Field+Experience+Self+Assessment+EMIT

Self-Assessment: MSU Level 2 (KSP 330) Clinical Experience


 * Name**:____Emily Timm______________ **Section:** __01_

In order to judge the effectiveness of the KSP 330 field experience, please answer the statements below which indicate your part in the success of your clinical experience. Indicate your success by using the continuum of Strongly Agree (5) to Strongly Disagree (1) by circling the appropriate number for each statement.

1. I prepared for the initial visit by having an appropriate **SA A U D SD** nametag, providing an autobiography, dressing appropriately, and arriving punctually. 5 4 3 2 1

2. I prepared for the field experience by thoroughly reading the clinical packet materials 5 4 3 2 1

3. I clarified the requirements of the field experience by rereading the materials provided and/or by asking questions of the KSP 330 professors. 5 4 3 2 1

4. I made arrangements for a lesson observation by emailing my KSP 330 professor in a timely manner. 5 4 3 2 1

5. I took the initiative in talking to my clinical teacher about the requirements for the experience, specifically preparing and teaching lessons, videotaping a lesson, and completing a class profile for classes I taught. 5 4 3 2 1

6. I contacted my MSU professor with concerns and obstacles after trying to solve the problem myself. 5 4 3 2 1

7. I attended the field experience on each of the days required. If I was unable to do so, I called the clinical teacher and made arrangements to attend on alternate days. 5 4 3 2 1

8. I asked my clinical teacher to provide feedback on lessons taught. 5 4 3 2 1

9. I made copies of the seating chart, wrote in my journal, designed and taught lessons, wrote a thank you note, and completed other requirements that were listed on the checklist. 5 4 3 2 1

10. I completed my clinical packet and handed it in on time. 5 4 3 2 1