Intro Dear UCAPP Intern and Mentor Administrator: This First Year Internship Evaluation is designed for completion by the UCAPP intern and the mentor administrator. Please try to respond to each question. The entire survey should take about 10 15 minutes. Thank you for your cooperation. Dr. Jennie Bruening, Department Head Department of Educational Leadership Background Information Intern's name: First: Last: Mentor Administrator's name: First: Last: Your role: Intern Mentor Administrator Cohort: Stamford East West PLUS Residency Setting for internship: Urban Suburban https://uconn.co1.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview&t=2qqiuuqfnlkgssxjnwgxfd 1/6
Rural Internship District: First major goal established for this internship: To what level was this goal accomplished? Met Partially met Not met Not started Second major goal established for this internship: To what level was this goal accomplished? Met Partially met Not met Not started Third major goal (as applicable) established for this internship: To what level was this goal accomplished? Met Partially met Not met Not started Standards UCAPP aligns its courses to state and national standards. These standards and their corresponding elements are listed in the questions below. For each standard in this block, please rate the degree to https://uconn.co1.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview&t=2qqiuuqfnlkgssxjnwgxfd 2/6
which the UCAPP Leader met the standard in this internship "1" implies "not at all prepared and "4" implies "extremely well prepared." If an element was not addressed in the internship, select "N/A." promote the success of all students by facilitating the development, articulation, implementation, and stewardship of a school or district vision of learning supported by the school community. Developed a vision Articulated a vision Implemented a vision Stewarded a vision Promoted community involvement in the vision promote the success of all students by promoting a positive school culture, providing an effective instructional program, applying best practice to student learning, and designing comprehensive professional growth plans for staff. Promoted positive school culture Provided effective instructional program Applied best practice to student learning Designed comprehensive professional growth plans promote the success of all students by managing the organization, operations, and resources in a way that promotes a safe, efficient, and effective learning environment. Collaborated with families and other community members Responded to community interests and needs Mobilized community resources promote the success of all students by acting with integrity, fairly, and in an ethical manner. Acted with integrity Acted fairly https://uconn.co1.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview&t=2qqiuuqfnlkgssxjnwgxfd 3/6
Acted ethically promote the success of all students by understanding, responding to, and influencing the larger political, social, economic, legal, and cultural context. Understood the larger context Responded to the larger context Influenced the larger context The internship provides significant opportunities for interns to synthesize and apply the knowledge and practice and develop the skills identified in Standards 1 6 through substantial, standards based work in real settings, planned and guided cooperatively by the institution and school district personnel for graduate credit. Substantial, sustained, standards based work Real settings Planned and guided cooperatively Met requirements for graduate credit Additional Questions Please use a "1 5" rating scale, with 1 = Ineffective, 2 = Below Average, 3 = Adequate, 4 = Above Average, and 5 = Outstanding. If the factor has not been addressed thus far in internship, select "N/A." Interaction with colleagues Interaction with students Interaction with peers Interaction with subordinates Oral communication skills Written communication skills Attention to personal growth Ability to contribute independently Leadership of groups Dependability 1 2 3 4 5 N/A At what stage do you consider your Intern/Mentor Administrator working relationship at this point? https://uconn.co1.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview&t=2qqiuuqfnlkgssxjnwgxfd 4/6
Formal Cautious Sharing Open Why? What do you feel are the strengths of the internship? Please share any ways in which you feel the internship experience can be strengthened or modified for improvement. What have you learned through this internship experience? What would you like to learn in the second year of this internship? How did this experience help you be more reflective about your own practice? https://uconn.co1.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview&t=2qqiuuqfnlkgssxjnwgxfd 5/6
By clicking on the button below, you will submit your data and exit this survey. Please take a moment to review your answers before proceeding. https://uconn.co1.qualtrics.com/controlpanel/ajax.php?action=getsurveyprintpreview&t=2qqiuuqfnlkgssxjnwgxfd 6/6