T-1 Dispositions Non Self Assessment (UG)
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1.
What is today's date?
*
mm/dd/yyyy
2.
What is your first name?
*
3.
What is your last name?
*
4.
What is your professional role?
*
Ex. 6th grade teacher, adjunct instructor, afterschool director, etc.
5.
Name of the student requesting dispositions assessment
*
6.
Licensure Area
*
-- Please Select --
Integrated Education
Elementary Education
Special Education
Middle Grades
Secondary English
Secondary Math
Secondary Science
Secondary Social Studies
Art Education
English as a Second Language
Music Education
Physical Education
7.
When was the last time you interacted with the candidate?
*
-- Please Select --
This academic school year
Last academic school year
Prior to last academic school year
8.
Candidate demonstrates completeness of assignments
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
9.
Candidate is punctual and regularly attend class.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
10.
Candidate is willing to go beyond the required assignment
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
11.
Candidate is open to new forms of inquiry and knowledge
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
12.
Candidate is open and receptive to change
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
13.
Candidate builds new understandings from personal reflection and scholarly reading
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
14.
Candidate is prepared for class discussions and contributes in productive ways
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
15.
Candidate seeks new experiences that broaden knowledge
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
16.
Candidate maintains positive attitudes in class and outside of class
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
17.
Candidate takes responsibility for personal learning
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
18.
Candidate demonstrates reliability and dependability
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
19.
Candidate shows resourcefulness, creativity, and originality
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
20.
Candidate acts with fairness and honesty in the learning environment
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
21.
Candidate recognizes personal limitations and seeks to overcome them
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
22.
Candidate is willing to share information and ideas with others
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
23.
Candidate believes in the worth, ability, and potential of themselves
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
24.
Candidate maintains realistic expectations for his/her actions
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
25.
Candidate seeks opportunities for personal development
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
26.
Candidate is tolerant of and responsive to ideas and views of others
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
27.
Candidate is respectful of and responsive to individual differences
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
28.
Candidate believes in the worth and potential of others
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
29.
Candidate believes that everyone can and will learn at their potential
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
30.
Candidate seeks to understand the beliefs, values, and understanding of all individuals
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
31.
Candidate is fair and just with all individuals
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
32.
Candidate is willing to take suggestions and criticisms
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
33.
Candidate relates well to peers, faculty, staff, and other professionals
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
34.
Candidate is willing to collaborate with others
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
35.
Candidate meets professional responsibilities in a timely and positive manner
*
Strongly Agree
Agree
Disagree
Strongly Disagree
Not yet demonstrated
To what extent do you agree with the above statement?
36.
Please include any additional comments that would help us better understand the student's dispositions.