Name: _____________________________________________________ Local Program: _______________________
I. PORTFOLIO CONTENTS: Place documents listed below in digital portfolio within the Learning Management System (LMS). Submit portfolio URL: Portfolio Submission Form.
Section I: Coaching Agreement
Section I: Professional Experience & Work Context Section II: Initial and Benchmark CPSEL Self-Assessment Reflection Section II: Collaborative Summary (1-2 maximum) Section II: Verification of 40 hours of Coaching Section III: Leadership Learning Goal with End of Year 1 Reflection Section IV: Professional Development Reflection (1-2 Maximum) Section IV: Verification of 20 hours Professional Development Hours Section V: End of Year 1 Progress Check Section V: End of Year 1 Survey II. Coach’s Reflection on Candidate Progress (CPSEL, LLG, PD, etc.):
Candidate Signature Print Name Date
Leadership Coach Signature Print Name Date
Local Program Coordinator Signature Print Name Date