DEPARTMENT OF PESTICIDE REGULATION
PEST MANAGEMENT AND LICENSING BRANCH
CONTINUING EDUCATION COURSE EVALUATION FORM
Course Title:
Location:
Sponsor’s Name:
Instructor’s Name:
Course ID Code:
Date:
Number of People in Attendance:
Evaluation Conducted by:
General Course Information
Yes
No
N/A
1. Identification of attendees was verified (i.e. driver’s or DPR license).
2. Information presented followed the DPR-approved course agenda.
3. Course met hours approved by DPR.
4. Course was well received by the audience.
Attendance Verification
5. Sponsor provided a record of course completion to each attendee.
6. Sponsor did not leave scantrons or records of course completion unattended.
Instructor
7. Instructor gave instructions to minimize distractions.
8. Instructor presented the material effectively.
9. Instructor used written and audio-visual tools to enhance the verbal presentation.
10. Instructor was able to answer questions from the attendees.
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DEPARTMENT OF PESTICIDE REGULATION
PEST MANAGEMENT AND LICENSING BRANCH
CONTINUING EDUCATION COURSE EVALUATION FORM
Course Title:
Location:
Sponsor’s Name:
Instructor’s Name:
Course ID Code:
Date:
Number of People in Attendance:
Evaluation Conducted by:
General Course Information
Yes
No
N/A
1. Identification of attendees was verified (i.e. driver’s or DPR license).
2. Information presented followed the DPR-approved course agenda.
3. Course met hours approved by DPR.
4. Course was well received by the audience.
Attendance Verification
5. Sponsor provided a record of course completion to each attendee.
6. Sponsor did not leave scantrons or records of course completion unattended.
Instructor
7. Instructor gave instructions to minimize distractions.
8. Instructor presented the material effectively.
9. Instructor used written and audio-visual tools to enhance the verbal presentation.
10. Instructor was able to answer questions from the attendees.
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DEPARTMENT OF PESTICIDE REGULATION
PEST MANAGEMENT AND LICENSING BRANCH
CONTINUING EDUCATION COURSE EVALUATION FORM
Facility
Yes
No
N/A
11. Facility is conducive to learning.
a. Large enough for number of people attending
b. Comfortable seating
c. Tables or other surface for writing, holding written material
d. Adequate lighting
e. Comfortable temperature
f.
Unobstructed view of instructor and visual presentation
Feedback
1. Overall experience and impression of the course:
2. Comments or areas for improvement:
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