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Educational Technology Leadership Internship Supervisor Evaluation Form




Technology Leadership Internship Supervisor Evaluation
Directions
Thank you for your supervision and mentoring of a Lamar University Educational Technology
Leadership Intern. This is a service to the intern, to the profession, and the technology
leadership program at Lamar University. We are asking you to complete the following
Educational Technology Leadership Internship Supervisor Evaluation (ETLISE).

The ETLISE can be used to structure a final summative conversation and conference with the
intern, as the culminating event of the Internship/Practicum Experience. You are free to share
the evaluation and your responses with the Interns (at your discretion) or you can just talk about
it in general terms. We do need you to return it to Lamar as we will also be using this for
purposes of program improvement. It is not entered as a grade for the student. In the event that
there were multiple supervisors, just complete the sections applicable to the work done under
your supervision.

                                     Basic Information
                        Rebecca Pruneda
 Intern Name:
                        Beverly Warren/ Jan Brady
 Supervisor/Mentor:
                        Fairmeadows Elementary School/ Byrd Middle School
 Site Location:
                        04/27/2012
 Date:
                                  Evaluation Definitions
                        With regard to the Tech Facilitator Standards, the intern was
 Exemplary              consistently engaged and demonstrated excellence in completing
                        his/her activities and responsibilities.
                        The intern was engaged and successful with his/her activities and
 Proficient             responsibilities.
                        The intern was occasionally successful with his/her activities and
 Minimally              responsibilities, but needed to demonstrate greater proficiency and skill
 Proficient             in practicing this competency.
                        The intern was rarely successful with his/her activities and
 Unacceptable           responsibilities and needed much greater proficiency and skill in
                        practicing this competency.

               Standard I -Technology Operations and Concepts
 The Educational Technology Facilitator demonstrates an in-depth understanding of technology
 operations and concepts.



      2011 Lamar University                                                           Page 1 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


          Criterion                                 Performance Rating
                                     Exemplary      Proficient  Minimally       Unacceptable
                                        (3)            (2)      Proficient          (0)
                                                                   (1)
Technology Facilitation
Performance Indicator I.A
The Technology Facilitator
demonstrates knowledge,          3
skills, and understanding of
concepts related to technology
(as described in the ISTE
NETS-T).

Technology Facilitation
Performance Indicator I.B
The Technology Facilitator
demonstrates continual           3
growth in technology
knowledge and skills to stay
abreast of current and
emerging technologies.
                                          Comments
                                 Assisted in mentoring new teachers with technology training
TF I.A
                                 Completed district training and implementation of problem
TF I.B                           based learning
     Standard II - Planning and Designing Learning Environments
                            and Experiences
  Educational Technology facilitators plan, design, and model effective learning environments
                        and multiple experiences supported by technology.
           Criterion                                  Performance Rating
                                     Exemplary        Proficient     Minimally    Unacceptable
                                         (3)             (2)        Proficient          (0)
                                                                        (1)
Technology Facilitation
Performance Indicator II.A
The Technology Facilitator
designs developmentally                   3
appropriate learning
opportunities that apply
technology-enhanced
instructional strategies to
support the diverse needs of
learners.
Technology Facilitation
Performance Indicator II.B
The Technology Facilitator
applies current research on               3
teaching and learning with


     2011 Lamar University                                                        Page 2 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


technology when planning
learning environments and
experiences.
Technology Facilitation
Performance Indicator II.C
The Technology Facilitator              3
identifies and locates
technology resources and
evaluates them for accuracy
and suitability.
Technology Facilitation
Performance Indicator II.D
The Technology Facilitator
plans for the management of             3
technology resources within
the context of learning
activities.
Technology Facilitation
Performance Indicator II.E
The Technology Facilitator
plans strategies to manage              3
student learning in a
technology-enhanced
environment.
Technology Facilitation
Performance Indicator II.F
The Technology Facilitator
identifies and applies                  3
instructional design principles
associated with the
development of technology
resources.
                                         Comments
                                    On-line spec. ed. Teachers group focusing on technology
TF II.A                           Planned & implemented research project for sp. Ed. Students
                                      applies basic tech. skills and uses a paired working
                                                            arrangement
                                    On-line spec. ed. Teachers group focusing on technology
TFII.B                            Planned & implemented research project for sp. Ed. Students
                                      applies basic tech. skills and uses a paired working
                                                            arrangement
                                    On-line spec. ed. Teachers group focusing on technology
TFII.C                            Planned & implemented research project for sp. Ed. Students
                                      applies basic tech. skills and uses a paired working
                                                            arrangement
                                                  District resources for teachers
TFII.D
                                             Provided new strategies in grade level
TFII.E
TFII.F                               Open source/ creative commons checklist & tip sheet

     2011 Lamar University                                                            Page 3 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


