EC-4 Generalist Weekly Report & Reflection

(All fields are required.)

Resident Name:

Email Address :

Mentor / School / Graduate Level :

UTA Liaison:

Summary of Week: (MM/DD/YYYY)

Date of this week's Planning Conference between Mentor and Resident:

Resident: Reflect on the week that just ended.

1. New responsibilities for this week:

2. Reflection on my work this week:

a) My lessons were well developed and instructional materials were prepared.
Yes      No

b) I was present in my class each day for the entire day
Yes      No
If NO, explain:

c) I was on time each day.
Yes      No

3. Goals for professional growth for next week:

4. Support I need from my mentor / liaison:

Mentor:
1. Strengths shown this week:

2. Goals for growth:

3. Area of concern:

Date of next week's Planning Conference between Mentor & Resident:

REFLECTION MUST BE RECEIVED BY THE UTA LIAISON BY MIDNIGHT ON FRIDAY OF EACH WEEK.

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