<p>Fire Service Instructor: Principles and Practice</p><p>Fire Service Instructor Self-Evaluation Form</p><p>Level: Instructor I Instructor II</p><p>Instructions: This form is used to provide the instructor with the ability to reflect on his or her delivery of instructional information in a training environment. This important professional development tool will help prepare you for your next presentation by allowing you the ability to analyze your performance as an instructor. It is important to complete this form as soon as possible after the presentation. Topic: ______Date of Delivery: ______</p><p>Presentation Information</p><p>Type of Presentation: Lecture Demonstration Location: Station Drillground</p><p>Audience Analysis</p><p>____Number of students ____Approximate Average/Years of Service ____Level of Student Participation (1–5)</p><p>What techniques used in your presentation engaged or disengaged the students the most? ______</p><p>Presentation Delivery Review</p><p>Rate your perceived effectiveness of each element of the instructional process and for each element of the lesson plan delivery.</p><p>Rating Scale Presentation Step (1 = Poor, 5 = Comments Excellent) Preparation Presentation Application Evaluation</p><p>Delivery of Lesson Plan Material</p><p>Rating Rating Use of audiovisual materials Course organization/flow Voice tone/volume Gestures/mannerisms Interaction with students Use of time Eye contact Knowledge of lesson plan content Encouraged questions and answered Classroom or drillground arranged to best effectively student advantage Delivery of evaluations to students Reinforced safety in lesson content and for students on drillground Did you reference course references Clearly presented objectives or department SOGs Enthusiasm for presentation Added to lesson plan content Represented self as a professional Provided feedback to students on progress Use reverse side to expand on any areas that you scored poorly. Make an action plan for personal improvement.</p><p>© 2009 Jones and Bartlett Publishers, LLC www.jbpub.com</p>