‘Humboldi State Universi College of Professional Stu: School of Education Preliminary (Level I) Educational Leadership Program SITE SUPERVISOR CERTIFICATION For Field Experiences ‘Pursuant to CCTC common standards 3 and 8 and HSU’s “Supervising Administrator's Guide,” 1 hereby certify that the credentialed schoo! administrator/s identified below meet/s the university's requirements for site supervisor service and has/have agreed to scrve as my site supervisor/s for my required field experience hours, ~~ —— Alzzlie Candidate's Signature Date “Bacarn Shoyt 2 Neu bayy Site Supervisor’s Name Site Supervisor's Sig A 7 Supecialenclen 4 Arcata Disivict/ Frente Nueva, Position/Tob Title Sshool/School! District Charlee School Mailing Address: MBS Butler’ hy A da CH PSSZ if WTSAL03S_ 792-6584 _bsharre arcotS Telephone Fax Exmail Site Supervisor's Name Site Supervisor's Signature Position/Job Title School/School District Mailing Address: Telephone Fax EnmallHumboldt State University College of Professional Studies School of Education reliminary (Level I) Educational Leadership Program APPROVAL FOR PARTICIPATION IN FIELD EXPERIENCES a AJ bie, s candidat the Preliminary Edncetional Londerstip rogram at HSU, has my fermission to particigate in 135 hours of field experiences that are designed to increase his/her understanding of the theoretical concepts and knowledge of schoo! administration in a school-based *elementary/secondary program. understand that field experience activities should provide opportunities to link theory with practice in an effort to strengthen the preparation of prospective administrators. 1 further understand that a significant portion of the field experiences should take place in the context ofthe regular school day and/or program and offer opportunities forthe candidate to work with diverse student populations. Signature__/7tchrnt oy Seen Date 2g 6 ‘The above candidate will be assigned to the cooperating site supervisor listed below. NAME: “Frirlaac Shevt = tme_S pec Uerolen+ scHoou sims: _ Fuente Nueva Chacter SITE SUPERVISOR'S TELEPHONE: 7D J 8 9-D-- OBS | SITE SUPERVISOR'S EMAIL:__IPshov+ @a cc atasd. | "Circle the school level, elementary or secondary, for which the candidate will be acquiring required field experience hours 33Humboldt State University Preliminary (Level I) Administrative Services Candidate Field Experiences SCHOOL SITE SUPERVISOR'S EVALUATION Candidate's Name: Be 4h Ann Ww wi ie School and/or District Where Field Work was Perform: Exen fe \) ACMA Address: _ (730 Sanes Qoad Arras Phone: 107-622-3348 Name of Site Supervisor: _Gacbara Shuitrite: Dishict S, pec intendent Humboldt State University recognizes and appreciates the valuable service site level supervisors provide to our credential candidates. Your evaluation and comments ar2 essential in helping each individual candidate become a successful school administrator. We are grateful for your time and service! Thank you! PLEASE COMPLET) 1, Did the candidate continually confer with you, outlining the approaches to be taken and the areas of ee ee Yes, bel had dh J ra, : hee sile chalengen, prherl acd goals as vocll as clotarlonl steps taken (or be taken) alanp WD WeSourees She iS ania 40 add MD oA areas Did the candidate fol through on his/her mutually agreed upon plan(s)? Yes BAL ses ombedieet aporich_e ongoeag wat hu sole wil ecole flood Trough, yal dp veflecdure piaet Ce. 3. Pleae ata the total number of hours the candidate performed field experience activities (tot. req. ( world ebbeimarte ak loayy [10 haus, ard C Kidd he gue alae enh bey ubarles Rue ded. Total estimated hours_\40Please complete the following evaluation summary. Rate (cheeks) Professional | Acceptable Needs Comments candidate's Quality | Performance | Improvement performanee in addressing the following standards: Vision of Leaming | |” BEN hed a eG Fouprehaioue Visdnfilcarie Student Leaning and | 7 ledges 2 ve < Professional Growth | daste_te dud tenet pres ‘Organizational BAL Is hi Maagementfor | Mt apa 4 ‘Student Leaming Coons, pecple, fet ctl Working with ' Diverse eames and | bane ptsfetd Communities Pe We ape lust Personal Ethics and v i os yen eee ov leon is hi ud d bate Political, Social, Pu cennre PUp lanky. i Economic, Legal and. | ~~ [Bot deucastrastes 1.054 of Cultural ard vex i Understanding fdale OE He The, Based on my observations of this candidate’s field experience performance