Form: JSU CEPS Professional Dispositions Form

Owner: JSU Administration <jsuadmin>
Owner's Email: dherring@jsu.edu
Dataset: JSU CEPS Professional Dispositions Form (current)
EDIT: Y, VIEW: N, REQR: N
1
Instructor's Name
EDIT: Y, VIEW: N, REQR: N
2
Student's Name
EDIT: Y, VIEW: N, REQR: N
3
Student ID Number
EDIT: Y, VIEW: N, REQR: N
4
Course
Include Course Prefix and Number
EDIT: Y, VIEW: N, REQR: N
5
Date discussed with Candidate
 (MM/DD/YYYY)
EDIT: Y, VIEW: N, REQR: N
6
Attendance/Punctuality
Follows required course attendance policy; arrives early and never leaves class
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
7
Timeliness with Assignment
Assignments are turned in on time
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
8
Appearance
Dresses in a manner appropriate to the environment; is well-groomed
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
9
Poise
Appears to be confident and consistently composed
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
10
Attitude
Displays appropriate professional behavior and a positive attitude; acts in a mature manner; accepts constructive criticism
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
11
Initiative
Participates; is inquisitive; will assume added responsibilities
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
12
Responsiveness to Feedback
Accepts feedback about performance and will refine practice
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
13
Rapport
Effective in establishing a rapport with others; exhibits an appropriate level of caring and respect
Acceptable
Unacceptable
EDIT: Y, VIEW: N, REQR: N
14
Additional Comments
Explanation referring to the disposition(s) that reflect an unacceptable response.