Form: CEOI-HLT (ALL OBJECTIVES MUST BE DEMONSTRATED AT SOME POINT DURING INTERNSHIP, so interns must be made aware of those objectives that are not observed so that they may plan future lessons to include them.)

Owner: JSU Administration <jsuadmin>
Owner's Email: dherring@jsu.edu
Dataset: CEOI-HLT
EDIT: Y, VIEW: N, REQR: Y
1
Assesses individual and community needs for health education and evaluates student health needs, knowledge, interests, attitudes, and behavior. *
Unacceptable
Basic
Proficient
Target
Not Observed
Rating Scale 1=Unacceptable 2=Basic 3=Proficient 4=Target
EDIT: Y, VIEW: N, REQR: Y
2
Presents controversial issues in a nonjudgemental manner and leads students in a discussion of those issues. *
Unacceptable
Basic
Proficient
Target
Not Observed
Rating Scale 1=Unacceptable 2=Basic 3=Proficient 4=Target
EDIT: Y, VIEW: N, REQR: Y
3
Coordinates the provision of health education services by developing a plan; facilitation cooperation among program personnel and collaboration among health agencies and organizations; and organizing professional development programs for teachers, volunteers, and others. *
Unacceptable
Basic
Proficient
Target
Not Observed
Rating Scale 1=Unacceptable 2=Basic 3=Proficient 4=Target
EDIT: Y, VIEW: N, REQR: Y
4
Communicates health education needs/concerns and acts as a resource person. *
Unacceptable
Basic
Proficient
Target
Not Observed
Rating Scale 1=Unacceptable 2=Basic 3=Proficient 4=Target
EDIT: Y, VIEW: N, REQR: Y
5
Semester/Year *
EDIT: Y, VIEW: N, REQR: Y
6
Date: MM/DD/YYYY *
EDIT: Y, VIEW: N, REQR: Y
7
Observer *
EDIT: Y, VIEW: N, REQR: Y
8
Observer's Name - (Last Name, First Name) *
EDIT: Y, VIEW: N, REQR: Y
9
Candidate's Name - (Last Name, First Name) *
EDIT: Y, VIEW: N, REQR: Y
10
Candidate's ID# *
EDIT: Y, VIEW: N, REQR: Y
11
Observation # *
EDIT: Y, VIEW: N, REQR: Y
12
Subject/Grade Level *