Spring 2024 Site Visit Surveyor Preferences Spring 2024 Site Visit Preferences Survey:Outlined below is the process for indicating your preferences. After completing the first few introductory questions, please select at least four (4) date options during which you could be available, if assigned. Indicate "Willing To Be TC or TM" or "Team Member" (among the other options in the dropdown). All site visits are 1 and a half days.Spring 2024 site visit assignments will be made by the October 23rd at the latest, and all surveyors that submit preferences will be contacted shortly after the assignments have been made. Please do not sign up for a visit in a state where you work or reside, or in a state in which you’ve worked in the recent past.You will not be assigned to more than one spring 2024 visit, unless you indicate that you are available to conduct more than one visit. If you are no longer able to remain as an active surveyor, we would appreciate you contacting us.Multiple Campus means that the full medical assisting program is offered at more than one location.Please select AT LEAST FOUR (4) site visit options. If you select less than 4 options, preference may be given to another person.With sincere thanks for all that you do to serve the Medical Assisting community,The A-Team Question Title * 1. Provide the following information Last Name First Name Role (i.e., Educator, Practitioner, Administrator, or Physician) Status (i.e., Retired, or Working) If Working, average # of hours/week List the states in which you have lived in the past 10 years (please abbreviate) States in which you have worked in the past 10 years (please abbreviate) Question Title * 2. Do you have site visit experience in any of the following areas? (Click all that apply.) Multiple Campuses Distance Education for a large portion of curriculum Consortium Question Title * 3. Do you have strengths in any of the following areas? (Please select all that apply.) Clinical Administrative Coding Competency-based educational theory and performance Outcomes assessment Curriculum design and development within Medical Assisting field Question Title * 4. Are you willing to serve on more than one visit during the spring 2024 semester? Yes No Question Title * 5. Within the past five years, have you been the Team Coordinator for a site visit? Yes No Not yet, but I've participated in at least two site visits, and I would like to be considered as the Team Coordinator on my next visit, assuming that I would be paired with an experienced Team Member as my Mentor. Question Title * 6. Have you read (or re-read), signed and submitted the Surveyor Code of Ethics to the MAERB office in September or October of 2023? (Note: This must be done annually. All CAAHEP/MAERB surveyors need sign and submit this document every year, at this point in time. If you have not done so yet, please do NOT proceed with completing your spring 2024 preferences via Survey Monkey.) MAERB will not be able to assign you to a spring 2024 site visit without having received your signed Code of Ethics document by October 13, 2023. Yes No Question Title * 7. Have you read the revised Surveyor Handbook, which was updated in September 2023? This document is revised and updated annually and must be re-read by all surveyors at this time of year.MAERB will not be able to assign you to a spring 2024 site visit if you have not read the recently-revised Surveyor Handbook. Yes No Question Title * 8. Site Visit Option A: Mon-Tues, January 22-23, 2024 Idaho State UniversityPocatello, ID (near Idaho Falls, ID with Susan Carter as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 9. Site Visit Option B: Thurs-Fri, February 22-23, 2024American National UniversitySalem, VA (near Roanoke, VA with Laura Diggle as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 10. Site Visit Option C: Thurs-Fri, February 22-23, 2024 - INITIAL accreditation site visitMetroHealth SystemParma, OH (near Cleveland, OH with Lynnae Lockett as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 11. Site Visit Option D: Mon-Tues, February 26-27, 2024East Central CollegeUnion, MO (near St. Louis, MO with Adisa Velic as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 12. Site Visit Option E: Mon-Tues, March 4-5, 2024Central Oregon Community CollegeBend, OR (Shannon Waller as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 13. Site Visit Option F: Mon-Tues, March 11-12, 2024Midwest Technical InstituteMoline, IL (near Cedar Rapids, IA with Ivey Earl as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 14. Site Visit Option G:Mon-Tues, March 18-19, 2024Community College of Allegheny CountyWest Mifflin, PA (near Pittsburgh, PA with Beverly Brady as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 15. Site Visit Option H: Thurs-Fri, March 21-22, 2024Randolph Community College Asheboro, NC (near Greensboro, NC with Kia Vang as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 16. Site Visit Option I: Mon-Tues, March 25-26, 2024Quinsigamond Community College Worcester, MA (Cheryl DeCoff as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 17. Site Visit Option J: Mon-Tues, April 8-9, 2024 University of Cincinnati Blue Ash CollegeCincinnati, OH (Tera Archbold as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 18. Site Visit Option K: Thurs-Fri, April 18-19, 2024Edgecombe Community CollegeRocky Mount, NC (near Raleigh, NC with Kimberly Byron-Barnes as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 19. Site Visit Option L:Mon-Tues, April 22-23, 2024Clover Park Technical College Lakewood, WA (near Tacoma, WA with Michele Jones as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 20. Site Visit Option M:Mon-Tues, April 22-23, 2024Huntington Junior CollegeHuntington, WV (Traci Burton as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 21. Site Visit Option N:Visit no longer available Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 22. Site Visit Option O:Thurs-Fri, May 9-10, 2024Midwest Technical InstituteSpringfield, MO (Nona Coleman as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 23. Site Visit Option P: Thurs-Fri, May 16-17, 2024 - MULTIPLE CAMPUSSoutheast Technical CollegeSioux Falls, SD (Jolene Penning as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 24. Site Visit Option Q: Mon-Tues, May 20-21, 2024 - MULTIPLE CAMPUSSouthern Crescent Technical CollegeGriffin, GA (near Atlanta, GA with Christy Smith as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 25. Site Visit Option R: Thurs-Fri, May 23-24, 2024Belmont CollegeSt. Clairsville, OH (near Pittsburgh, PA with Amanda Piegan as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Question Title * 26. Site Visit Option S: Thurs-Fri, June 6-7, 2024 - INITIAL accreditation site visitCoastal Alabama Community CollegeBay Minette, AL (near Mobile, AL with Carol Stapleton as PD) Choice Indicate your availability. Select one of the drop-down options. Not interested in or available for this site visit Willing to be TC or TM, as needed - 1st Choice Willing to be TC or TM, as needed - 2nd Choice Willing to be TC or TM, as needed - 3rd Choice Willing to be TC or TM, as needed - 4th Choice Team Coordinator or Team Member Team Member, 1st Choice Team Member, 2nd Choice Team Member, 3rd Choice Team Member, 4th Choice Might be able to fill in, in an emergency Indicate your availability. Select one of the drop-down options. Choice menu Done