Hattie Strong Reference Form - Fall 2024 (Due September 15, 2024) Survey

Question Title

* 2. Name of Intern/Applicant for Hattie Strong Scholarship

Question Title

* 3. Intern displays professional demeanor and dresses appropriately.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 4. Intern shows appropriate judgement in decision-making.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
criterion	criterion Unacceptable	criterion Acceptable	criterion Competent	criterion Exemplary	criterion N/A

Other (please specify)

Question Title

* 5. Intern demonstrates effective oral communication skills and is able to communicate ideas effectively.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 6. Intern demonstrates effective written communication skills.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 7. Intern demonstrates the ability to effectively relate to students and parents, and positively impact school-home connections.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 8. Intern demonstrates a keen understanding of and ability to differentiate instruction.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 9. Intern demonstrates classroom and behavior management and promotes positive student behavior.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 10. Intern recognizes the critical role that teachers have in facilitating student achievement.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 11. Intern shows concern about their own personal and professional growth.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 12. Intern plans instructional activities that are developmentally appropriate and culturally sensitive.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 13. Intern uses multiple forms of assessment to evaluate student progress.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 14. Intern demonstrates proficiency in the effective use of instructional technology.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Question Title

* 15. Intern demonstrates competence in basic skills and has a strong command of the subject matter.

	Unacceptable	Acceptable	Competent	Exemplary	N/A
Criterion	Criterion Unacceptable	Criterion Acceptable	Criterion Competent	Criterion Exemplary	Criterion N/A

Other (please specify)

Hattie Strong Reference Form - Fall 2024 (Due September 15, 2024)

Question Title

* 1. Name of Mentor Teacher

Question Title

* 2. Name of Intern/Applicant for Hattie Strong Scholarship

Question Title

* 3. Intern displays professional demeanor and dresses appropriately.

Question Title

* 4. Intern shows appropriate judgement in decision-making.

Question Title

* 5. Intern demonstrates effective oral communication skills and is able to communicate ideas effectively.

Question Title

* 6. Intern demonstrates effective written communication skills.

Question Title

* 7. Intern demonstrates the ability to effectively relate to students and parents, and positively impact school-home connections.

Question Title

* 8. Intern demonstrates a keen understanding of and ability to differentiate instruction.

Question Title

* 9. Intern demonstrates classroom and behavior management and promotes positive student behavior.

Question Title

* 10. Intern recognizes the critical role that teachers have in facilitating student achievement.

Question Title

* 11. Intern shows concern about their own personal and professional growth.

Question Title

* 12. Intern plans instructional activities that are developmentally appropriate and culturally sensitive.

Question Title

* 13. Intern uses multiple forms of assessment to evaluate student progress.

Question Title

* 14. Intern demonstrates proficiency in the effective use of instructional technology.

Question Title

* 15. Intern demonstrates competence in basic skills and has a strong command of the subject matter.

Question Title

* 16. Please include additional comments as needed. Thank you.