- Last name*
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- First Name*
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- I was prompt to my classes and where I was supposed to be at all times.*
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- My attendance has been good.*
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- I dressed appropriately for my position.*
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- Do you have comments about dressing appropriately for your position?
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- As an inclusion para, I reported to my lead teacher when not in inclusion time. If some else asked me to do something, I checked with the lead teacher first.*
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- I used initiative and looked for ways to help students or the teacher.*
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- Use this space to share what you feel are your accomplishments.
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- I gave positive encouragement to students.*
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- I completed tasks that the teachers asked me to do to the best of my ability.*
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- I feel qualified to complete the tasks given to me.*
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- If your response to question 12 was "no," in what area do you feel you need training.
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- I went over and above expectation and feel I had a positive influence on the success of the team.*
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- I have concerns or suggestions regarding the students I work with.
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- If your answer to question 15 was yes, please explain.
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- I clearly understood my responsibilities for the past quarter.
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- If the answer to question 17 was no, in what ways would you have liked clarification?
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- I shared confidential information only with personnel in the school who require it to ensure that the rights, health, safety, and physical well-being of a child are preserved.*
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- I did not talk directly with parents concerning a student's behavior or progress.*
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- I deferred to the lead teacher/inclusion teacher as the decision make and diligently followed his/her lead.*
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- I felt respected as a contributing member of the team.
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- Be sure to give specifics here if you had concerns from question 22.
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- I stayed fully aware of my role in helping students to become independent learners and did not facilitate leared helplessness.*
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- When given a task, I tried thinking of ways to make the teacher's job easier. (For example, when copying material, do you ensure that you return it in a form most usable to the teacher: clipped, filed, etc.)*
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