The Washington State Library Media Endorsement
Application Materials for UW MLIS Students Seeking the Library Media Endorsement
PRACTICUM EVALUATION
LIS 590: Directed Fieldwork
Dear Directed Fieldwork Mentor/Supervisor:
The MLIS student whom you have supervised this quarter is applying for a Library Media Endorsement from the
Washington State Office of the Superintendent of Public Instruction. This evaluation provides the necessary
documentation for the SLM application process. Thank you very much for assisting us with this requirement.
Student’s name (first and last):
Host site (school’s) name:
City and state:
Mentor’s name:
Title:
Mentor’s email:
Mentor’s phone:
Fieldwork dates:
Overall Objectives for the Library Media Endorsement Practicum Experience:
The student is required to participate in a one-quarter, on-site mentored field experience under the
guidance of a professional school library media specialist (i.e., someone who holds a teaching certificate
and library media endorsement, or has an MLIS degree). The student is to observe learners and teachers
in a library media setting and participate in activities that further the student’s professional growth goals
and address required library media competencies.
Has the student fulfilled the objectives outlined above?
Yes
No
Please elaborate on how the student did or did not meet the objectives:
Additional comments (optional):
Supervisor/Mentor Signature:
Date:
If supervisor/mentor is unable to sign this form, please attach email verification from the supervisor/mentor indicating his/her confirmation that the above information is correct.