Revised 8/2015
UNI Principalship Program
INTERNSHIP SKILL FORMATIVE/SUMMATIVE ASSESSMENT
Evaluation of Student’s Progress
Formative
Summative
Student’s Name
:
Cohort :
Date :
Options for submitting the assessment:
1) Complete electronically, Save, and Email as an attachment. To fill out electronically, check the appropriate option by double clicking on the circle, then type x. The circle will change into an x.
OR
2) Print, Fill out with pen, Scan, and Email as an attachment to the Field Supervisor for your cohort.
If you are a member of the All-Iowa Cohort, email to jere.vyverberg@uni.edu. If you are a member of the UEN Cohort, email to: lewis.finch@uni.edu.
Instructions:
Please complete the following evaluation and be prepared to discuss with UNI Field Supervisor at the end of each semester. Once this is completed, upload the signed copy to the Ed Leadership Principalship System.
The following instrument is to be completed by the mentor to assess student’s knowledge and experience in each of the following 35 ISSL criteria. If the student has not had the opportunity to demonstrate knowledge or experience in a particular skill area, please check (None) in the appropriate circle.

Evaluation Scale:
HD (high degree) SD (some degree) LD (low degree) None
HD SD LD None
Standard 1: Visionary Leadership
The student has demonstrated knowledge or understanding of:
A.
B.
C.
D.
E.
F.
Uses Data for Establishment of Achievement Goals
Uses best practice in Program Improvement
Articulates/Promotes high Expectations for teaching/learning
Aligns educational programs w/ District Vision and Goals
Provides leadership for Major Initiatives & Change Efforts
Communicates effectively w/Various Stakeholders on progress
Standard 2: Instructional Leadership
The student has demonstrated knowledge or understanding of:
A.
Provides leadership for Assessing/Developing/Improving Climate/Culture
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B.
Systematically/Fairly Recognizing/Celebrating Staff/St. Accomplishment ○
C.
Encourages design of more effective learning experiences for students
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D.
Monitors/Evaluates Effective Curriculum/Instruction/Assessment
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E.
F.
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K.
Evaluates Staff & Provides ongoing coaching for improvement
Ensures professional development that enhances teaching/learning
Uses research/theory to develop/revise professional growth plan
Promotes collaboration with all stakeholders
Accessible & approachable to all stakeholders
Visible & engaged in the community
Articulates & reinforces desired school culture, showing evidence
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Standard 3: Organizational Leadership
The student has demonstrated knowledge or understanding of:
A.
Complies with state & federal mandates & local board policies
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B.
Recruiting, selection, induction, & retention of staff for quality instruction ○
C.
Addresses current & potential issues in a timely manner
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D.
E.
Effectively/efficiently manages fiscal & physical resources
Protects instructional time
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F.
Uses effective communication w/internal & external audiences about school operations
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Standard 4: Collaborative Leadership
The student has demonstrated knowledge or understanding of:
A.
Engages families & community and promotes shared responsibility for student learning & education
B.
Promotes/supports structure for family/community involvement
C.
Facilitates connections of students/families to health/social services that support focus on learning
D.
Collaboratively establishes culture that welcomes & honors families & community & seeks ways to engage them in student learning
Standard 5: Ethical Leadership
HD SD LD None
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The student has knowledge or understanding of the need to act with integrity, fairness and in an ethical manner as related to:
A.
Demonstrates ethical & professional behavior ○ ○ ○ ○
B.
Demonstrates values, beliefs, & attitudes that will inspire others to
C.
higher levels of performance
Fosters & maintains caring, professional relationships with staff
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D.
Demonstrates appreciation for and sensitivity to diversity in the school community
E.
Demonstrates respect for divergent opinions
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Standard 6: Political Leadership
The student has knowledge and understanding of:
A.
Collaborates with service providers/decision-makers to improve teaching & learning
B.
Advocates for the welfare of all members of the learning community
C.
Designs & implements appropriate strategies to reach desired goals
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UNI Educational Leadership Contextual Framework
To what degree this semester has the student engaged in leadership experiences allowing him/her to function as a:
Leader of Learning
Leader of Service
Leader of Change
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Summary
A.
What leadership experiences were especially successful for the student this semester?
B.
What leadership experiences failed to meet expectations for the student this semester?
C.
What has been the main focus or topic of reflections and conversations with the student this semester?
D.
How many summaries & reflections has the student logged on the Student Management System this semester?
E.
How many hours of field-based internship did your student complete this semester?
Overall Evaluation:
Please rate the quality of your student’s internship performance for this semester using a scale of 1-10 (low to high)
Check this box to verify that the Mentor, Faculty Field Supervisor, and Student have discussed the completed assessment.