Revised August 2016

Intern Self-Evaluation Form

NAME: Adam Erickson

Date: 8/15/2017
Self-evaluation for end of SBL Internship

ISLLC Self-Assessment Tool*

Instructions: This self-assessment is designed to provide a personal profile of your school leadership assets
based on the ISLLC Standards for School Leaders. The ISLLC Self-Assessment Tool consists of 182 statements
that describe the knowledge, dispositions, and performances contained within the ISLLC Standards for School
Leaders. You are asked to respond to each statement by reflecting on what you have learned, what you believe
and value, and what you are accomplishing as a school leader.

Read each knowledge, disposition, or performance statement carefully. Then check the box that indicates the
extent to which the statement represents your practices during the past 1012 months. In responding to each
item:

1 represents Little extent

2 represents Some extent
3 represents Sufficient extent
4 represents Exemplary extent

*Used by permission of the National Policy Board for Educational Administration and the Interstate School Leaders Licensure
Consortium.

Developing Your School Leadership Profile

Purposes:

To provide school leaders with the opportunity to examine their own school leadership practices with
respect to the knowledge, dispositions, and performances contained within the ISSLC Standards for
School Leaders.

This self-examination should lead to greater familiarity with the standards and provide a starting point to
assist you in identifying potential areas of focus for professional development planning.

Directions:

1. Complete the self-assessment rating scale.

2. Check the box under the rating that applies. Be sure to check only one response/number for
each item.
3. After completion, go back and add the ratings under each standard (1 through 6). To do so,
add the scores within each standard, and divide by the total number of items within each
standard. Fill in the average rating in the space provided at the end of each standard.
4. Complete a written reflection, indicating areas of needed emphasis, growth, and
improvement, in the space provided at the end of this self-assessment.
5. In the space provided at the end of this self-assessment, generate four self-improvement
goals to be undertaken during this degree program. Each goal is to include the following:
A goal statement and its relationship to one or more of the ISLLC Standards
Anticipated activities that will lead to the accomplishment of the goal
Evidence that will demonstrate attainment of the goal
Targeted date of completion for the goal
Standard 1: A school administrator is an educational leader who promotes the success of all students by
facilitating the development, articulation, implementation, and stewardship of a vision of learning
that is shared and supported by the school community.

To what extent do I have a CURRENT PERSONAL MASTERY of the following Knowledge indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

learning goals in a pluralistic society

the principles of developing and

implementing strategic plans

systems theory

information sources, data collection, and

data analysis strategies

effective communication

effective consensus-building and

negotiation skills

To what extent do I have a CURRENT PERSONAL BELIEF IN, VALUE OF, AND COMMITMENT to the
following Disposition indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

the educability of all

a school vision of high standards of learning

continuous school improvement

the inclusion of all members of the school

community

ensuring that students have the knowledge,

skills, and values needed to become
successful adults

a willingness to continuously examine ones

own assumptions, beliefs, and practices

doing the work required for high levels of

personal and organization performance
To what extent do I CURRENTLY FACILITATE PROCESSES AND ENGAGE IN ACTIVITIES ensuring the
following Performance indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

the vision and mission of the school are

effectively communicated to staff, parents,
students, and community members

the vision and mission are communicated

through the use of symbols, ceremonies,
stories, and similar activities

the core beliefs of the school vision are

modeled for all stakeholders

the vision is developed with and among

stakeholders

the contributions of school community

members to the realization of the vision are
recognized and celebrated

progress toward the vision and mission is

communicated to all stakeholders

the school community is involved in school

improvement efforts

the vision shapes the educational programs,

plans, and actions

an implementation plan is developed in which

objectives and strategies to achieve the
vision and goals are clearly articulated

assessment data related to student learning

are used to develop the school vision and
goals

relevant demographic data pertaining to

students and their families are used in
developing the school mission and goals

barriers to achieving the vision are identified,

clarified, and addressed

needed resources are sought and obtained

to support the implementation of the school
mission and goals

existing resources are used in support of the

school vision and goals

the vision, mission, and implementation plans

are regularly monitored, evaluated, and
revised
 Standard 1: Average = Total 28 Average = 2.5

Standard 2: A school administrator is an educational leader who promotes the success of all students by
advocating, nurturing, and sustaining a school culture and instructional program conducive to
student learning and staff professional growth.

