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* 1. Name of Mentor Teacher

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* 2. Name of Intern/Applicant for Hattie Strong Scholarship

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* 3. Intern displays professional demeanor and dresses appropriately.

  Unacceptable Acceptable Competent Exemplary N/A
Criterion

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* 4. Intern shows appropriate judgement in decision-making.

  Unacceptable Acceptable Competent Exemplary N/A
criterion

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* 5. Intern demonstrates effective oral communication skills and is able to communicate ideas effectively.

  Unacceptable Acceptable Competent Exemplary N/A
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* 6. Intern demonstrates effective written communication skills.

  Unacceptable Acceptable Competent Exemplary N/A
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* 7. Intern demonstrates the ability to effectively relate to students and parents, and positively impact school-home connections.

  Unacceptable Acceptable Competent Exemplary N/A
Criterion

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* 8. Intern demonstrates a keen understanding of and ability to differentiate instruction.

  Unacceptable Acceptable Competent Exemplary N/A
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* 9. Intern demonstrates classroom and behavior management and promotes positive student behavior.

  Unacceptable Acceptable Competent Exemplary N/A
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* 10. Intern recognizes the critical role that teachers have in facilitating student achievement.

  Unacceptable Acceptable Competent Exemplary N/A
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* 11. Intern shows concern about their own personal and professional growth.

  Unacceptable Acceptable Competent Exemplary N/A
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* 12. Intern plans instructional activities that are developmentally appropriate and culturally sensitive.

  Unacceptable Acceptable Competent Exemplary N/A
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* 13. Intern uses multiple forms of assessment to evaluate student progress.

  Unacceptable Acceptable Competent Exemplary N/A
Criterion

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* 14. Intern demonstrates proficiency in the effective use of instructional technology.

  Unacceptable Acceptable Competent Exemplary N/A
Criterion

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* 15. Intern demonstrates competence in basic skills and has a strong command of the subject matter.

  Unacceptable Acceptable Competent Exemplary N/A
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* 16. Please include additional comments as needed. Thank you.

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