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Narrative Statement: The mentor teacher should also attach a narrative statement describing this person’s competence as a beginning teacher in a comprehensive manner, at this time in the student teaching experience.

PLEASE OBTAIN ALL SIGNATURES BEFORE FORWARDING THIS EVALUATION TO THE U.W. CONSULTANT.

Completed by: ___________________________________Date ___________________

Signature of mentor teacher

___________________________________Date ___________________

Signature of student teacher

Received by: ___________________________________ Date ___________________

Signature of UW Consultant

PLEASE INITIAL ONE OF THE TWO CHOICES BELOW:

_____ I would like this student teaching evaluation to be included in my placement file.

_____ I WOULD NOT like the student teaching evaluation to be included in my placement file.

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