FIELD OBSERVATION STUDENT EVALUATION - completed by Cooperating CCSD teacher Please complete the following evaluation using the Performance Indicator Scores below (with the student) ‘once the total observation hours are met. Your constructive comments are extremely valuable to the student. This page should be returned to the student along with their Time Log. If you prefer to fax or mail the completed documents, you may do so by sending it to the CSN Professor's attention via Fax: (702) {651-4808 or through regular US mail to: CSN North Las Vegas Campus - Education Dept. 3200 E. Cheyenne Ave. Las Vegas, NV 89030-4228 SORT CODE CYS-222 Enter the appropriate ‘Performance Indicator Score" in the spaces below (exemplary (3)=consistent level (2)=not consistent (1)=lacking Professional appearance, adherence to CCSD dress code Reliability, punctuality Communicates effectively with teachers and stat! Demonstrates manners, graciousness Reflects upon observations using critical thinking Demonstrates enthusiasm and curiosity toward the profession Models respectful behavior with students Uses appropriate language Icletebeletete pete Exhibits pre-service educator success indicators Comments: fv Cooperating Teacher's Signature: CSN Fes Observation Packet {© CSN Etveaton Deparment 2017 Page 12SN NIL EY CSN Student: Kathleen Gitmore. CSN Instructor: Saladino ,Steve CCSD School Assigned: dary 101 CCSD Cooperating Teacher: Pena lars co CCSD GradeMepartment: é CCSD School Principal: € ec Ker” CCSD School Phone & Fax: (702)___ (702) Record accurate data for all school visitations in the table below 90S 2:00 hr Bm 4:00 2:00 Uhr 3odm B35 2:00 hea, TOTAL HOURS: [2hv SS AL Ng Cooperating Teacher Signature oat \WX COSN Fes Obsovatn Packet [© CN Eaveaton Deparment 2017 Page 11