From Testing - University of St. Francis

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*Educators, please include department or grade levels.

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Applicant Evaluation

Your rating and comments are greatly appreciated.

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Applicant's chosen degree program: *

How long have you known this applicant? *

In what capacity have you known the applicant? *

Superintendent Endorsement Program Agreement *

I agree to serve as the Mentor Superintendent if the applicant is admitted to the Superintendent Endorsement Program.

In accordance with Code 33, the school district superintendent shall serve as the internship supervisor (mentor superintendent) for the internship. Each internship supervisor shall meet the following qualifications: Have two years of successful experience in that position as evidenced by relevant data and formal evaluations or letters of recommendation from former supervisors that reflect achievement of the relevant competencies.

Please rate the applicant on the following professional qualities: *

	Top 10%	Top 25%	Top 50%	Below 50%	Uncertain
Potential for graduate study	Top 10%Potential for graduate study Top 10%	Top 25%Potential for graduate study Top 25%	Top 50%Potential for graduate study Top 50%	Below 50%Potential for graduate study Below 50%	UncertainPotential for graduate study Uncertain
Leadership potential	Top 10%Leadership potential Top 10%	Top 25%Leadership potential Top 25%	Top 50%Leadership potential Top 50%	Below 50%Leadership potential Below 50%	UncertainLeadership potential Uncertain
Ability to work independently	Top 10%Ability to work independently Top 10%	Top 25%Ability to work independently Top 25%	Top 50%Ability to work independently Top 50%	Below 50%Ability to work independently Below 50%	UncertainAbility to work independently Uncertain
Ability to work with others	Top 10%Ability to work with others Top 10%	Top 25%Ability to work with others Top 25%	Top 50%Ability to work with others Top 50%	Below 50%Ability to work with others Below 50%	UncertainAbility to work with others Uncertain
Ability to analyze problems and formulate solutions	Top 10%Ability to analyze problems and formulate solutions Top 10%	Top 25%Ability to analyze problems and formulate solutions Top 25%	Top 50%Ability to analyze problems and formulate solutions Top 50%	Below 50%Ability to analyze problems and formulate solutions Below 50%	UncertainAbility to analyze problems and formulate solutions Uncertain
Communication skills: oral	Top 10%Communication skills: oral Top 10%	Top 25%Communication skills: oral Top 25%	Top 50%Communication skills: oral Top 50%	Below 50%Communication skills: oral Below 50%	UncertainCommunication skills: oral Uncertain
Communication skills: written	Top 10%Communication skills: written Top 10%	Top 25%Communication skills: written Top 25%	Top 50%Communication skills: written Top 50%	Below 50%Communication skills: written Below 50%	UncertainCommunication skills: written Uncertain
Integrity	Top 10%Integrity Top 10%	Top 25%Integrity Top 25%	Top 50%Integrity Top 50%	Below 50%Integrity Below 50%	UncertainIntegrity Uncertain
Attitude	Top 10%Attitude Top 10%	Top 25%Attitude Top 25%	Top 50%Attitude Top 50%	Below 50%Attitude Below 50%	UncertainAttitude Uncertain
Motivation	Top 10%Motivation Top 10%	Top 25%Motivation Top 25%	Top 50%Motivation Top 50%	Below 50%Motivation Below 50%	UncertainMotivation Uncertain
Initiative	Top 10%Initiative Top 10%	Top 25%Initiative Top 25%	Top 50%Initiative Top 50%	Below 50%Initiative Below 50%	UncertainInitiative Uncertain
Emotional Stability	Top 10%Emotional Stability Top 10%	Top 25%Emotional Stability Top 25%	Top 50%Emotional Stability Top 50%	Below 50%Emotional Stability Below 50%	UncertainEmotional Stability Uncertain
Commitment to service	Top 10%Commitment to service Top 10%	Top 25%Commitment to service Top 25%	Top 50%Commitment to service Top 50%	Below 50%Commitment to service Below 50%	UncertainCommitment to service Uncertain

Professional Qualities (DNP or MSN) *

	Top 10%	Above Average	Average	Below Average	Unknown
Industrious	Top 10%Industrious Top 10%	Above AverageIndustrious Above Average	AverageIndustrious Average	Below AverageIndustrious Below Average	UnknownIndustrious Unknown
Conscientious	Top 10%Conscientious Top 10%	Above AverageConscientious Above Average	AverageConscientious Average	Below AverageConscientious Below Average	UnknownConscientious Unknown
Manner and poise	Top 10%Manner and poise Top 10%	Above AverageManner and poise Above Average	AverageManner and poise Average	Below AverageManner and poise Below Average	UnknownManner and poise Unknown
Self-starter	Top 10%Self-starter Top 10%	Above AverageSelf-starter Above Average	AverageSelf-starter Average	Below AverageSelf-starter Below Average	UnknownSelf-starter Unknown
Maturity	Top 10%Maturity Top 10%	Above AverageMaturity Above Average	AverageMaturity Average	Below AverageMaturity Below Average	UnknownMaturity Unknown
Self-confidence	Top 10%Self-confidence Top 10%	Above AverageSelf-confidence Above Average	AverageSelf-confidence Average	Below AverageSelf-confidence Below Average	UnknownSelf-confidence Unknown
Judgement	Top 10%Judgement Top 10%	Above AverageJudgement Above Average	AverageJudgement Average	Below AverageJudgement Below Average	UnknownJudgement Unknown

Additional Questions for Master of Education with Licensure (M.Ed.)

How serious do you consider the applicant's career goals to be? *

What do you consider the applicant's most outstanding talents or characteristics? *

What characteristics of the applicant do you feel are in need of improvement? *

Applicant's potential for working with children and adolescents. *

Professional Qualities (M.Ed.) *

	Top 5%	Top 25%	Top 50%	Below 50%	Uncertain
Maturity	Top 5%Maturity Top 5%	Top 25%Maturity Top 25%	Top 50%Maturity Top 50%	Below 50%Maturity Below 50%	UncertainMaturity Uncertain
Teaching potential	Top 5%Teaching potential Top 5%	Top 25%Teaching potential Top 25%	Top 50%Teaching potential Top 50%	Below 50%Teaching potential Below 50%	UncertainTeaching potential Uncertain

The applicant has the potential to be effective in their chosen field. *

Strongly Agree	Agree	Disagree	Strongly Disagree
Strongly AgreeMaturity Strongly Agree	AgreeMaturity Agree	DisagreeMaturity Disagree	Strongly DisagreeMaturity Strongly Disagree

Additional Statement

Any additional statements regarding the applicant’s quality of work, ability to handle responsibility, and problem solving abilities would be helpful.

Confirmation

Please sign below to confirm that the information contained within this recommendation represents your accurate assessment of the applicant’s ability to successfully participate in the program indicated.

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