Regional Center*:

Evaluation Year:*
-

Evaluator designation:*

Did the student complete the ACES or ACES+ Requirements?*
Yes
No

How many years has the student been involved with AHEC?*

On a scale of 1-5, with 1 being the lowest and 5 being the highest, please select the value of the following components of the ACES/ACES+ program.*

Individual Career Planning (ICP) Sessions 1 2 3 4 5
Additional support provided by AHEC staff 1 2 3 4 5
Workshops 1 2 3 4 5
Shadowing Experiences 1 2 3 4 5
Leadership Projects/Community Service Opportunities 1 2 3 4 5
Overall benefit of ACES/ACES+ to the student 1 2 3 4 5

Please explain any rating of one (1) or two (2).

Please identify and describe the benefit the student has gained from the ACES/ACES+ program:

Check all that apply* Description of benefit:
Academic
Shadowing
Leadership
Personal Growth
Healthcare Exploration
Pre-professional skills


Did the ACES/ACES+ program meet the student’s expectations?*
Yes
No

Does the student plan to continue with and re-commit to the ACES/ACES+ program?*
Yes
No

Why or Why not?

What comments would you like to share with AHEC staff, funders, regional Board members, or legislators about the ACES/ACES+ program?

Optional: If you would like to be contacted regarding this evaluation, please provide name and contact information.