Dr.

Egbert, Professor of Education,

Ph.D.; Ed. Specialist

EDUCATION202~SHEET
C o~-;.

'"Du\cwo

STUDENT NAME:

H-<.-jo

M.\f''<uO

ASSIGNEDSCHOOI.{S):

'5
5cboQ)

Date TlDle In TlDle Out Total TlDle Student Initial Teacher Initial
Z,ht:PfS
6"~;50
~
):"50

~/Il/I'i
~/1L/19
1>113/1'1
7)/1'-\
-g/I

--:,'3c
S;
,

:5/111

~:)o

3.' 5 6:

~t1/i'1
'(,/60/1

"1

'6/ '-i IlL{

?J/Z,7../1 .
l)JZ.S/1 L(
~i2.6tj 1..1

'6/l7/fti

g' z:'6/.

'1

'lS/l."jii1

s=
:s 0

';'. ?O

'3 :

S ~s 0

~<:)

3;~

f'J

)0

~ ; boQ

?:

50

~ :~o
3 : ;-D

'; ; s o s : )0

1/1../i'1

3:30

,\jjll'-l

J :

,"J

"\/~/I'1

s. a0

,\1:; /Il-j

3:

10

GlfI)l<-i

6 ;

"i

3 : ?o

s',_ 10

1,

j...:)v-ri

"'-.,...,r-<

....
0---7

~
~

JPe-

~!"....,..)

t;;:;'C-

Lo<.r5

....
-d'

:L hO"'l'"A

~
~
~

J.vo ...r S'

z,

~ow.-5

~ _ .......

"

~owr~

1.. h~v..-.s

10

I):

Z.

i.-o--')

~
~

r.:::z:::
~

5~ ~o
5'~ s 0

l. l..0"","5

>0

(...-0'-<

I..'J:>~S

z.

~o.-i'

r-z::-

2.

,",o..--s

-5 '.

3 : ~o 5': $0

q/fi/I'i

~: ~0 1ii~50

3;

.rz:

Z.

~.:;~
ro

1ii&!i 'i
trz.fi

2. ~o ..r':;

z;~

so

5:

ho.....rf

z,

" ; )0

~
hOv-t""\

z. \..,Ovv'-<

z,

1 ~ 10 ";$0
"> : i).Q ~: .::>

<1/1/1'1

Iq/i t.(

't

~o

~';30

,
Z.

c: ;0

'5 : lO

?J/ i -g/I'"t

!') ',

ee:.

i.,o~5

2. h.o",V"~

~f'3

3:}O

/I~

<.

5110

3~'3C>

,0 (;~

50

TOTAL HOURS COMPLETED

STUDENTSIGNATURE:~~~~~~~~~~~~~t!~~~
I have completed JO boors

COORDINATING TEACHER. SIGNATURE:_-+--->"O=ll--'d- __

sdtool(s).

---'=-

__

CO-TEACHER PHONE NUMBER:

732..e890; FAX: 732-6797

John C. Hepworth Higher Education Center, 315 FaHsAvenue W3st, Twin FaDs, 1083303-1238

Page 1

Dr. Egbert, Professor of Education,

Ph.D.; Ed. Specialist

EDUCATION202T~SHEET
P'lw.cl(J):z....:..--JCI.oo'Alm.L;&c~_f.l..-

STUDENT NAME:

I~,"\ (,XI H\?" SL.hoo ,

ASSIGNED SCHOOL(S):

Date TIlDe In TIlDe Out Total TIlDe Student Initial Teacher Initial
"\j (5/11.\

ctily/~I

l' '. 3 o
3: 30

IO~5 v

zh

6:10

If ~g o

z.

'1/11/1'-\

"
D

'-'

r.::c:....
iU-

~pvv ...
s

oe:

2. l...p~

'\ It'iiH

\X-

"II, JY-i
'1 JZ.1.Jf1
"}I

",/1'1
i ;'U,/ILi

c; i 2-1; II

Q/lbIJ'-t
~jic;,Jll-f
~/~ill~

J)/I/i'i

'1

17~>D
f; 3<:0
'3: 10

~~?O
3 ~10

f : ?
07'~

<>

pc..

~;~0

3:10

,:1

'l.. lo~-r<

);~1

~~,0

(2.L..

2, ho..-'S

15: ~ o

1. ho.".. ....j

<... \"'0.........-\

~
~

t.~~<NS

5""; 30

z,

~~30
$":

rX-

\"'0,-","""-

7.- ho"""''S

~o

i:

h~vf<\

12<:::-

z. j.,o....r~

L h..",of
zLv--]
,

l- hr 5
N

t. i-vo""s
'l..j..o ...;

z,

i...()\.1.0

t,""'v5
Z.

j" ..r5

~ h.ov.,rl'

STUDENT SIGNATURE: ~
I have completed ~~d

\7C..
~
~

OL~
~

J2.c..
~

~~
aperieDce

my

ool(s).

CO-TEACHER PHONE NDMBER:

732-6890;

FAX: 732-6797

John Co Hepworth Higher Education Center, 315 FaDs Avenue VWst, Twin FaDs, 1083303-1238

Page 1

Ph.D.; Ed. Specialist

Dr. Egbert, Professor of Education

College of Southern Idaho

Education 202 - Field Experience - 1 Credit
EVALUATION OF STUDENT PERFORMANCE

~p
ca q~

As the instructor or cooperating teacher for EDUC 202, you are asked to evaluate the perfonnance of the student enrolled
in your course or completing field experience in your classroom. Please rate the student on each of the dimensions
listed below using the scale from 0 (Indicator Not Met) to 2 (Indicator at Target). Thank you for yo..ur

Name ofCSI Student:

Coordinating Teacher;

DIMENSION

,I."" Co,-leq;-

f4'AlJ1

LSdtool:

INDICATOR Nor
MET

.
f'01.;V1 Co
INDICAlOR
ACCEPTABLE
1

iff

-,

INDICAlORAT
TARGET

\J

SCORE

Communicates effectively
Communicates appropriately
14

Indicator Total

2-

Conveys a positive image

2,

'Z.

l(

"2-

Demonstrates responsibility

-z.

Shows respect for

'Z

/0

Demonstrates initiative

'Z

12-

Shows commitment to teaching

If

Displays enthusiasm
Uses decision-making skills

otbers

114

Indicator Total
732-6890; FAX: 732~7

ce

John C. Hepworth Higher Education Center, 315 FaUsAvenue W!st, Twin FaDs,1083303-1238

Page 1

Ph.D.; Ed. Specialist

Dr. Egbert, Professor of Education

Dear Coordinating Teacher (CT):

Below is a list
student. While
opportunity to
and as diverse

of field experience activities that we would like you to evaluate for your CSI Field Experience
we (Education faculty at CSI) do not expect that each field experience student will have the
perform or participate in all of these activities, we do hope that the field experience is a broad
as possible. Please place a checlanark in either the yes or no column.

What makes the field experience course so rich is the ability for the student to spend some time observing the
cooperating teacher in his or her setting. During this time, the CSI student will be able to take notes, get a feel
for the classroom routine, and observe student learning, look at items hanging on the walls, and get a general
feel for how things go. However, the most important aspect ofField Experience is the time the students spend
actually doing the things that teachers do.
\
I

~/

is dependable.
dressed appropriately for the educational atmosphere.
I

asked questions when appropriate.

adhered to school policies/classroom policies.

In order for the CSI faculty to gain an understanding of the activities the student experienced, please place a
checlanark in either the yes or no column. Thank you. Additionally, rest assured that the CSI Field Experience
student is not penalized ifheJshe does not complete all activities listed.

~~r"2'".

'" ~:y~ii~'~~"
~~~]E

worked with small groups on defined tasks.

r--------------------------+--~--~~~~~~~~
worked with individual students.

I attended

a faculty meeting.

732-6890; FAX: 732.fI797

I Iv..-to
~
(J v

I t1k S

John C. Hepworth Higher Education Center, 315 FaSsAvenue

VIoest, Twin Fats, 1083303-1238

Page 2

Dr. Egbert, Professor of Education

Ph.D.; Ed. Specialist

.>

graded papers and/or recorded grades.

kl~f

~~~!
,

designed and put up a bulletin board.

V
{./'

ran copres,
laminated materials.
bound materials.

f}/uw1.-f-- ;f-sf 4 -r
7f; &1/4I

observed or participated in Parent Ter

conferences.

developed and presented a lesson or activity.

I~~

t/

Rating of Standard 6

Rating of Standard 9

CSI Instructor Signature:

Dr. L. Egbert

"-

732-6890;

FAX: 732-6797

John C. Hepworth

---..:Date,

--'<-

10/31/14

Higher Education Center, 315 FaDs Avenue IJIkst, Twin FaDs,lD 83303-1238

Page 3