Hagerstown Fire Department

25 West Church Street
Hagerstown, Maryland 21740

Michael W. Weller
(301) 790-2476

Public Fire Safety Educator
Fax: (301) 797-7448

Dear Teacher:

As supervisor of Fire Safety Education at Children's Village it is important for me to monitor each Fire Department instructor's performance to insure quality material is presented to students. Please assist me by completing this evaluation near the end of today's visit and give it to the Children's Village Secretary.

Thank you,

Michael W. Weller
Supervisor of Fire Safety Education

Evaluation Scale:

1 - Needs Improvement

2 - Adequate

3 - Good

4 - Excellent

Please circle your response. I also encourage written comments as all information will benefit instructors.

1.The instructor was familiar with the curriculum and presented the material smoothly.
1 2 3 4

2.Material was presented on second grade level in easy to understand terms.
1 2 3 4

3.The instructor related well with students and presented material in a friendly manner.
1 2 3 4

4.The instructor was able to be somewhat entertaining when presenting material which helped to enhance students' attention level while still promoting a learning environment.
1 2 3 4

5.The instructor was able to maintain effective control of class with regard to discipline.
1 2 3 4

6.The instructor maintained an effective pace which did not allow boredom and held students' interest making them eager for the next module.
1 2 3 4

7.The instructor called on a wide variety of students for participation.
1 2 3 4

8.The tour of the burned house was performed in an organized manner with previously learned behaviors reinforced.
1 2 3 4

9.The instructor's appearance and conduct was professional.
1 2 3 4

10.Please include any additional comments or suggestions which you feel would benefit our instructors or curriculum.

Teacher's Name:_______________________________ School:___________________________________