To what extent do I have a CURRENT PERSONAL MASTERY of the following Knowledge indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

student growth and development

applied learning theories

applied motivational theories

curriculum design, implementation,

evaluation, and refinement

principles of effective instruction

measurement, evaluation, and assessment

strategies

diversity and its meaning for educational

programs

adult learning and professional development

models

the change process for systems,

organizations, and individuals

the role of technology in promoting student

learning and professional growth

school cultures

To what extent do I have a CURRENT PERSONAL BELIEF IN, VALUE OF, AND COMMITMENT to the
following Disposition indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

student learning as the fundamental purpose

of schooling

the proposition that all students can learn

the variety of ways in which students can

learn

life-long learning for self and others

professional development as an integral part

 of school improvement

the benefits that diversity brings to the school

community

a safe and supportive learning environment

preparing students to be contributing

members of society

To what extent do I CURRENTLY FACILITATE PROCESSES AND ENGAGE IN ACTIVITIES ensuring the
following Performance indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

all individuals are treated with fairness,

dignity, and respect

professional development promotes a focus

on student learning consistent with the
school vision and goals

students and staff feel valued and important

the responsibilities and contributions of each

individual are acknowledged

barriers to student learning are identified,

clarified, and addressed

diversity is considered in developing learning

experiences

life-long learning is encouraged and modeled

there is a culture of high expectations for self,

student, and staff performance

technologies are used in teaching and

learning

student and staff accomplishments are

recognized and celebrated

multiple opportunities to learn are available to

all students

the school is organized and aligned for

success

curricular, co-curricular, and extra-curricular

programs are designed, implemented,
evaluated, and refined

curriculum decisions are based on research,

expertise of teachers, and the
recommendations of learned societies
 the school culture and climate are assessed
on a regular basis

a variety of sources of information is used to

make decisions

student learning is assessed using a variety of

techniques

multiple sources of information regarding

performance are used by staff and students

a variety of supervisory and evaluation models

is employed

pupil personnel programs are developed to

meet the needs of students and their families

Standard 2: Average = Total 39 Average = 2.7

Standard 3: A school administrator is an educational leader who promotes the success of all students by
ensuring management of the organization, operations, and resources for a safe, efficient, and
effective learning environment.

To what extent do I have a CURRENT PERSONAL MASTERY of the following Knowledge indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

theories and models of organizations and the

principles of organizational development

operational procedures at the school and

district level

principles and issues relating to school safety

and security

human resources management and

development

principles and issues relating to fiscal

operations of school management

principles and issues relating to school

facilities and use of space

legal issues impacting school operations

current technologies that support

management functions

To what extent do I have a CURRENT PERSONAL BELIEF IN, VALUE OF, AND COMMITMENT to the
following Disposition indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)
 making management decisions to enhance
learning and teaching

taking risks to improve schools

trusting people and their judgment

accepting responsibility

having high-quality standards, expectations

and performances

involving stakeholders in management

processes

promoting a safe environment

To what extent do I CURRENTLY FACILITATE PROCESSES AND ENGAGE IN ACTIVITIES ensuring the
following Performance indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

knowledge of learning, teaching, and student

development is used to form management
decisions

operational procedures are designed and

managed to maximize opportunities for
successful learning

emerging trends are recognized, studied, and

applied as appropriate

operational plans and procedures to achieve

the vision and goals of the school are in place

collective bargaining and other contractual

agreements related to the school are
effectively managed

the school plant, equipment, and support

systems operate safely, efficiently, and
effectively

time is managed to maximize attainment of

organizational goals

potential problems and opportunities are

identified

problems are confronted and resolved in a

timely manner

financial, human, and material resources are

aligned to the goals of the school

the school acts entrepreneurially to support

 continuous improvement

organizational systems are regularly

monitored and modified as needed

stakeholders are involved in decisions

affecting the school

responsibility is shared to maximize ownership

and accountability

effective problem-framing and problem-solving

skills are used

effective conflict resolution skills are used

effective group-process and consensus-

building skills are used

effective communication skills are used

there is effective use of technology to manage

school operations

fiscal resources of the school are managed

responsibly, efficiently, and effectively

a safe, clean, and aesthetically pleasing

school environment is created and maintained

human resource functions support the

attainment of school goals

confidentiality and privacy of school records

are maintained

Standard 3: Average = Total 38 Average = 2.9

Standard 4: A school administrator is an educational leader who promotes the success of all students by
collaborating with families and community members, responding to diverse community interests
and needs, and mobilizing community resources.

