1. In the Rating column: As a baseline, rate the level at which you demonstrated the NCHL competency at the start of your MHA program on a scale of 1 (novice) to 9 (expert). Then, rate the level at which you currently demonstrate that competency, again on a scale of 1 to 9.
2. Situation, Task, Action, and Result columns: Describe the situation in which you demonstrated the competency, describe the task you completed, briefly convey the action you took, and state the result of that action on a scale of 1 (worst) to 5 (best).
3. Outcome Rating column: Rate the outcome of the example you provided on a scale of 1 (least desirable) to 5 (most desirable.)

NCHL Competency	Rating (1-9)	Situation	Task	Action	Result (1-5)	Outcome Rating (1-5)
Accountability: Confront performance problems.	Baseline = Current =
Achievement Orientation: Set and work to meet challenging goals.	Baseline = Current =
Change Leadership: Challenge status quo.	Baseline = Current =
Collaboration: Encourage others.	Baseline = Current =
Financial Skills: Evaluate financial analyses and investments.	Baseline = Current =
Impact and Influence: Use indirect influence.	Baseline = Current =
Information Seeking: Conduct research to maintain knowledge.	Baseline = Current =
Initiative: Take action on long-term opportunities.	Baseline = Current =
Innovative Thinking: Apply "tried and true" concepts or trends.	Baseline = Current =
Interpersonal Understanding: Commit to understand others.	Baseline = Current =
Organizational Awareness: Adapt actions to climate and culture.	Baseline = Current =
Performance Measurement: Monitor a "scorecard" of quantitative and qualitative measures.	Baseline = Current =
Process Management & Organizational Design: Benchmark best processes and practices.	Baseline = Current =
Project Management: Provide project oversight and sponsorship.	Baseline = Current =
Self-Confidence: Take on challenges.	Baseline = Current =
Self-Development: Pursue long-term personal development.	Baseline = Current =
Strategic Orientation: Conduct environmental scanning.	Baseline = Current =
Team Leadership: Demonstrate leadership.	Baseline = Current =
Communication Skills: Communicate in a clear, logical, and grammatical manner.	Baseline = Current =