Page 1 of 7 RevisedELCC 1/15 The University of Tennessee at Chattanooga FINAL MENTOR EVALUATION FORM Directions Carnsidates: Accreditation requirements demand that you show proficiency in EACH ofthe ELC standards felon Pleas list after each standard, the field experience in which you engaged tat allowed you to demonstrate competency in that standard. You may lst more than one activity for any one standard but are not require 10d so, Shane demonstrated your competency, that is all you need. You may use the same activity for more than one standard element "e Then save the form (save as NAME MentorEvalFinal YEAR and © forward this form, with you additions, to your mentor “Mentors: Please respond tothe indicators shaded in gray below. Additional indicators and comments may be added Scores of 3 and 4 would be expected. Not Observed Less than aspiring / not proficient ‘Aspiring (a andidte new toa principal licensure graduate program would be expected to perform at his level) / not proficient [Benvcen aspiring and beginning (this would be the minimal expectation for a beginning assistant principal) 1 minimally proficient 4= Beginning (a beginning assistant principal would be expected to perform at this level) / proficient S= Above beginning / above proficient ‘The IN Administrator evaluation rubric should be used asa guide to this scoring and can be aligned with the “field experience categories A-G below. Candidate’s NAME: Brittni Kilpatrick FLCC: Candidates. have the knowledge and ability to promote the success ofall students by facilitating the development, articulation, implementation, and stewardship of a school or district vision of earning supported by the school community. Feld Experience Category (TILS) A: An effective instructional leader implements a systematic, coherent ‘approach to bring about the continuous growth in the academic achievement of all students. Noli |z [3 [4 [5 TT Develop a school vision for learning: CANDIDATE: Please list and describe here what you did ‘)With leadership team, reviewed and revised the school vision statement. MENTOR please evaluate in the boxes to the right 72 Articulate a school vision for learning CANDIDATE: Please list and describe here what you did L) )With leadership team, reviewed and revised the school ve vision statement. We worked to modify the wording to make it child friendly and concise. ‘MENTOR: Please evaluate in the boxes to the right 73 Implement a school vision for learning, L) With the OLWEUS committee, we created procedures and professional development of anti-bullying strategies 10 be ‘implemented in throughout the school to create an environment S|Page 2 of 7 RevisedELCC 1/15 ‘more conducive to learning. ‘MENTOR: Please evaluate in the boxes to the right T4 Steward a school vision for learning 1JAs a member of the SWPBS commitiee, we have met several times to analyze the progress of the OLWEUS initiative in our i building. We have made changes accordingly to better provide resources. MENTOR: Please evaluate in the boxes to the right 7.5 Promote community involvement in school vision for learning 1) Asa teacher, I have worked with a couple of local community members from a church to come in weekly to offer v additional assistance to struggling readers. MENTOR: Please evaluate in the boxes to the right ‘Additional: ‘Comments: ELCC 2: Candidates ~ have the knowledge and ability to promote the success of all students by ‘promoting a positive school culture, providing an effective instructional program, applying best practice to Student learning, and designing comprehensive professional growth plans for staff. The intern demonstrates understanding of pedagogy and implementation of instructional program. Field Experience Category B: An effective instructional leader creates a school culture and climate based on high expectations conducive to the success of all students. Field Experience Category C: An effective instructional leader facilitates instructional practices that are ‘based on assessment data and continually improve student learning. Field Experience Category D: An effective instructional leader improves student learning by developing and sustaining high quality professional development. INO) [tives | 2ea] isa ians Ss 2.1 Promote a positive school culture 1) As grade level chair, worked with my team to create a iz collaborative, productive work environment. MENTOR: Please evaluate in the boxes to the right 2.2 Provide an effective instructional program 1) As grade level chair, worked with my team to create a yearlong curriculum map and common assessments based off v of best practices. MENTOR: Please evaluate in the boxes to the right 23 Apply best practices to student learning 11) As grade level chair, worked with my team to implement the RIT ters to offer differentiated instruction through tier 2, 3, ‘and enrichment groups. MENTOR: Please evaluate in the boxes to the right 24 Design comprehensive professional growth plans 1) As the literacy network representative, I worked with the literacy coach and administration to design a professional development plan for the new Lucy Caulkin's writing series (2013-2014).Page 3 of 7 RevisedELCC 1/15 MENTOR: Please evaluate in the boxes to the right ‘Additional: ‘Comments:Page 4 of 7 RevisedELCC 1/15 FLCC 3: Candidates. have the knowledge and ability to promote the success of al students by managing the organization, operations, and resources in a way that promotes a safe, efficent, and effective learning ‘environment. Field Experience Category B: An effective instructional leader creates a school culture and climate based ‘on high expectations conducive 10 the success of all students. and Field Experience Category E: An effective instructional leader facilitates learning and teaching through the effective use of resources NO[1 [2 [3 [4 [5 3.1 Manage the organization 1) Created and managed a kindergarten transition program 10 offer imensive literacy intervention. MENTOR: Please evaluate in the boxes to the right 3.2 Manage the operations 1.) Managed the RTI records K-5 throughout the school year. Yv MENTOR: Please evaluate in the boxes to the right 3.3 Manages resources 1L) As grade level chair, determined books needed to ensure ‘adequate resources o plan and teach from our curriculum v ‘map. MENTOR: Please evaluate in the boxes to the right ‘Comments: ELCC 4: Candidates...have the knowledge and ability to promote the success of all students by Collaborating with families and other community members, responding to diverse community interests and needs, and mobilizing community resources Field Experience Category A: An effective instructional leader implements a systematic, coherent ‘approach to bring about the continuous growth inthe academic achievement ofall students. Field Experience Category E: An effective instructional leader facilitates learning and teaching through the effective use of resources Field Experience Category G: An effective instructional leader responds to and influences the larger personal, politcal, social, economic legal and cultural context in the classroom, school and local ‘community while addressing diverse student needs to ensure the success of all students. Noj1 |2 [3 [4 [8 41 Collaborate with families and other community members 1) Worked with the literacy committee to plan the school wide literacy night (2014) to determine ways to involve family Yj ‘members in literacy learning. MENTOR: Please evaluate in the boxes to the right FD Respond to community interests and needs 1) At math night (201-9, I presented 10 the first grade parent, school board member, and county commissioner to explain Vo best practices in math and the common core standards. MENTOR: Please evaluate in the boxes to the rightPage 5 of 7 RevisedELCC 1/15 43 Mobilize community resources 1) Through the OLWEUS and SWPBS committees, Thave worked with STARS and UTK to determine school wide plans 10 better prepare our school to create a anti-bullying and Vv positive climate, We have discussed and strategies community involvement that can be used to build these plans. MENTOR: Please evaluate in the boxes to the right ‘Additional: ‘Comments: ELCC 5: Candidates...have the knowledge and ability to promote the success of all students by acting with integrity, fairly, and in an ethical manner. Field Experience Category F: An effective instructional leader facilitates continuous improvement in student achievement through processes that meet the highest ethical standards and promote advocacy, including political advocacy where appropriate. NOI riuan2 a] 3/ea]4a is Sul Acts with integrity 11) As grade level chair, I have worked with my team to create a positive, conducive environment. v ‘MENTOR: Please evaluate in the boxes to the right 32 Acts fairly 1) As grade level chair, I have worked with my team to create i «a positive, conducive environment. MENTOR: Please evaluate in the boxes to the right 53 Acts ethically 1L) As grade level chair, I have worked with my team to create iv «a positive, conducive environment. MENTOR: Please evaluate in the boxes to the right ‘Additional: ‘Comments: ELCC 6; Candidates... have the knowledge and ability to promote the success of all students by ‘understanding, responding to, and influencing the larger political, social, economic, legal, and cultural context, Field Experience Category F: An effective instructional leader facilitates continuous improvement in ‘student achievement through processes that meet the highest ethical standards and promote advocacy, including political advocacy where appropriate. Field Experience Category G: an effective instructional leader responds to and influences the larger ‘personal, political, social, economic legal and cultural context in the classroom, school and local ‘community while addressing diverse student needs to ensure the success of all students. jof1 [2 Ne 3a |S 6.1 Understands the larger educational context 1) Ihave attended professional development to stay current on best practices and teaching strategies: math, literacy, Linda Hoyt A ‘summer sessions, Jan Richardson, OLWEUS, SWPBS, Literacy Network MENTOR: Please evaluate in the boxes to the right 62. Responds to the larger educational context 1) [shared my knowledge of the LLI curriculum to teachersPage 6 of7 RevisedELCC 1/15 “From Athens county schools during Hamilton counties literacy showcase. MENTOR: Please evaluate in the boxes to the right “| 63 Influences the larger educational context 1.) Lhave presented and shared best practices and strategies 10 ‘our faculty through professional developments on Lucy Caulkin’s Writing Series (2013-2014) MENTOR: Please evaluate in the boxes to the right ‘Additional: ‘Comments: Other: ‘Standard 1: Personal and Academic Imegrity: A student in the School Leadership is expected to: ‘+ Provide complete and accurate information in the application process. © Refrain from acts involving dishonesty, cheating, fraud, deceit or misrepresentation. ‘+ Reffain from any act of plagiarism, which includes any ‘isrepresentation of academic ownership, including (but not limited to) falsifying citations, presenting another’s work as ‘one’s own, or using data without permission. ‘© Represent all data accurately and without misrepresentation, “Standard 2: Professionalism: A student in the School Leadership program is expected to: ‘© Uphold the legal standards of his/her profession. + Demonstrate appropriate self-control (such as anger control, impulse control, response to feedback) in interpersonal relationships with faculty, peers, and other associates. «Respect the fundamental rights, dignity, and worth of all ‘Standard 3: Confidentiality: A student in the School Leadership program is expected to: ‘© Respect the rights of other students with respect to privacy and confidentiality. ‘© Maintain confidentiality regarding class discussion topics. ‘+ Maintain the anonymity of subjects. __ Follow all stipulations of the IRB regarding research Mentor Signature/Title/School: inci Date,_ 374 /(% THANK YOU! Additional Comments (optional). These may be in reference to the candidate or the program in general (use back of page or ‘type’ here...)Page 7 of7 RevisedELCC 1/15 PLEASE discuss this form with the candidate and have the candidate return it to his/her professor. ‘you do not wish 1 return it withthe candidate, please put in a sealed envelope and give to the candidate, or email it to barry-kamrath@utc.edu or Fax him at 423-425-5443