MCLE COURSE EVALUATION FORM (optional submission)
You are NOT required to do so, however at your election, you may submit a Course Evaluation Form for any or all MCLE activities you complete in this program. You may do so anonymously if you wish. To submit one or more Evaluation Forms, print out this form (printer icon, or File, Print from your browser's top menu bar) then complete the form(s) and mail them to: I.C.L.E., 9424 Darwell Drive, L.V., NV 89117-0602, or you may submit it/them to us when you send in your Official Participatory Record and/or Self-Study quizes. Submit a separate form for each MCLE activity. You are NOT required to submit this form; submission is optional and voluntary on your part.
Provider Name: C.C.I.'s INSTITUTE FOR CONTINUING LEGAL EDUCATION
Provider's Phone: 702-735-0503
Provider Address: 9424 Darwell Drive, Las Vegas, NV 89117-0602
Title of Activity: _____________________________________________________
Date of Activity: _____________________________________________________
Name of Participant (optional): First: _____________________ Last: ____________________
Directions: On a scale of 1-5 (5 being the highest, best or most and 1 being the least, lowest or worst) rate by circling the number reflecting your opinion.
To what extent were your personal objectives satisfied?
Comments:________________________________________________________________________ 5 4 3 2 1
To what extent did the environment contribute to the learning experience?
Comments:________________________________________________________________________ 5 4 3 2 1
To what extent did the written materials contribute to the learning experience?
Comments:________________________________________________________________________ 5 4 3 2 1
To what extent were the objectives stated in the promotional literature or those stated at the beginning of the activity satisfied?
Comments:________________________________________________________________________ 5 4 3 2 1
To what extent did the activity contain significant current intellectual or practical content?
Comments:________________________________________________________________________ 5 4 3 2 1
Please rate the faculty on the same scale:
Overall Teaching Effectiveness
Effectiveness of Teaching Methods
Significant Current intellectual or practical content
Instructor's Name:
Subject/Topic:
Comments:
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
Instructor's Name:
Subject/Topic:
Comments:
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
Instructor's Name:
Subject/Topic:
Comments:
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
To submit your Course Evaluation Form, complete and submit to provider together with your other materials including your Official Participatory Record
Mail completed Evaluation Form(s) to:
I.C.L.E., 9424 Darwell Drive, L.V., NV 89117-0602
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