TLA Appraisal Form DepartmentCandidate Name First Last Candidate PositionProfessional Reg NumberProfessional Reg expiry Appraisal Date AppraiserAppraisal PositionDate of Last Appraisal(Required) Date next appraisal due(Required) Most Recent PlacementDate From Date To PlacementHow 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)Your NameYour NameYour NameYour NameName (Appraiser)(Required) First Last Signature (Appraiser)(Required)Your NameYour NameYour NameYour NameOFFICE USE ONLY:Follow up required Yes No If Yes, follow up referred to:
