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CSN Student: >> Astrid Sanche® Sten Saldino CCSD School Assigned: >>> ea Withams ES. CSN Instructor: >> ¥ CCSD Cooperating Teacher; >>> John Chamorro esp GredeiDeparmen: >>> Yth / Mat | Stituce ccso serolPrncpat >> Carrie Fassheck CCSD School Phone & Fax: (702)>>> 949-7174 (702)>>> 3.99 -B SL Record accurate data for all school visitations in the table below 03/05/2020 [12 [20 >| rorauours; * 4.0 ‘Cooperating Teacher Signature: Date: 6/ 202 FIELD OBSERVATION STUDENT EVALUATION - completed by Cooperating CCSD teacher Please complete the following evaluation using the Performance Indicator Scores below (with the student) once the total observation hours are met. Your constructive comments are extremely valuable to the student. This page should be returned to the student along with their Time Log. If you prefer to fax or mail the completed documents, ‘you may do so by sending it to the CSN Professors attention via Fax: (702) 651-4908 or through regular US mail 0: (CSW Fed Obeonaton Packet (©sW Eaveaon Doportment 2017 Page 8 CSN North Las Vegas Campus - Education Dept. 3200 E. Cheyenne Ave. Las Vegas, NV 89030-4228 ‘SORT CODE CYS-222 Enter the appropriate “Performance Indicator Score” in the spaces below (4)=exemplary (3)=consistent level (2)=not consistent (1)=lacking 4 protessional appearance, adherence to CCSD dress code Reliability, punctuality Communicates effectively with teachers and staff Demonstrates manners, graciousness Reflects upon observations using critical thinking Demonstrates enthusiasm and curiosity toward the profession ‘Models respectful behavior with students Uses appropriate language . ists Is bstsiSiStS Exhibits pre-service educator success indicators Cooperating Teacher's Signature: , S/bf 20% CSN Fes Obsovaton Pact (© CSN Education Department 2017 Page 9

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