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2012-13 Student Media Leadership Evaluation This student is applying for a leadership position on a 2012-13 student media staff. Please take a few minutes to rate this candidate based on the criteria below. Feel free to jot down any specific comments which you feel are important to the selection process. Do not hesitate to contact us with concerns or questions. Your candid responses are appreciated! DO NOT RETURN THIS TO THE STUDENT. Please place in either mailbox (K. Green or R. McCarver) by Feb. 17 Your responses are confidential. Teacher's name_____________________________________Subject taught_________________________ Evaluation for ______________________________________Staff______________________________ Please circle the number which most closely represents this student's performance in your class. 1 = poor 2 = average 3 = good 4 = outstanding This candidate is: self-starting 1 2 3 4 highly motivated 1 2 3 4 deadline-oriented 1 2 3 4 organized 1 2 3 4 a role model 1 2 3 4 a writer (if applicable) 1 2 3 4 a positive force 1 2 3 4 trustworthy 1 2 3 4 a leader 1 2 3 4 Rate the following: attendance 1 2 3 4 punctuality 1 2 3 4 participation 1 2 3 4 quality of work 1 2 3 4 Comments:

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Leadership Teacher Evaluation 2012-2013