OIS-SCHOOLS Instructor Candidate

OIS-SCHOOLS Instructor Candidate

Passport

Candidate Name: ______Dates of Instructor Workshop: ______

Candidate District/esd:______

Instructor candidates must complete each step outlined below prior to completing their solo evaluation. To use this form:

1.  Take this form with you to each co-training you attend.

2.  It is strongly recommended your observations/co-trainings take place with a different Master/Mentor Instructor

3.  Have the mentor initial for each co-training and make a check mark next to the chapters you co-trained.

4.  Keep a copy of your review from each co-training with this passport.

5.  After each co-training, send a copy of the passport and evaluation form to Amy (OIS Data Coordinator).

6.  Prior to each workshop, present your passport to each mentor for review.

7.  When your mentor says you may continue to your solo evaluation, send a copy of the passport and all review forms to Amy at OIS.

Note: Find additional space to record extra observations and co-trainings in an addendum attached at the end of this form.

ObservAtion (OPTIONAL)
Dates of Training / Mentor Name / Mentor Signature
Training Location and Level
Co-training # 1
Dates of Training / Mentor Name / Mentor Signature
ÿ  Introduction
ÿ  Ch. 1
ÿ  Ch. 2 / ÿ  Ch. 3
ÿ  Ch. 4
ÿ  Ch. 5 / ÿ  Ch. 6
Overall Feedback from Training:
Co-training # 2
Dates of Training / Mentor Name / Mentor Signature
ÿ  Introduction
ÿ  Ch. 1
ÿ  Ch. 2 / ÿ  Ch. 3
ÿ  Ch. 4
ÿ  Ch. 5 / ÿ  Ch. 6
Overall Feedback from Training:

To be completed BY Mentor Instructor after final co-training:

¨  I recommend this candidate proceed to final review.

Areas this candidate should work on prior to completing solo evaluation:

¨  I do not recommend this candidate proceed to final review.

Areas this candidate must work on prior to completing solo evaluation:

Recommended action:

______

Mentor signature Mentor Printed Name Date

Additional Observation and Co-Training Form

ObservAtion
Dates of Training / Mentor Name / Mentor Signature
Training Location and Level
Co-training # 3
Dates of Training / Mentor Name / Mentor Signature
ÿ  Introduction
ÿ  Ch. 1
ÿ  Ch. 2 / ÿ  Ch. 3
ÿ  Ch. 4
ÿ  Ch. 5 / ÿ  Ch. 6
Overall Feedback from Training:
Co-training # 4
Dates of Training / Mentor Name / Mentor Signature
ÿ  Introduction
ÿ  Ch. 1
ÿ  Ch. 2 / ÿ  Ch. 3
ÿ  Ch. 4
ÿ  Ch. 5 / ÿ  Ch. 6
Overall Feedback from Training:

OIS/Amy

7165 SW Fir Loop, Suite 200|Tigard, OR 97223

Email: