INTERNSHIP SKILL FORMATIVE/SUMMATIVE ASSESSMENT Formative Evaluation of Student's Progress Summative ‘Student's Name: _Mathew Tobin Cohort UEN Date: Please Pint, Please complete the following evaluation and be prepared to discuss with UNI Faculty Field Supervisor atthe end of ‘each semester. The following instrument is to be completed by the mentor to assess student's 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, valuation Sele: HD (high degree) SD (some degree) LD (low depree) None (Check appropriate circle) HD SD LD None idard 1: Visionary Leadership The student has demonstrated knowledge or understanding of ‘A. Uses Data for Establishment of Achievement Goals x B. Uses hes practice in Program Improvement x CC. Atiulates Promotes high Expectations for teaching/learning x . _Aligns educational programs w/ District Vision and Gals 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/Faitly Recognizing/Celebrating StalSt. Aecomplishment. X C._ Bneourages design of more effective learning experiences for students X D. — Monitors/Evaluates Effective Curieulum/Instuction/ Assessment x E. Evaluates Staf & Provides ongoing coaching for improvement x F__ Ensures profesional development that enhances teachinglearning——-X G. Uses researchitheory to developitevise professional growth plan x H. Promotes collaboration with al stakeholders xX oe ° 1. Accessible & approachable to al 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 poles x B. Recruiting. seletio, induction, & retention of staff for quality instruction X ©. Addresses eureent& potential issues in a timely manner x D, _Effectvelyeffciently manages fiscal & physical resources x E.Protets instuetional time x F.__ Useseflective communication winternal & external audiences about school operations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 leaming & education x B, _Promotes/supports structure for faily/community involvement x C._Faciliates connections of students families to healt/social services that support focus on learning x D. _Collaboratvely establishes culture that welcomes & honors families & ‘community & secks ways to engage them in student learning ——X Standard 5: Ethical Leadership The student has knowledge or understanding ofthe need to act with integrity, faimess and in an ethical manner as relate ‘A. Demonstrate ethical & professional behavior x B. Demonstrates values, beliefs, & attitudes that will inspire others to higher levels of performance x Fosters & maintsns caring. professional clatonships with stat x . 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!dcision-makers fo improve teaching & leaming x ° B. Advocates forthe welfare ofall members ofthe learning community x 0 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 himher to function as: Leader of Learning x leader of Service x Leader of Change K 0 ° Summary ‘A. What leadership experiences were especially sucessful forthe student this semester? Mr, Tobin has been taking on multiple leadership experiences. His work as our building safety chair has been ext Help for Mt, Tobin ase ha had the gpporuiy fo tok at man diferent aspects of day o day school operations. The salty chair work has also afforded Me. Tobin the opportunity to work with multiple sta members from a variety of buildings. In addition to this work Mr. Tobin bas been the administrator in charg for several athletic events whieh affords the opportunity to interact witha variety of stakeholders as well as work on time management and organizational skills. Lastly Mr, Tobin fas been an active participant and committe: member in our building's PBIS work. Mr. Tobin is always Willing to take on new roles and responsibilities B, What leadership experiences filed to mest expectations forthe student this semester? None C.What hasbeen the main focus or topic of reflections and conversations with the student this semester? “The main focus has been on completion of internship experiences and ensuring a variety of activities in order to become a 1D. How many summaries & reflections has the student logged on the Student Management System this semester? \d-ased internship did your student complete this semester? 2.0 forbee/ Gf Hie Spnuacte— How many hours off Overall Evaluation: Please rate the quality of your student’s internship performance for this semester using a scale of 1-10 (low to high) 10Check his box to verify thatthe Mentor, Faculty Feld Supervisor, and Suen have discussed the completed assessment. Options for Submitting this completed form: 4) Complete electronically and email to Date: 2) Copy, scan, and email as attachment to