and my knowledge of his/her general administrative competencies, I believe that he/she has the following potential as a prospective school administrator: (Check one) Outstanding Above Average Average Below Average Should be counseled towa'd another profession Please use the reverse side of this page for any additional comments you may wish to make regarding the candidate’s performance during his/her field experiences. — Bubnie VS 12/13 Ne Sis of Site Supervisor Date _ wad sts Date’Humboldé State University College of Professional Studies School of Education Educational Leadership Program FIELD EXPERIENCES PROFESSIONAL JOURNAL/LOG DATE ACTIVITY/EXPERIENCE HOURS CAPEs STANDARDS Candidates Signature Se Total Hours_14¢ 0 uyiws Credenbal at emse) —EAlernen tas. (Credential Program Site Supervisor/Mentor Signature: “University Supervisor Signature:Date arse ays6)6 anne syne sinne 8/38/06 a)s8/6 wy6 ays Bj. ajan)6 s/a2i6 B)agh6 s)agh6 a/2sh6 ajzsh lash 8/26/16 a/z0)16 ajzs)6 8/29/16 8/20/16 sys0n8 sya0i8 save Bio ohne fas ope 919i 9/7 9/7 jar fons gif oan apap ohio sp HSU EDL 645 Fieldwork Journal Beth Ann Wylie Fall 2016 Activity/Experience Prepare agenda and materia or dty werkt meting Ponned woraog with sinerforew math ecielam ‘Ginersted purhase req fr ongoing servos for cal yt ‘attend Safe Routes to Sehool County- Wide Tsk Force Beating neve elassoom ade Cenerate ployee Agreements ‘Review yearend budge anal ith bsiess manager ‘Mos wth boar presient to prepare for ypeoming meeting (Onde CELDT Materia, review cum Ses & ari anguage rey cm Review stafing roster and very postions ae budaed corey ‘Pact staff weleome metings ay foundation or sel year “Attend taining on Orige Math erielum lite cor aff meting, ot expecting due, procedure ee roid sning on sence serial, Journey North Mystery lise ‘acitted meeting on aur data and respons to intervention program Safe Routes to School ain, pursue rdustion of speedlimit on Fete: Ave Faxttd all tuff meting review emp, handbook, oiies/procedures Mandated Reporte tining ‘repre for and ate raining for employe emergency response Alscoolassenbly Pina shoo] newer Prepared fora facitaed sa meeting ‘Safe Rote School action, pursue redution of seu lint on Faster Ave Jeena enn enema Herenece sting wth RCEA repo review progress on Prop 39 project, -Astnd Sehool ard NCC) Meeting esting With cancerned parent egarcing students response anew teacher Mati Amiga do ents Nueva P70) psc! egaiing soner roses ‘Allssool esembly ‘Allssool esembly ‘Propare ye and information tables Back To Shoal Night Meatng with CALHeatingre Prop 99 pejet Sale Routes to School action, pasve redaction of speed init on Foes Ave Alscoolasembly Alscoolassembly Aveta Shoo! Hoard Meeting esting th ne teacher strona pach ili preparation for acho Schoo Might Baska Seo! Night Superimtenden’s Forum (CAPE STANDARDS Development and Implementation ofa Shared Vision 2:lnsructonal Leadership ‘Management and Leasing Emiroment (6:Estemal Context and Faliey ‘Management and Leasing Eicon ‘5: Management and Leroing Eonment ‘Management and Leaering Enron (6:Bxermel Context end Policy rinsrantinal Leadership ‘Management ae Leaning Environment "= Derelopent and Implementation of Share Vision arsrotional Leadership :=Develepent and Implementation ofa Shared Vision arTstrotional Leadership strona Leadership ‘:Brermal Contes end Policy ": Development and Implementation of Shared Vision 2 structinal Leadership 6:Buceral Contest and Pir “Development and Implementation of Shared Vision 4:Fanly and Community Engagement Development and Implementation ofa Shared ison ‘:Eaterml Cont and Pll [Ete and Integy, Management and Lacning Emsroament ‘srEthles ond Integy 4:Family and Community ngagemene 4: Family and Community Engagement ":Darlopment and Implementation of Share Vision ":Derlopment and Implmentason of Share Vision ": Development and Implementation of Shared Vision 5: Management and Leaning Boironment (6:Bueral Context en Policy _:Development and Implementation of Share Vision Development and Implementation ofa Shared Vision (6:Bateril Content an Paicy Ista Leadership ‘Development and implementation ofa Shared Vision “Developmen: and implementation ofa shared Vision Bthies and Integy Blevins & 4s 5 205 2 235 a os 365 285 298 aes 265 Bs ss S45 585 ea 85 05 geek ees Supporting Documentation Duty Week Meeting Schedule Duty Week Meeting Schedule eos Teter questions eerie