, and your ability to complete the skill stations?

Ability to use the Equipment and Understand Trauma and Medical Assessments

I don't feel comfortable

I feel good about understanding and being able to use these skills

Stations

I don't know the steps or what is expected

I know the steps, just need more practice

I know the steps, and feel very comfortable with the stations

Other

Have your Shot Records been turned in? Yes No (Do not sign up for clinicals until you have turned them in.)

Have you completed the HIPAA section? Yes No

Have you completed the Criminal Background Check? Yes No

Do you have your badge that says, "EMT STUDENT"? Yes No

Clinicals

Have you scheduled your clinicals? Yes No (By now you should have completed at least one clinical. Don't put them off until the end of the semester.)

A few more things to evaluate:

Describe your study habits

Class Participation

• How would you describe your overall interest in this course