Instructor Notes Place a ✓ in the box next to each step the student completes successfully. If the student does not complete all steps successfully (as indicated by at least 1 blank check box), the student must receive remediation. Make a note here of which skills require remediation (refer to Instructor Manual for information about remediation).
Test Results Check PASS or NR to indicate pass or needs remediation:	PASS # NR #
Instructor Initials_Instructor HSF ID #_____Date _____