Member Review
Date:_______________________
Name:__________________________________________________________________
Certification dates:
CPR/FPR ____________First Aid ___________________ Physical Hike_________________
Driver Training________________________________ Map & Compass______________
Ropes Class ____________________________________ Overnight on:_________________
Other Trainings:____________________________________________________________________
_________________________________________________________________________________
Call Outs:_________________________________________________________________________
_________________________________________________________________________________
Other Activities:____________________________________________________________________
_________________________________________________________________________________
Meetings:_________________________________________________________________________
Bike Sundays:______________________________________________________________________
Trainings Taught:___________________________________________________________________________
__________________________________________________________________________________
Suggestions for the ESD Unit:________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Staff comments:_____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Review by:_________________________________________________________________________
_________________________________________________________________________________
Member reviewed signature:____________________________________________________________
This page last updated 02/20/2004