TLA Appraisal Form HiddenDepartment Candidate Name First Last Candidate Position Professional Reg Number Professional Reg expiry DD slash MM slash YYYY Appraisal Date DD slash MM slash YYYY Appraiser Appraisal Position Date of Last Appraisal/Interview DD slash MM slash YYYY Most Recent PlacementDate From DD slash MM slash YYYY Date To DD slash MM slash YYYY Placement How are you finding the placement?Any concerns/ comments you would like to feedback?Induction – have you received on onsite induction? Yes No Do you have any questions or concerns that we may assist with?Any comments you would like to add?Upcoming Compliance Renewals due:Declaration: I confirm this is a true and accurate account of my appraisal and am aware that I am required to have an annual appraisal with one of TLA’s clinical lead’s which is to be completed by a video call platform (ie: facetime, skype, what’s app)Name (Candidate)(Required) First Last Signature (Candidate)(Required)Name (Appraiser)(Required) First Last Signature (Appraiser)(Required)OFFICE USE ONLY:Follow up required Yes No If Yes, follow up referred to:
