Professional Documents
Culture Documents
Education
Department
Faculty & Staff
STUDENT NAME:
John Hughes
Education
Dept. Chairman
Phone: 732-6549
jhughes@csi.edu
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STUDENT SIGNATURE:
I have completed 3/ffiofJrs ~eld
CO-TEACHER
732-6890;
FAX: 732-6797
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Page 1
As the instructor or cooperating teacher for EOUC 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.
Name of CSI Student:
--~~~~~--~--------------------------------------------------
Coordinating Teacher:
A. hred-r
DIMENSION
INDICATOR
NOT MET
INDICATOR
ACCEPTABLE
1
INDICATOR AT
TARGET
SCORE
Communicates effectively
Communicates appropriately
Indicator Total
1./;4
Indicator Total
Date:
---------------------EDUC 202 Field Experience
Checklist Evaluation
-------------------
is punctual.
is dependable.
X'
)C
In order for the CSI faculty to gain an understanding of the activities the student experienced, please place a
checkmark in either the yes or no column. Thank you. Additionally, rest assured that the CSI Field Experience
student is not enalized ifhe/she does not com lete all activities listed.
)(
ran copies.
laminated materials.
X'
bound materials.
X'
o
o
Rating of Standard 6
Rating of Standard 9
CSI Instructor Signature:
Dr. L. Egbert
Date
12/17/14