EVENT CAPTAIN SUMMARY
The event Captain must complete the below information on behalf of ALL Ed Staff in their group. Please also plan on submitting ALL event documents (assessments/feedback forms, roster, safety meeting sign-in, etc.) for ALL Ed. Staff in your group through one email to Office@psia-w.org
Event Name & Discipline
Event Start Date
Event End Date
Number of participants who fulfilled education
How many participants passed?
How many participants failed?
Event Participant Names
Enter your participants names AND pass/fail status if you do not have a roster to send. Please try to provide correct spelling of names and member numbers.
Were there participants that attended that are not on the original roster?
# of Day of Registrants
Day of Registrants info
Please provide the name (first and last) and PSIA # if available of any day of registrants.
Do any additional certificates or pins need to be mailed to participants who did not receive them? If yes, please note who needs what.
Any issues or concerns? No shows or late attendance?
Suggestions on how to make the event better.
Captains are responsible for submitting the rosters, safety meeting sheets, pass/fail results and scorecards/feedback forms for ALL staff in their event group. Please use a scanner app (i.e. Camscanner) to change the photos into a clear pdf. and email ALL forms to: Office@psia-w.org
Submitting Event Documents
I understand and agree to submit ALL event documents from ALL STAFF in my group as ONE EMAIL to Office@psia-w.org
PSIA/AASI Western Division
phone: (530) 587-7642
fax: (530) 240-6252
9709 Highway 267, Truckee CA 96161
National Site Login
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