Form 2 Responsibility & Success Plan
Date: The table below is designed to outline a plan for success and to clarify our expectations and your responsibilities, if you are to continue to pursue a MAT in your program for licensure at NLU. Course #: Initiated by: Role: Candidate Name: NLU ID: Program:
(If applicable) School:
District:
Grade Level:
Seminar Instructor:
University Supervisor:
Academic Advisor:
Cooperating Teacher:
A. Concern(s)
B. Standard(s)
C. Expectations & Candidate Responsibilities
D. Timeline/Date
Dispositions Assessment
Culturally Responsive Teaching & Leading Standards
InTASC Teaching Standards
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