Internship Evaluation of University Supervisor
Please complete this evaluation. The form will be sent to the Office of Field Experience and yourself. Note that the University Supervisor does not receive a copy of it through this online form.
Current Status:
Intern Name:
University Supervisor Data
University Supervisor Name:
Today's Date: 7/27/2024 1:57:00 AM
School:
Content Area/Grade Level:


Please rate your University Supervisor member on the following statements. Select either Satisfactory or Unsatisfactory on the rating scale below.

Responsibility 1: Building Positive Relationships
A. Creates a positive, professional relationship with intern and clinical educator:
Comments:
Responsibility 2: Knowledge
A. Knows current best practices and assists the intern in improving planning, instruction, and assessment skills:
Comments:
B. Offers effective help to intern with a focus on improving P-12 student learning:
Comments:
Responsibility 3: Conferencing and Assessments Skills
A. Clearly communicates to intern goals and timelines for observations and TWS:
Comments:
B. Formally and fairly observes and evaluates intern performance based on rubic descriptors:
Comments:
Responsibility 4: Communication
A. Clearly communicates expectations, goals, objectives, policies to intern:
Comments:
B. Works effectively to help solve problems regarding intern performance concerns or other placement issues, including following POA Protocol, if necessary:
Comments:
Anti-Spam - Enter the below Captcha Code:*








click the 'Submit' button ONCE in a session. If you unsure your form was submitted OR you got a 'critical error' notice in a pink box after form submission, please contact Kellie Hatch to verify if the form was submitted sucessfully.