EDLD 798 DOCTORATE INTERNSHIP SUPERVISOR EVALUATION
Department of Educational Leadership
Teaching, Administrative, or Higher Education Internship
115 Armstrong Hall
Mankato, MN 56001
Please submit all forms to the internship professor.
Semester:
FALL
SPRING
SUMMER
Year:
_____
Student Information:
Name
Tech ID
Home Address
City/State/Zip
Internship Site Information:
Internship
Supervisor
Mailing
Address
Phone
E-mail
Title/Position
Phone
Please evaluate the Intern’s knowledge and skills in the following areas:
Unsatisfactory Satisfactory Proficient
Not
Exemplary Observed
A. Leadership
1. demonstrate leadership by
collaboratively assessing and
improving culture, and climate..
2. demonstrate leadership by providing
purpose and direction for
individuals and groups.
3. model shared leadership and
decision-making strategies.
4. through a visioning process,
formulate strategic plans and goals
with staff and community.
5. serve as a spokesperson for the
welfare of all learners in a
multicultural context.
6. demonstrate the ability to facilitate
and motivate others
7. demonstrate the ability to
implement change.
B. Organizational management
1. demonstrate an understanding of
organizational systems.
2. define and use processes for
gathering, analyzing, managing and
using data.
3. plan and schedule personal and
organizational work, establish
procedures to regulate activities and
projects, and delegate and empower
others at appropriate levels.
Page 1 of 4
Please evaluate the Intern’s knowledge and skills in the following areas:
Unsatisfactory Satisfactory Proficient
Not
Exemplary Observed
4. demonstrate the ability to analyze
need and allocate personnel and
material resources.
5. understand and use technology
effectively.
C. Diversity leadership
1. demonstrate an understanding and a
recognition of the significance of
diversity, and respond to the needs
of diverse learners.
2. create and monitor a positive
learning environment.
3. create and monitor a positive
working environment.
D. Communication
1. demonstrate effective facilitation
skills.
2. recognize and apply an
understanding of individual and
group behavior in normal and
stressful situations.
3. facilitate teamwork.
4. demonstrate an understanding of
conflict resolution and problem
solving strategies.
5. make presentations that are clear
and easy to understand.
6. communicate appropriately
(speaking, listening, and writing) for
different audiences.
7. understand and utilize appropriate
communication technology.
E. Instructional management for the
success of all learners
1. demonstrate an understanding of
research of learning and
instructional strategies.
2. describe and apply research and best
practices on integrating curriculum
and resources to help all learners
achieve at high levels.
3. demonstrate the ability to utilize
data for instructional decision
making.
4. demonstrate the ability to design
appropriate assessment strategies for
measuring learner outcomes.
5. demonstrate the ability to
implement alternative instructional
designs, curriculum, behavior
management, and assessment
accommodations and modifications.
Page 2 of 4
Please evaluate the Intern’s knowledge and skills in the following areas:
Unsatisfactory Satisfactory Proficient
Not
Exemplary Observed
6. demonstrate the ability to
appropriately use information
technology to support instruction.
F. Values and ethics of leadership.
1. demonstrate an understanding of the
role of education in a democratic
society.
2. demonstrate an understanding of
and model democratic value
systems, ethics, and moral
leadership.
3. demonstrate the ability to balance
complex community demands in the
best interest of learners.
4. help learners grow and develop as
caring, informed citizens.
G. Judgment and Problem analysis
1. identify the elements of a problem
situation by analyzing relevant
information, framing issues,
identifying possible causes, and
reframing possible solutions.
2. demonstrate adaptability and
conceptual flexibility.
3. assist others in forming opinions
about problems and issues.
4. reach logical conclusions by making
quality, timely decisions based on
available information.
5. identify and give priority to
significant issues.
6. demonstrate an understanding of
and utilize appropriate technology in
problem analysis.
7. demonstrate an understanding of
different leadership and decisionmaking strategies, including but not
limited to collaborative models, and
model appropriately their
implementation.
Page 3 of 4
Comments:
Intern Acknowledgement
My signature acknowledges that I have read and discussed this completed evaluation with my internship site
supervisor.
1. Site Supervisor _____________________________________________ Date
2. Intern ____________________________________________________ Date __________________
3. Advisor __________________________________________________ Date
4. Internship Professor _________________________________________ Date
Page 4 of 4