Non-waived testing- 6 criteria competency checklist

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Hello Everyone, 

I was hoping to see an example of a nonwaived competency checklist that follows CAP guidelines for non-waived testing, such as the Sig Elite for ACT testing. I am revamping my form and would like to see ideas. 

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I have an online form built with this addressing the 6 elements.  It is required to fill out by POCC when they review the exam.
Attachment.
6Elements.jpg

This is the form that we use.

Attachment.
image.png

Thank you all this is really helpful. 

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Fatimah Ali
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