Raven EMS Education Program Manual
Program Summary Report Form

Program name:

Program director:

Lead instructor:

Start date:

End date:

Number of students enrolled:

Number of students completing:

Number of students unsuccessful:

Number of course evaluations completed:

Summary of resons for drops:

Top 3-5 positive student comments:

Top 3-5 negative student comments/concerns:

Strategies to support positive comments:

Strategies to address negative comments:

Course evaluations reviewed with:

• Faculty
• Medical Director
• Management Team
• Advisory Committee

Program Director signature:
Clear

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