Past_Performance_Questionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

“ATTACHMENT A”

The contractor listed below is being considered in a Source Selection by the Partner Language Training Center Europe (PLTCE) at the George C. Marshall Center in Garmisch, Germany. It would be appreciated if you would provide us with comments regarding the named instructor's past performance. Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (15.1004) prohibits the release of the names of individuals providing reference information about a contractor’s past performance. In order to maintain the integrity of the source selection process, we respectfully request that you do not divulge the name of the contractor nor discuss your comments on this questionnaire with any other individuals. Please fax or e-mail this form as soon as possible to: Brian Kehoe at +49 (0) 8821 750 2730 or brian.k.kehoe@marshallcenter.org.

Background information of PLTCE’s requirement:

The mission of the PLTCE includes providing language enhancement training to students. Instruction is primarily conducted at the intermediate and advanced proficiency levels (Levels 1+ to level 3); however, introductory courses (Levels 0 – 1) will also be conducted. Overall, PLTCE offers introductory, intermediate, advanced and specialized classroom instruction in approximately ten languages and dialects for approximately 400 U.S., NATO/PfP military and civilian linguists each year. Up to one contract may be awarded for Persian/Farsi and Introductory French. The Contractor shall provide 35 hours of intensive Persian/Farsi and Introductory French Instruction Services for as much as 7 contact hours a day.

__________________________(the name of the proposed instructor shall be completed by the offeror before sending the form to references) is being considered as an instructor for PERSIAN/FARSI and INTRODUCTORY FRENCH LANGUAGE instruction at PLTCE.

Your Project Information:

1. Contractor’s name (prime/sub):

2. Project title/contract number:

3. Date of award: ___________ 4. Actual completion date: ________

5. Contract currently in process: Yes No

6. Contract value per year:

7. Contract type: (FFP/CPAF/etc.)

8. What languages were taught by this instructor under your contract?

9. What was the target audience for each course?

10. For each course taught, how many contact hours did this instructor perform under your contract? (Note: A “contact hour” is defined as the number of class periods, usually 50 minutes, spent on teaching students. Monitoring a language lab session is not considered a “contact hour.”)

11. Did this instructor develop course materials in support of your contract? If so, please describe the materials developed and how they were used.

Information for Reference: (The following information will assist in the analysis of the data. Information will be kept confidential.)

1. Name:_______________________________________ Date:________________

2. Phone no.:________________________________ Fax no.:_________________

3. Address:__________________________________________________________

4. Your position or function in relation to project:_____________________________

5. Have you personally observed this contractor in the classroom?

Ratings: (Please evaluate the instructor's performance using the following ratings.)

“O” Outstanding The instructor’s performance clearly exceeded the contract requirements.

“G” Good The instructor’s performance somewhat exceeded the contract requirements.

"A" Acceptable The instructor's performance met the contract requirements.

"M" Marginal The instructor's performance met the minimum contract requirements but with difficulty.

"U" Unsatisfactory The instructor's performance was poor and/or did not satisfy contract requirements.

Please rate and provide any supporting information for the following: (Use additional sheets as needed)

1. Please describe the instructor’s interpersonal skills.

Rating

2. Please describe the instructor’s effectiveness and variety of teaching methods employed.

3. Does the instructor attempt to involve students in the learning process?

4. Does the instructor provide meaningful learning activities to students?

5. Does the instructor provide positive, constructive feedback to students?

6. Is the instruction student-centered or does the instructor prefer to lecture?

7. Please describe the quality of materials developed and used by the instructor.

8. Please describe the instructor’s ability to explain difficult concepts in English.

9. Please describe the feedback obtained from students for this instructor.

10. Were your desired results achieved by this instructor?

11. Please describe the instructor’s teamwork with colleagues.

12. Is the instructor consistently well prepared for class?

13. Please describe the relationship between the contractor and your contract team.

14. Please describe the contractor's on-site management and coordination of subcontractors.

15. Please describe the contractor's overall corporate management, integrity, reasonableness and cooperative conduct.

16. Please describe the contractor's ability to provide the required work at a reasonable total price.

17. Has the contractor been given any of the following: Cure notice, show cause, letters of reprimand, suspension of payments, termination? If yes, please explain.

18. Was the customer satisfied with the end product?

19. Has the contractor been provided an opportunity to discuss any negative performance ratings? If so, what were the results?

20. Would you award another contract to this contractor? If no, please state reasons for not recommending this contractor for additional work.

Please provide any additional comments you think we should consider when making our selection:

Signature of Reference: