EVALUATION OF INTERN BY MENTOR
Intern Name
First Name
Last Name
Name of Institution Where Tasks Were Performed:
Standard Task Areas That Intern Had Actual Experiences
VISION
INSTRUCTIONAL LEADERSHIP
MANAGING THE LEARNING ENVIRONMENT
COMMUNITY AND STAKEHOLDER PARTNERSHIPS
DECISION MAKING STRATEGIES
DIVERSITY
TECHNOLOGY
LEARNING, ACCOUNTABILITY, AND ASSESSMENT
HUMAN RESOURCE DEVELOPMENT
ETHICAL LEADERSHIP
Mentor-Intern Meetings, Dialogue, and Discussion and Internship Task Performance - Place a check next to each item that was satisfactorily completed.
Intern Understood the Objectives/Requirements for Each Task
Intern Met with Me on a Regular Basis for Reflection and Feedback
Intern Was Able to Reflect Verbally on her/his Performance
Intern Thought About her/his Performance From a Constructive/Critical Viewpoint
Intern Completed the Assigned Activities and Logged Hours (100 minimum)
Intern Completed Written Forms/Paperwork Competently
Rows
Not Reported / Not Observed
1
Novice 2
Capable 3
Skilled 4
At what level did the Principal-Intern demonstrate knowledge and/or skill of tasks performed?
Indicators of Leadership Performance from Leadership Standards - Rate this intern based on your interactions and the 20 leadership indicators
Rows
Not Reported / Not Observed 1
Novice 2
Capable 3
Skilled 4
Vision - 1.10 Relates the vision, mission, and goals to students
Vision - 1.12 Articulates and reinforces the vision in written and spoken communications
Instructional Leadership - 2.18 Models professionalism, collaboration and continuous learning
Instructional Leadership - 2.19 Understands and recognizes the benefits for students in balanced reading instruction, curriculum integration, active teaching and learning strategies, standards based instructional programs, the use of technology for instructional purposes, aligning classroom assessments to standards
Managing the Learning Environment - 3.4 Is aware of the various fiscal and non fiscal resources for the school including business and community resources
Managing the Learning Environment - 3.9 Understands techniques and organization useful in leading and managing a complex and diverse organization
Community and Stakeholder Partnerships - 4.1 Understands how student and family conditions affect learning
Community and Stakeholder Partnerships - 4.7 Understands the benefits of having and using a variety of partnerships,
coalitions, and networks
Decision Making Strategies - 5.2 Is developing a set of problem solving techniques and decision making skills
Decision Making Strategies - 5.5 Uses data to inform decisions
Diversity - 6.1 Has skills necessary for interactive and interpersonal situations
Diversity - 6.6 Interacts effectively with diverse individuals and groups
Technology - 7.1 Is aware of the technology, telecommunications and information systems and their uses to enrich curriculum, instruction, and assessment
Technology - 7.4 Models the use of technology as a tool in support of both educational and community activities
Learning, Accountability, and Assessment - 8.2 Uses multiple sources of data to inform decisions and improvement processes
Learning, Accountability, and Assessment - 8.8 Understands how to use diagnostic tools to assess, identify, and apply instructional improvement
Human Resource Development - 9.3 Understands adult learning strategies useful for assisting staff in professional development
Human Resource Development -9.12 Pursues improvement of his/her own professional development
Ethical Leadership - 10.1 Manifests a professional code of ethics and values
Ethical Leadership - 10.4 Develops well-reasoned educational beliefs based upon an understanding of teaching & learning
Other Constructive Comments:
Mentor's Name
First Name
Last Name
Mentor's Signature
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