EDAD 581: Clinical Internship

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Dear Site Supervisor,

Based on your observation of the candidate’s performance and review of the attached log of fieldwork activities, please fill out the information below and indicate your assessment of the candidate’s performance level for each activity listed.

CSULA Candidate *

Candidate’s Email Address: *

Month/Year: *

Site Supervisor Name *

Site Supervisor Title *

Supervisor's Email Address: *

Please indicate your assessment of the candidate’s performance level for each activity listed.

Activity

Please indicate candidate's performance level.

Level 1: The candidate has begun to exhibit potential leadership skills.

Level 2: The candidate exhibits potential leadership skills.

Level 3: The candidate demonstrates leadership skills.

Level 4: In a primary leadership capacity, the candidate demonstrates exemplary and consistent leadership skills, guiding school community members to work collaboratively.

Clear selection

Activity

Please indicate candidate's performance level.

Level 1: The candidate has begun to exhibit potential leadership skills.

Level 2: The candidate exhibits potential leadership skills.

Level 3: The candidate demonstrates leadership skills.

Level 4: In a primary leadership capacity, the candidate demonstrates exemplary and consistent leadership skills, guiding school community members to work collaboratively.

Clear selection

Activity

Please indicate candidate's performance level.

Level 1: The candidate has begun to exhibit potential leadership skills.

Level 2: The candidate exhibits potential leadership skills.

Level 3: The candidate demonstrates leadership skills.

Level 4: In a primary leadership capacity, the candidate demonstrates exemplary and consistent leadership skills, guiding school community members to work collaboratively.

Clear selection

Qualitative Feedback

Strengths

Weaknesses/Suggestions for Improvements

Addtiional Comment

Thank you for submitting the evaluation. You should receive a confirmation email shortly confirming your evaluation of the candidate. Please feel free to contact Dr. Lori Kim, Educational Administration Program Chair, for any concerns or comments at 323-343-4330 or lkim@calstatela.edu.

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