To what extent do I have a CURRENT PERSONAL MASTERY of the following Knowledge indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

emerging issues and trends that potentially

impact the school community

the conditions and dynamics of the diverse

school community

community resources

community relations and marketing strategies

and processes

successful models of school, family, business,

community, government and higher education
 partnerships

To what extent do I have a CURRENT PERSONAL BELIEF IN, VALUE OF, AND COMMITMENT to the
following Disposition indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

schools operating as an integral part of the

larger community

collaboration and communication with families

involvement of families and other stakeholders

in school decision-making processes

the proposition that diversity enriches the

school

families as partners in the education of their

children

the proposition that families have the best

interests of their children in mind

resources of the family and community

needing to be brought to bear on the
education of students

an informed public

To what extent do I CURRENTLY FACILITATE PROCESSES AND ENGAGE IN ACTIVITIES ensuring the
following Performance indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

high visibility, active involvement, and

communication with the larger community is a
priority

relationships with community leaders are

identified and nurtured

information about family and community

concerns, expectations, and needs is used
regularly

there is outreach to different business,

religious, political, and service agencies and
organizations

credence is given to individuals and groups

whose values and opinions may conflict

the school and community serve one another

as resources

available community resources are secured to

 help the school solve problems and achieve
goals

partnerships are established with area

business, institutions of higher education, and
community groups to strengthen programs
and support school goals

community youth family services are

integrated with school programs

community stakeholders are treated equitably

diversity is recognized and valued

effective media relations are developed and

maintained

a comprehensive program of community

relations is established

public resources and funds are used

appropriately and wisely

community collaboration is modeled for staff

opportunities for staff to develop collaborative

skills are provided

Standard 4: Average = Total 29 Average = 3

Standard 5: A school administrator is an educational leader who promotes the success of all students by
acting with integrity, fairness, and in an ethical manner.

To what extent do I have a CURRENT PERSONAL MASTERY of the following Knowledge indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

the purpose of education and the role of

leadership in modern society

various ethical frameworks and perspectives

on ethics

the values of the diverse school community

professional codes of ethics

the philosophy and history of education

To what extent do I have a CURRENT PERSONAL BELIEF IN, VALUE OF, AND COMMITMENT to the
following Disposition indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)
 the ideal of the common good

the principles in the Bill of Rights

the right of every student to a free, quality

education

bringing ethical principles to the decision-

making process

subordinating ones own interests for the good

of the school community

accepting the consequences for upholding

ones principles and actions

using the influence of ones office

constructively and productively in the service
of all students and their families

development of a caring school community

To what extent do I CURRENTLY FACILITATE PROCESSES AND ENGAGE IN ACTIVITIES ensuring the
following Performance indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

examines personal and professional values

demonstrates a personal and professional

code of ethics

demonstrates values, beliefs, and attitudes

that inspire others to higher levels of
performance

serves as a role model

accepts responsibility for school operations

considers the impact of ones administrative

practices on others

uses the influence of the office to enhance the

educational program rather than for personal
gain

treats people fairly, equitably, and with dignity

and respect

protects the rights and confidentiality of

students and staff

demonstrates appreciation for and sensitivity

to the diversity in the school community

recognizes and respects the legitimate

authority of others
 examines and considers the prevailing values
of the diverse school community

expects that others in the school community

will demonstrate integrity and exercise ethical
behavior

opens the school to public scrutiny

fulfills legal and contractual obligations

applies laws and procedures fairly, wisely, and

considerately

Standard 5: Average = Total 29 Average = 2.7

Standard 6: A school administrator is an educational leader who promotes the success of all students by
understanding, responding to, and influencing the larger political, social, economic, legal, and
cultural context.

To what extent do I have a CURRENT PERSONAL MASTERY of the following Knowledge indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

principles of representative governance that

undergird the system of American schools

the role of public education in developing and

renewing a democratic society and an
economically productive nation

the law as related to education and schooling

the political, social, cultural, and economic

systems and processes that impact schools

models and strategies of change and conflict

resolution as applied to the larger political,
social, cultural, and economic contexts of
schooling

global issues and forces affecting teaching

and learning

the dynamics of policy development and

advocacy under our democratic political
system

the importance of diversity and equity in a

democratic society

To what extent do I have a CURRENT PERSONAL BELIEF IN, VALUE OF, AND COMMITMENT to the
following Disposition indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)
 seeing education as a key to opportunity and
social mobility

recognizing a variety of ideas, values, and

cultures

having a continuing dialogue with other

decision makers affecting education

actively participating in the political and policy-

making context in the service of education

using legal systems to protect student rights

and improve student opportunities

To what extent do I CURRENTLY FACILITATE PROCESSES AND ENGAGE IN ACTIVITIES ensuring the
following Performance indicators?

