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UCM Surveys
University Supervisor's Rating of District Supervisor
University Supervisor
Make Selection
Brad Barnhart
Bob Barrett
Kenneth Bias
Vicki Bird
Sandra Braithwait
Kitty Brant
Richard Cole
Morris Collins
Jan Cox
Patrick Crowe
Karlene Diekroeger
Mike Elliott
Lana Farnsworth
Valerie Frerking
Russell Greinke
Joanie Hartnett
Julie Hentges
Tricia Hile
Gwen Hill
Phil Jones
Lynn Lang
Rob Lawrence
Monty Laycox
Ann McCoy
Brad Mears
Greg Montgomery
Roger Myers
Starlynn Nance
Sandy O'Brien
Deb Orr
Billie Perrin
Pat Setser
Anita Smith
Jim Spencer
Judy Stiek
Jeanie Swain
Deb Theiss
Ann Weber
Rahila Weed
Krystal Whitfield
John Willard
Ruthann Williams
Date*
Please provide the requested information for EACH of the supervising teachers with whom you worked this semester (A RATING OF 3 SHOULD BE ADDRESSED IN THE COMMENT BOX AT THE BOTTOM)
Student 1
Student's First & Last Name*
School District*
District Teacher's First & Last Name*
# Weeks Supervised Student Teacher*
Teacher Rating*
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 2
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 3
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 4
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 5
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 6
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 7
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 8
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 9
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 10
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 11
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Student 12
Student's First & Last Name
School District
District Teacher's First & Last Name
# Weeks Supervised Student Teacher
Teacher Rating
1- Outstanding Supervising Teacher
2 - Acceptable Supervising Teacher
3 - Weak Supervising Teacher
Comments
Please address "3" rating here and add addtional comments as needed.