Raven EMS Education Program Manual
Clinical Student Field Internship Mentor Final Evaluation Form

Thank you for being a mentor for a Raven paramedic student. Please use this form as the final approval documentation for your student.

Student Name:

Mentor Name:

• I acknowledge this student has completed his or her field internship requirements to the best of my knowledge.
• I acknowledge this student has demonstrated basic, entry-level knowledge, skills, and abilities to become a paramedic.
• I indicate that I would be comfortable with this student taking care of my family if they were having a medical emergency.
• I recommend passing this student and allowing him or her to test for state and national registry paramedic licensure.

Comments:

Mentor signature:
Clear

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