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GRCA CCA SECRETARY
QUESTIONNAIRE
 
Host Club
Event Date
- - (month-day-year)  
Secretary's Name
(Your Name)
Email
Phone
 
Total Evaluations:
Start Time:
Finish Time:
Time allotted for breaks: Location: Indoor or Outdoor
Weather:
Is this the Club’s first CCA Event?
Yes
No
Was the event a success?
Yes
No
GRCA CCA Committee Information: (Please check the appropriate box
CCA Program information and availability:
Excellent
Good
Fair
Poor
Unacceptable
CCA Program forms (ease of use):
Excellent
Good
Fair
Poor
Unacceptable
CCA Methods of accepting entries:
Excellent
Good
Fair
Poor
Unacceptable
CCA Listing of qualified Evaluator:
Excellent
Good
Fair
Poor
Unacceptable
Correspondence with GRCA CCA Committee:
Excellent
Good
Fair
Poor
Unacceptable
Comments:

Evaluator Information (Please check the appropriate box, reference your Evaluators A,B or C to correspond with the names on the Event Report Form)
Evaluator (A
Overall knowledge of the CCA Program
Excellent
Good
Fair
Poor
Unacceptable
Provided hands-on verbal critique
Excellent
Good
Fair
Poor
Unacceptable
Provided written / descriptor comment
Excellent
Good
Fair
Poor
Unacceptable
Educational value of this Evaluation
Excellent
Good
Fair
Poor
Unacceptable
Comments:

Evaluator Information (Please check the appropriate box, reference to Evaluator’s names will remain confidential information for CCA Committee use only)
Evaluator (B
Overall knowledge of the CCA Program
Excellent
Good
Fair
Poor
Unacceptable
Provided hands-on verbal critique
Excellent
Good
Fair
Poor
Unacceptable
Provided written / descriptor comment
Excellent
Good
Fair
Poor
Unacceptable
Educational value of this Evaluation
Excellent
Good
Fair
Poor
Unacceptable
Comments:

Evaluator Information (Please check the appropriate box, reference to Evaluator’s names will remain confidential information for CCA Committee use only)
Evaluator (C
Overall knowledge of the CCA Program
Excellent
Good
Fair
Poor
Unacceptable
Provided hands-on verbal critique
Excellent
Good
Fair
Poor
Unacceptable
Provided written / descriptor comment
Excellent
Good
Fair
Poor
Unacceptable
Educational value of this Evaluation
Excellent
Good
Fair
Poor
Unacceptable
Comments:


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