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Time sbeet and LOR (Evaluation of Student Performance) will be "mailed to me" at semester ending or when
completed. The evaluation is referred to as the LOR and is used in your future university.
I will sign it and post it
on Blackboard.
J.(.,
STUDENTNAME:~r'\db
ASSIGNED
SCHOOL(S):
Date
Time In
Fi I e
I(
Sed)
i'{}
~e(MeJ
Time Out
John Hughes
Education Dept. Chairman
Phone: 732-6549
jhughes@csi.edu
V\ \1\)
id
Total
Time
{e
Sc ha:>/
Teacher
Initial
Student Initial
~/"J
....=r _J'V i\
\oht.t
11..J1\~oo
13:00
...
8 hr$
10 J, r.S
Ib hrs
\8
"'(5
;)0 hr5
\\ / b /J '-J \.; \ 5
3: I 5
IIt I It IJ 4
3: 00
~: 0 0
Instructor for
this EDUC 202
class:
Dr, LueLinda Egbert
EDUG Professor
Phone: 732-6890
iegbert@csi.edu
STUDENT SIGNATURE:-I---~"""f----.""'-""=-:"'-'L---1-~_
I have completed 30 ho
of field experience with my assigned school(s).
COORDINATING
TEACHERSIGNATURE,t4
it
CO-TEACHERPHONENUMBER:~tf?!---
0 3 ~3
Ye;
No
Comments
X
,V,
( X'
><;
X
\.
"
In order for the CSI faculty to gain an understanding of the activities the student experienced, please place
a checkrnark in either the yes or no column. Thank you. Additionally, rest assured that the CSI Field
Experience student is not penalized if he/she does not complete all activities listed.
Field Experience Student:
Comments
Ye~ No
worked with small groups on defined tasks.
X
worked with individual students.
.""
y
attended a faculty meeting.
graded papers and/or recorded grades.
'i--.
"
designed and put up a bulletin board.
,
ran copies.
y<,
laminated materials.
bound materials.
observed or participated in Parent Teacher
conferences.
""
developed and presented a lesson or activity.
<:
Evaluation
Standard
Not Met
Standard
Acceptable
Standard
at Target
Rating of Standard
Rating of Standard
Dr. Egbert's
Signature:
Dr. L. Egbert
Dr. Egbert, Professor of Education: Ph.D.; Education Specialist & SPED Dir.
Date
12/08/14
Page 13
:"
.1i"
'.<:
As the instructor or cooperating teacher for EDUC 202, you are asked to evaluate the performance of the
student enrolled in your course or completing field experience in your classroom. Please rate the
student on each of the dimensions listed below using the scale from 0 (Indicator Not Met) to 2 (Indicator
at Target). Thank you for your assistance with (Name afeS] Student): ~r~iAb
\Cn" \,\', So ""
coordinatingTeacher:''}?obt)i'\
DIMENSION
E\\f\.LSChOOI:
INDICATOR NOT
MET
Pi t.ec r(\tervYlecli'o...+L
INDICATOR
ACCEPTABLE
I
INDICATOR AT
TARGET
2
SCORE
Indicator Total
PROFESSION AL COMMITMENT
(Idaho Core Teaching Standard 9)
AND RESPONSIBILITY:
Displays enthusiasm
Uses decision-making
skills
Demonstrates responsibility
Shows respect for others
Demonstrates initiative
Shows commitment to teaching
Indicator Total
Coordinating Teacher
\f<\v.. rt c....
h. 5[)e{\ -\Practitioner's Field-work ~...)
I
Comments and "
helm\,0 M ~ Q (.(.5:) t .J.--
l \
Y\.~r" 30 .hOlA.!-5
.
ct
f e Ct \ \j e(\j o~e
\(\ 0 bse('vc~hof
Date: -I-1--'--1---'/L--=-/3=-+/...L./_c/L-Page 12