Dear Host Mentor/Supervisor:
The Liberty University School of Education is so grateful that you are participating with us to provide a
field experience that will be rich and meaningful for the LU licensure candidate. We, in turn, hope that
the candidate will also be able to provide you with assistance and experiences that will be beneficial
both to you and your students.
The following form is called the FEA which stands for “Field Experience Assessment.” This form was
created so you, the Host Mentor/Supervisor, can assess and document the performance level exhibited
by the candidate serving in your school. Please fill out the FEA and return it to the candidate so he/she
can scan and submit it to the online data entry assessment system called Livetext.
The form is divided into three parts: knowledge, skills, and dispositions.
The Knowledge section of the form assesses the candidate’s content knowledge and competency in
written communication.
The Skills section of the form assesses the candidate’s ability to interact with others, plan, and instruct.
The Disposition section of the form assesses the candidate’s evidenced behaviors. If you need further
clarification of the “disposition definitions” on the form, please consult the table below:
DISPOSITION
1. Displays a Sense of Social Responsibility
Fruit of the Spirit: Love, Joy, Peace,
Goodness (Gal 5:22,23)
DESCRIPTION
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2. Demonstrates Commitment / Work Ethic
Fruit of the Spirit: Faithfulness, Longsuffering
(Gal 5:22,23)
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Demonstrates the belief that all students can learn
Provides opportunities and motivation for all students to learn
Demonstrates a sense of fairness, justice, and equity for all
students
Differentiates instruction to meet the diverse needs of all
learners
Demonstrates empathy and sensitivity to human needs
Interacts effectively with students to provide a positive,
structured learning environment where student access,
success, and achievement is priority
Takes responsibilities seriously
Completes assigned tasks on time
Follows through on commitments
Attends field experiences, meetings, etc., consistently and
promptly
Shows the self discipline and work ethic essential to be
planned, prepared, and organized for successful instruction
and learning to occur
Demonstrates a persevering commitment to each student’s
learning success
Demonstrates initiative in participating in professional
development opportunities
DISPOSITION
DESCRIPTION
3. Demonstrates Reflective Practice

Fruit of the Spirit: Faithfulness (Gal 5:22,23)
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Considers thoughtfully educational matters and the practice of
teaching
Makes choices after pondering ideas and experiences
Learns from journaling and discussions with colleagues
Utilizes data to make informed decisions
4. Displays Personal Integrity
Fruit of the Spirit: Goodness (Gal 5:22,23)
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Models exemplary citizenship through moral leadership
Acts in an ethical and moral manner
Values honesty inside and outside of the classroom
Demonstrates trustworthiness
Maintains confidentiality and discretion
5. Displays Professionalism

Abides by a professional code of ethics;
o Adheres to proper, formulated chain of command/
expresses a grievance in a dignified, temperate
manner
o Cooperatively collaborates with administrators and
colleagues to form learning communities
o Exercises promptness and responsibility in attendance
for field experiences, meetings, etc.
o Respects authority, colleagues, students, and others
Exercises temperance
o Effectively manages personal emotions and feelings
and reacts reasonably to situations
o Acts confidently and maturely
o Accepts constructive feedback in a respectful,
appropriate manner
o Demonstrates appropriate behavior; possesses
patience, self control, and flexibility when obstacles or
difficult situations occur
o Dresses in a dignified, modest manner that adheres to
the dress code of the host school
Effectively uses the English language in speech and writing
Views learning as a lifelong activity
Maintains enthusiasm and passion for the teaching profession
Fruit of the Spirit: Gentleness, Meekness,
Temperance (Gal 5:22,23)
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Once again, thank you for your willingness to work with Liberty University licensure candidates. Your
experience, modeling, and counsel are invaluable to their readiness in the profession.
With much gratitude,
Liberty University School of Education Faculty
Advanced Licensure Programs
Field Experience ASSESSMENT
Candidate _______________________________________________________
Date_____________________________
Supervising School: ____________________________________________ School Phone: __________________________
School Address: __________________________________________ State/ City / Zip _____________________________
Host School Mentor/Supervisor_____________________________________________________________________________
Dear Host School Mentor/Supervisor: Please fill out the candidate’s evaluation below by marking an “X” in the
correct column. After you have completed the form, please return it to the candidate. Thank you!
PERFORMANCE
4 =Strongly Agree 3 =Agree 2 = Neither Agree or Disagree 1 = Disagree 0=Strongly Disagree
Please place an X in the appropriate column to describe the candidate:
ACA
4 3 2 1 0
ADV-C14
1. The candidate regularly and promptly attended the placement/field experience.
ADV-C11
2. The candidate demonstrated responsible behavior and professionalism.
ADV-C14
3. The candidate dressed in a modest and professional manner, adhering to expectations
outlined by the Liberty Way and the host school.
4. The candidate interacted appropriately with the host school administrator, the
mentor/supervisor, and other colleagues; the candidate maintained good rapport.
5. The candidate interacted with students appropriately and maintained good rapport.
ADV-C11
ADV-C11
ADV-C12
ADV-C13
6. The candidate demonstrated the belief that all students can learn through: positive interactions
with students.
7. The candidate accepted constructive feedback in a professional manner.
DISPOSITIONS
2 = Neither Agree or Disagree 1 = Disagree 0=Strongly Disagree
4 =Strongly Agree 3 =Agree
Please place an X in the appropriate column to assess the candidate:
ACA
S-C-R-I-P
S-C-R-I-P
S-C-R-I-P
S-C-R-I-P
S-C-R-I-P
4
3
2
1
0
D.1. Displays a sense of Social Responsibility and belief that all students can learn.
D.2. Displays a sense of Commitment / Work Ethic.
D.3. Displays a sense of Reflective Practice.
D.4. Displays Integrity.
D.5. Displays a sense of Professionalism in behavior and actions.
SUMMATIVE
4 =Strongly Agree 3 =Agree 2 = Neither Agree or Disagree 1 = Disagree 0=Strongly Disagree
Please place an X in the appropriate column to assess the candidate:
ACA
4 3 2 1 0
ADV-A -C
ADV-A -C
The candidate possesses the essential knowledge, skills, and dispositions necessary to
become an effective education professional.
The candidate is a good prospect to receive a licensure endorsement as an administrator, or
counselor, or specialist.
Open Response Section:
Candidate duties:
What is most commendable about the candidate?
What knowledge, skills, or dispositions would you like the candidate to improve upon before the next field placement?
Other comments:
Signature of Host School Mentor ____________________________________________ Date: ___________