Instructions: Respond to each variable on this self-report scale by placing an X by the rating that best describes your behavior in the course that you are currently enrolled. The ratings are 3 = Target, 2 = Acceptable, and 1 = Unacceptable. The total number of points that may be earned range from 7-21. Points from 18-21 indicate that your performance is On Target. Points from 14-18 indicate that overall performance is Acceptable. Points from 10-14 indicate that Improvement is Encouraged. Points at 9 or below indicate Unacceptable performance. Your professor will review your responses and agree or disagree with the findings. If your professor determines that you have Unacceptable performance in any area, it is your responsibility to provide evidence that you have Acceptable or Target performance. If total points received from your instructor are below 14 or there is any rating of “1,” then you must meet with the instructor during the instructor’s office hours (or an agreed upon time) within 1 week of receipt of your score.

Please upload a scanned copy of the Affirmation of Mentor Training document signed by your assigned mentor for this field placement.

Complete the evaluation of your field experience upon completion of required hours. 

Please complete the field experience log sheet for each visit to your field placement site and have your mentor teacher sign your sheet each day. Scan all pages of your field experience log and paste them into a single document entitled, “Field Experience Log.” Upload the document as your submitted assignment.

Please have your mentor teacher complete the attached form and upload the signed document as your submitted assignment.

DO THIS LAST.  Do not upload the performance assessment or complete the form until you've completed all other assignments for this course.

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There are two parts to this assignment. Please read and perform both parts.

1. Upload the Performance Assessment of HBU Student form that was completed by your mentor teacher. The scores your mentor teacher assigned you will be entered into rubric form by your professor.

2. Next, complete the on-line form by selecting that you have completed and submitted all field experience assignments required for submission in Taskstream. You may need to come back and perform step 2 when true.