aie ‘Budget Summary ‘Agenda Duty Weok Mesing Schedule Duy Wook Mesing Sbecle Doty Week Meaing Schedule Meyer sta lanes Data Anadis wa Duty Week Meeting Schedule Mandated reporter Certifeate Disster Plan Piste Sell Neva Mectng Agenda mal Playground pete prop seplan NCC Ager wa va ISN yer id esting nee af wa Boar Agenda va TEN ayer nia Forum agendaDate 9/20/16 siause ofa 9f2s/6 o/zahe jz iza/n6 oiaa/is isa 9/26/48 9/26/46 slant y/a8/6 s/a0/36 2ojs/i6 vo/ss wah wise 2oisii6 re/6h6 ro/7h6 rofiajis so/a/s6 10/9/16 hos 1w/2006 soj2ahs w/2s/6 w/25/6 sofas so/as)i6 nane las alas las inns HSU EDL 645 Fieldwork Journal Beth Ann Wylie Fall 2016 -Actvity/Experience eng vith ence treed nd todd Giy Coun Mesing ec prelination Report Intern Daan ir ocean ove budget ith us ang esting wi aren cepa se tor esing wth cone paren repting stents respons tone teacher ‘Campesong at tent odor aca lp ‘Stent Sores Team Meting ‘Gaston Otmeratons snd Restos “Alstenl ase ‘Alstelacenty tad cnt Coop Masing Dri ete never tng wth retype ec repingSfe Rts eal ‘Aleicel nese repre for and alae taf meting ei Der of Or ofan ad Dey CUPS ropa ‘Meet ih bse anager yar end ogetand tne be, rept for and ated FNC, (Sho Bor) Msting repro and ated Anis de Pete Moe (FTO) Meg, oot an atend ch wth een Pet ting oo Imp ie Sie ipne eer bli ad prepare tor badge commis neaing CARDS ORA repo Die veer eth etrcton tnd Safe Roteto Shoo Metng ret om spose eaing ster cone ‘Met wih pre canara abou aden cy, ‘tude Ss Tem Metinge lnfred tech eprint nun open eninent and changes repre mater for anal suk ‘tnd cence Pic CoorintorMentngt HOD ‘Casto Otmevatians and Foc Mt it beard eset to prepare fo FNC meting a reg fer een spec econ ‘De chal neler Crordnat ih esceregading eo eet oda dele meres ‘tend FNCC (eel Board meting) ‘Meet wih Debra Kngil reer teacher edentling Set opand be Dia dees mie clan ‘Aiend Oulu Far Hours pe lero ew fel 2 Be BB iw ee ee fe gh 16 CAPE STANDARDS ‘:lstracinal Leder -4Famy and Community Engagement ‘Management and Leaoing Environment 4¢:Paniyand Community Engagement <4:Family and Community Engagenest "Development and Implementation ofa Shared Vision 4: Pam and Community Engagemest 2cstrustional Leadership “Development and Implementation ofa Shared Vision “Development and Implementation ofa Shared Vision (Rte ond Integrity <4-Famly nd Community Engagement ‘6:Bxteral Contest en Policy _:Derlopmsnt and Implementation ofa Shared Vision s:Bilesand integrity ‘5: Management and Learning Environment ‘s:BtlesandInegsty 4:Famly and Community Engpsemest ‘sBthiesand Integrity sBlesand testy ‘s:Management nd Letnng Eoin 6:Ratemal Cone an Poly ‘cnstrvetional Leadership. (cRateral Contest ad Peli Family and Commu Engagement (6:Baternl Contos an Poi, <4: Family nd Community Engagement ‘:Management and Leaenng Bovironment ‘Management and Leaching Evironment ‘Family and Community Engagerest _rhstroetional Laadership Biles and Inept ‘6:Eatemsl Content and Faliy 4:Famly and Communky Engagement Fay nd Community Engagement (GrBihesandtnegrty ‘ss Mlanagement and Learning Hevrunment «Fel and Community Engagement ‘Management nd Learning Eovironment ‘TU Hes ms 765 78s 75 as 105 nas 365 ms 05 ss, 265, 275 305, mus _Supporting Documentation wa proltion ‘tv data sheet na na Wat ereck pa SST meeting notes mple obsevation orm sample a va coop Agenda eweiter a eth Netse va ‘aff meting agenda ups handout ‘det srmmary cover page NOC agen APM agenda nia wa va ‘CDS ORA directions STS ganda wa wa heal insurance me ud egueet ena iene fa egatation servation orm sample NCC Agenda va Never ia deloe muerte fer NCC Agende (tC ahoet em at pert plese carom ie feeHSU EDL 645 Fieldwork Journal Beth Ann Wylie Fall 2016 Date ___Aetvity/tsperience Hours _ CAPE STANDARDS _____TMHrs__ Supporting Documentation nie ‘tend ata wrao tCDE 2 aaarasinal ip 8 daa wodup be voi en com wieCopaing 2 then meaty ss corp Aged oh Sinden Sere Meng 5 __sfaniy and Gmmuniy Engage oe oe ihe Stun See Te Meng 05a Famiy and Gommuniy nese wees ta is Comoe Nore exer 1 g:Mmaenent an Larting vent ws acer eve aut niwhe tr Manges meting 25 emilee ty ay aah niwhe wit Ra esc op 39 oi 27 famagenent ue uc inion a Laying ‘credential Program: Administrative Sevies Credential ‘ot toure Tevel Elementary / “:Doelopmentand implemen famed Vion an lina Laci i vege ig Soc University Superdeer Sigatre: “eta and Communi gaps: 26 = ‘tie and tty 235 ‘tater Cont and Ply ae ‘TotalHeurs 140