ACEN Peer Evaluator Availability Form – Fall 2021 Accreditation Cycle ACEN Peer Evaluator Availability - Fall 2021 Accreditation Cycle Step 1 of 3 33% Email* Enter Email Confirm Email Contact ID* Peer Evaluator InformationFirst Name* Last Name* Credentials* Job Title* Site Visit AvailabilityFall 2021 Accreditation Cycle*Check all that apply: Week of September 13-17, 2021 Week of September 20-24, 2021 Week of September 27-October 1, 2021 Week of October 4-8, 2021 Week of October 11-15, 2021 Week of October 18-22, 2021 Available this cycle but weeks unknown Not available this cycle Please specify type of availability.* I am available for an in-person site visit. I am available for a virtual visit. I am available for either an in-person site visit or virtual visit. You have specified availability for an in-person site visit.*Are you and your employer (if employed) agreeable to you traveling by airplane, train, or bus to conduct an in-person site visit? Yes No Are you and your employer (if employed) agreeable to you driving to conduct an in-person site visit?*Are you and your employer (if employed) agreeable to you driving to conduct an in-person site visit? Yes No Are you willing to serve on more than one visit during the site visit cycle?* Yes No Are you available for a weekend visit?* Yes No Are you available to serve on a special purpose visit; for example, Focused Visit? (Dates not represented above) (Typically performed with 1 to 2 Peer Evaluators)* Yes No Special AccommodationsDo you have any physical limitations that may require accommodations or special consideration while you are on a visit?* Yes No Please explain so your needs may be met.*Comments/NotesPlease use the space provided below for notes/comments related to your availability.