LITTLE SOME SUFFICIENT EXEMPLARY

(1) (2) (3) (4)

the environment in which schools operate is

influenced on behalf of students and their
families

communication occurs within the school

community on trends, issues, and potential
changes in the environment in which schools
operate

there is ongoing dialogue with representatives

of diverse community groups

the school community works within the

framework of policies, laws, and regulations
enacted by local, state, and federal authorities

public policy is shaped to provide quality

education for students

lines of communication are developed with

decision makers outside the school
community

Standard 6: Average = Total 19 Average = 2.8

Insert the average score for each standard in the appropriate cell below:

2.5 2.7 2.9 3 2.7 2.8

2
 1

1 2 3 4 5 6

Shared Learning Managing Community Integrity Political,

Vision Culture the Learning Collaboration and Legal and
Environment Fairness Cultural
Context

In the space below, please write your written reflection, indicating areas of needed emphasis,
growth, and improvement (the space will expand as you type):

Overall, I am very thankful for the amount of support, cooperation, and leadership that I was given
during this internship. Not only was it informational, but it allowed me to grow not only as a future administrator,
but as an overall person. There were many areas that I felt I had a great handle on, and in some ways feel like
they are areas that I have been raised and aimed to satisfy throughout my life and career thus far. However, there
are areas I do know that I am going to have to do my homework and continue to better myself in with the help of
practice, professional development, and collaboration with others.
One of the biggest areas that I know I will need more practice in is taking assessment data and knowing
how to properly read the data to find trends. Assessments as a whole to me are based off the tool that you are
using to gather the data. For example, Chautauqua Lake used the Danielson Model of teacher assessments and
this was a tool that I started to get the hang of, but know I will need to continue my practice in finding the data
properly and efficiently during a lesson. It is not as easy as one would originally think for the data can happen in
a second and if you do not know what youre looking for it can cause issues. Finding an assessment tool that is
easy, comfortable to use, and effect is key in making great assessments in a timely fashion.
Another area that I am going to have to continue my education on is School Law. This is an area that I
know will be very critical in terms of knowing what types of decisions you as an administrator can make and the
consequences for doing those decisions. For example, in terms of Athletic Administration, there are many rules
and regulations that student-athlete, parents/guardians all read and sign off to. If there is a violation to those
rules, the punishment must be accordance with the language that regulates the rules. For educations, there are
many areas that all require the knowledge of School Law. Some of these areas are student life, students with
special needs/disabilities, teacher contracts, contract violations, negotiations, and many more areas that I am still
learning about. It is very important to surround yourself with a trusting and knowledgeable staff that can help in
going through School Law issues.
These are only a few of the areas that I am highlighting that I know need improvement, but there can
never be a complete level of satisfaction in administration duties. It is very important to ensure that continuing
education, working collaborative, and finding areas to improve on with self-evaluations are all a regular part of
your administration career.
In the space below, generate four self-improvement goals to be undertaken during this degree
program. Each goal is to include the following:

A goal statement and its relationship to one or more of the ISLLC Standards
Anticipated activities that will lead to the accomplishment of the goal
Evidence that will demonstrate attainment of the goal
Targeted date of completion for the goal

Goal #1: Become knowledgeable in School Law and the effects on administrative tasks and duties.
Taking additional course work, professional development seminars, as well as become more
educated through reading materials will all help me reaching this goal.
o In addition, I will surround myself with various sources of knowledge and realize that I
can always contact others to help in situations for advice, I am not alone.
12/2017

Goal #2: Continue my great levels of communication and working collaboratively with others in fulfilling
administrative duties.
Continue to develop successful forms of communication, make my face known to other in the
schools and community, as well as develop new means of communication that can help create a
smoother operational program for others.
o Learn about various new forms of communication, help others/run workshops, that all
can help in created a team approach to higher levels of communication.
06/2018

Goal #3: Gain a better knowledge base and understanding of various assessment that are being created and could
be implemented to my administrative duties.
Practice with assessment tools that are available to be used for use in various ways, teaching,
coaching, interviews, etc.
o Practice with these assessment tools is critical in having grounds for making hard
decision that may occur in the administrative world. Documentation is needed, thus
finding the best ways to gather data is the most important.
06/2018

Goal #4: Become a positive influence and role model for my students in my administrative duties, be a positive
environment maker.
Gather an understanding of the school community, school working environment, and all other
areas that all create a positive environment for students, teachers, and staff.
o Follow my intrinsic values and morals that all help in creating a positive learning
environment. Doing the extra may take time, but it is what is remember and leaves a
lasting impression.
06/2018