AUTONOMOUS UNIVERSITY OF HIDALGO STATE

INSTITUTE OF HEALTH SCIENCES

B.Sc. IN NURSING

A1.1 ENGLISH CLASS SELF-ASSESSMENT FORM

Student’s name: Sergio Rosalino Hernández

Instructions: Tick the column that best describes your performance in

each of the following descriptors. Also, think of the values that have
been part of the activities you have done as a student and as a human
being.
In order to determine the grade you should enter into the Syllabus, add
up the points, multiply them by 10 and divide them by the
corresponding number of descriptors (rule of three).
For example:
If in the first chart the points you got equal 7, this is how you get the
first mid-term self-assessment grade: (7 * 10 = 70) / 13= 5.3
There are three charts as there are three parts in the semester for
evaluation purposes.
 AUTONOMOUS UNIVERSITY OF HIDALGO STATE
INSTITUTE OF HEALTH SCIENCES
B.Sc. IN NURSING

SECOND MID-TERM
LANGUAGE DEVELOPMENT DESCRIPTORS YES I NEED MORE PRACTICE NO

1 0.5 0

1. I can participate and interact with the class in English. 1

2. I can solve listening, reading, writing, speaking, and grammar exercises on my own. 1

3. I can talk about my country and its traditions. 1

4. I can make simple present questions (Do, does, what, where, when.) 1

5. I can say the days of the week. 1

6. I can describe my state and my hometown. 1

7. I can say the colors. 1

8. I can say the months of the year. 1

9. I know the name of places in a city or a town (e.g. bank, church, park, school.) 1

10. I can give directions. 1

11. I can talk about tourism 1

12. I can use some and any. 1

13. I can talk about the weather. 1

14. I know the ordinal numbers. 1

15. Responsibility (I make big efforts to do my job in due time and manner). 1

16. Honesty (I am honest with myself and with the people I work with, providing reliable 1
information and developing my job in complete agreement with the institutional policies
and regulations).

17. Respect (I avoid offensive attitudes; I am open to listening to different opinions 1

without judging or underestimating).

18. Commitment (I am aware of my commitment to contributing to the development of 1

our society and to the resolution of its problems in our university).

1
19. Loyalty (My behavior and actions are based on principles as a member of a family, a
group of friends, a school and a country.)

SECOND MID-TERM SELF-ASSESSMENT GRADE 10