INTERNSHIP SKILL FORMATIVE/SUMMATIVE ASSESSMENT Formative X

Evaluation of Students Progress Summative

Students Name: Ashley Reimer Cohort: UEN Date: 5-3-16

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Please complete the following evaluation and be prepared to discuss with UNI Faculty Field Supervisor at the end of
each semester.

The following instrument is to be completed by the mentor to assess students knowledge and experience in each of the
following 35 ISSL criteria. If the student has not had the opportunity to demonstrate knowledge or experience in a
particular skill area, please check (None) in the appropriate circle.
Evaluation Scale:
HD (high degree) SD (some degree) LD (low degree) None

(Check appropriate circle)

HD SD LD None
Standard 1: Visionary Leadership
The student has demonstrated knowledge or understanding of:
A. Uses Data for Establishment of Achievement Goals X
B. Uses best practice in Program Improvement X X
C. Articulates/Promotes high Expectations for teaching/learning X
D. Aligns educational programs w/ District Vision and Goals X X
E. Provides leadership for Major Initiatives & Change Efforts X
F. Communicates effectively w/Various Stakeholders on progress X

Standard 2: Instructional Leadership

The student has demonstrated knowledge or understanding of:
A. Provides leadership for Assessing/Developing/Improving Climate/Culture X
B. Systematically/Fairly Recognizing/Celebrating Staff/St. Accomplishment X
C. Encourages design of more effective learning experiences for students X
D. Monitors/Evaluates Effective Curriculum/Instruction/Assessment X
E. Evaluates Staff & Provides ongoing coaching for improvement X
F. Ensures professional development that enhances teaching/learning X
G. Uses research/theory to develop/revise professional growth plan X
H. Promotes collaboration with all stakeholders X
I. Accessible & approachable to all stakeholders X
J. Visible & engaged in the community X
K. Articulates & reinforces desired school culture, showing evidence X

Standard 3: Organizational Leadership

The student has demonstrated knowledge or understanding of:
A. Complies with state & federal mandates & local board policies X
B. Recruiting, selection, induction, & retention of staff for quality instruction X
C. Addresses current & potential issues in a timely manner X
D. Effectively/efficiently manages fiscal & physical resources X
E. Protects instructional time X
F. Uses effective communication w/internal & external audiences about
school operations X

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 HD SD LD None
Standard 4: Collaborative Leadership
The student has demonstrated knowledge or understanding of:
A. Engages families & community and promotes shared
responsibility for student learning & education X
B. Promotes/supports structure for family/community involvement X
C. Facilitates connections of students/families to health/social services
that support focus on learning X
D. Collaboratively establishes culture that welcomes & honors families &
community & seeks ways to engage them in student learning X

Standard 5: Ethical Leadership

The student has knowledge or understanding of the need to act with integrity, fairness and in an ethical manner as related to:
A. Demonstrates ethical & professional behavior X
B. Demonstrates values, beliefs, & attitudes that will inspire others to
higher levels of performance X
C. Fosters & maintains caring, professional relationships with staff X
D. Demonstrates appreciation for and sensitivity to diversity in
the school community X
E. Demonstrates respect for divergent opinions X

Standard 6: Political Leadership

The student has knowledge and understanding of:
A. Collaborates with service providers/decision-makers to improve
teaching & learning X
B. Advocates for the welfare of all members of the learning community X
C. Designs & implements appropriate strategies to reach desired goals X

UNI Educational Leadership Contextual Framework

To what degree this semester has the student engaged in leadership experiences allowing him/her to function as a:
Leader of Learning X
Leader of Service X
Leader of Change X

Summary
A. What leadership experiences were especially successful for the student this semester?
Ashley has taken on leadership roles with our building PBIS team and has recently been working to push herself in the role
as a leader of change. Ashley has been a bit of a pioneer for a collaborative teaching model and has been modeling
effective co-teaching as well as conducting a survey and inquiring as to how we can capitalize on our current co-teaching
model. Ashley has shown great initiative with this work and is proving herself to be a true teacher leader.

B. What leadership experiences failed to meet expectations for the student this semester?
None Anywhere marked LD on this form would only be due to the limited amount of exposure for Ashley

C. What has been the main focus or topic of reflections and conversations with the student this semester?
The main focus has been on different opportunities and areas that Ashley might be able to expand her understanding of
different building leadership roles. At this point in the program we have worked to identify areas that Ashley is already
strong and areas that she would benefit from more experiences- we then focus on opportunities to expose Ashley to new
and challenging experiences in leadership.

D. How many summaries & reflections has the student logged on the Student Management System this semester? ______

E. How many hours of field-based internship did your student complete this semester?

Overall Evaluation:
Please rate the quality of your students internship performance for this semester using a scale of 1-10 (low
to high) 9

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 Check this box to verify that the Mentor, Faculty Field Supervisor, and Student have discussed the completed assessment.

Date: ____________________

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1) Complete electronically and email to

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