CSUSB COE Candidate Disposition Self-Assessment

Self-Assessment
College of Education Candidate Disposition Rubric

There is a "Save & Return" feature for this assessment form. You can click on the "Save & Return" bar at the top of the page to save your work. You will be prompted to enter your email, and you will be sent an email with a link to return to the assessment where you left off.

1. Candidate Information: *This question is required.

First Name:

Last Name:

MyCoyote ID: This question requires a valid number format.

Date:

calendar

Campus Email Address:

2. Please indicate Student/Candidate's current program: *This question is required.

Specify the program in the text box below:

3. Please complete the following information: *This question is required.

Assessment Rater Information

Assessor's First Name

Assessor's Last Name

Assessor's Email Address This question requires a valid email address.

4. Is the Student/Candidate currently completing a fieldwork/supervision experience? *This question is required.

Fieldwork Supervisor Information

Fieldwork Supervisor's First Name

Fieldwork Supervisor's Last Name

Fieldwork Supervisor's Email Address This question requires a valid email address.