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Fall 2021 Regent University CAS Student Teacher Evaluation by School Administrator

Placement Information

Question Title

* Student Teacher's Name

Question Title

* Student Teacher's Race

American Indian or Alaskan Native

Asian or Asian American

Black or African American

Hispanic or latino

Native Hawaiian or Other Pacific Islander

White or Caucasian

Mixed Race

Not listed, Uncertain, or Prefer Not to Respond

Question Title

* Student Teacher's Endorsement Area

Early/Primary, PreK-3

Elementary Education, PreK-6

Secondary Education, English

Secondary Education, Math

Secondary Education, History/Social Studies

Uncertain

Question Title

* Grade Taught

Question Title

* Internship Semester (Fall or Spring, Year)

Question Title

* School of Student Teaching Placement

Question Title

* School Division

Chesapeake Public Schools

Virginia Beach City Public Schools

Atlantic Shores Christian Schools

Other (please specify)

Question Title

* Evaluator's Name (First Last)

Question Title

* Evaluator's Email. We will return a PDF copy of your report to this address.

Email Address:

Question Title

* Evaluator's Position/Role

School Administrator

Specialist

University Department Chair

Other (please specify)

Question Title

* Student Teacher's Name

Question Title

* Student Teacher's Race

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* Student Teacher's Endorsement Area

Question Title

* Grade Taught

Question Title

* Internship Semester (Fall or Spring, Year)

Question Title

* School of Student Teaching Placement

Question Title

* School Division

Question Title

* Evaluator's Name (First Last)

Question Title

* Evaluator's Email. We will return a PDF copy of your report to this address.

Question Title

* Evaluator's Position/Role

Question Title

* Date of Observation (MM/DD/YYYY)