Navmed 1520 18-2026

1. Click ‘Get Form’ to open the navmed 1520 18 in the editor.
2. Begin by entering the applicant's name in the designated field (Last, First, MI). This is crucial for identifying the individual being evaluated.
3. Next, indicate the FS/UMO training choices in order of preference. This helps streamline the selection process.
4. Fill in the program director or SMO's name (Last, First, MI) to authenticate the evaluation.
5. If applicable, specify the training program where the applicant is currently enrolled.
6. Provide details on the level of performance being evaluated by selecting from options such as Internship, Residency, Fellowship, or Attending Staff.
7. Enter the location and dates of performance evaluated (Month/Year) to give context to your assessment.
8. Check the appropriate box that reflects the applicant's performance level compared to peers: Top 25%, Middle 50%, or Bottom 25%.
9. In the comments section, provide specific feedback on performance and any concerns regarding qualifications for further training.
10. Select a recommendation based on your assessment: highly recommend, recommend, or do not recommend for FS/UMO training.
11. Finally, sign and date the form to complete your evaluation before submission.

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