           Standard III – Teaching, Learning, and the Curriculum
Educational Technology facilitators apply and implement curriculum plans that include methods
                and strategies for utilizing technology to maximize student learning.
             Criterion                                    Performance Rating
                                       Exemplary          Proficient      Minimally    Unacceptable
                                            (3)              (2)          Proficient        (0)
                                                                             (1)
Technology Facilitation
Performance Indicator III.A
The Technology Facilitator                   3
facilitates technology-
enhanced experiences that
address content standards
and student technology
standards.
Technology Facilitation
Performance Indicator III.B
The Technology Facilitator                   3
uses technology to support
learner-centered strategies
that address the diverse
needs of students.
Technology Facilitation
Performance Indicator III.C
The Technology Facilitator                   3
applies technology to
demonstrate students’ higher-
order skills and creativity.
Technology Facilitation
Performance Indicator III.D
The Technology Facilitator                   3
applies technology to
demonstrate students’ higher-
order skills and creativity.
Technology Facilitation
Performance Indicator III.E
The Technology Facilitator                   3
uses current research and
district/region/state/national
content and technology
standards to build lessons and
units of instruction.
                                               Comments
                                                    Included in action research plan
TFIII.A
                                        On-line spec. ed. Teachers group focusing on technology
TFIII.B                             Planned & implemented research project for sp. Ed. Students
                                           applies basic tech. skills and uses a paired working
                                                               arrangement
                                                    Included in action research plan

     2011 Lamar University                                                            Page 4 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


TFIII.C
                                                 Included in action research plan
TFIII.D
                                                 Included in action research plan

TFIII.E
                   Standard IV – Assessment and Evaluation
      Educational Technology facilitators apply technology to facilitate a variety of effective
                             assessment and evaluation strategies.
            Criterion                                  Performance Rating
                                    Exemplary         Proficient       Minimally      Unacceptable
                                        (3)              (2)           Proficient           (0)
                                                                          (1)
Technology Facilitation
Performance Indicator IV.A
The Technology Facilitator               3
applies technology in
assessing student learning of
subject matter using a variety
of assessment techniques.
Technology Facilitation
Performance Indicator IV.B
The Technology Facilitator
uses technology resources to             3
collect and analyze data,
interpret results, and
communicate findings to
improve instructional practice
and maximize student
learning.
Technology Facilitation
Performance Indicator IV.C
Apply multiple methods of                3
evaluation to determine
students’ appropriate use of
technology resources for
learning, communication, and
productivity.
                                           Comments
                                       Using on-line tools and programs for assessing And
TFIV.A                                        improving instruction based on results
                                       Using on-line tools and programs for assessing And
TFIV.B                                        improving instruction based on results
                                                    Project rubric for teachers/
TFIV.C                                              Project rubric for students
            Standard V – Productivity and Professional Practice
     Educational technology facilitators apply technology to enhance and improve personal
                            productivity and professional practice.
          Criterion                                   Performance Rating
                                    Exemplary         Proficient    Minimally   Unacceptable

     2011 Lamar University                                                            Page 5 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


                                       (3)              (2)        Proficient         (0)
                                                                      (1)
Technology Facilitation
Performance Indicator V.A
The Technology Facilitator              3
uses technology resources to
engage in ongoing
professional development and
lifelong learning.
Technology Facilitation
Performance Indicator V.B
The Technology Facilitator              3
continually evaluates and
reflects on professional
practice to make informed
decisions regarding the use of
technology in support of
student learning.
Technology Facilitation
Performance Indicator V.C
The Technology Facilitator              3
applies technology to increase
productivity.
Technology Facilitation
Performance Indicator V.D
The Technology Facilitator              3
uses technology to
communicate and collaborate
with peers, parents, and the
larger community in order to
nurture student learning.
                                            Comments
                                                Share information from TCEA
TFV.A
                                    Evaluate TX STAR chart to address teacher technology
TFV.B                                                        needs
                                                Included in action research plan
TFV.C                                  Assists others using power video for lessons and
                                                         presentations
                                                           Web page
TFV.D
          Standard VI – Social, Ethical, Legal, and Human Issues
  Educational technology facilitators understand the social, ethical, legal, and human issues
   surrounding the use of technology in P-12 schools and assist teachers in applying that
                                understanding in their practice.
         Criterion                                   Performance Rating
                                   Exemplary        Proficient        Minimally    Unacceptable
                                       (3)              (2)          Proficient         (0)
                                                                         (1)
Technology Facilitation

     2011 Lamar University                                                         Page 6 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


Performance Indicator VI.A
The Technology Facilitator             3
models and teaches legal and
ethical practice related to
technology use.
Technology Facilitation
Performance Indicator VI.B
The Technology Facilitator
applies technology resources
to enable and empower                  3
learners with diverse
backgrounds, characteristics,
and abilities.
Technology Facilitation
Performance Indicator VI.C             3
The Technology Facilitator
identifies and uses technology
resources that affirm diversity.
Technology Facilitation
Performance Indicator VI.D
The Technology Facilitator
enforces classroom                     3
procedures that guide
students’ safe and healthy use
of technology and that comply
with legal and professional
responsibilities.
Technology Facilitation
Performance Indicator VI.E
The Technology Facilitator
facilitates equitable access to        3
technology resources for all
students.
                                           Comments
                                           Tip sheet/ guidelines for citing & referencing
VI.A
                                           Accessibility and adaptive tech for gen. ed.
VI.B
                                                 Tech to address cultural diversity
VI.C
                                                          Resource lists
VI.D
VI.E                                             Included in action research plan
    Standard VII – Procedures, Policies, Planning, and Budgeting for
                       Technology Environments
 Educational technology facilitators promote the development and implementation of technology
          infrastructure, procedures, policies, plans, and budgets for PK-12 schools.
          Criterion                                    Performance Rating
                                    Exemplary        Proficient     Minimally    Unacceptable
                                        (3)             (2)         Proficient        (0)

       2011 Lamar University                                                          Page 7 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


                                                                         (1)
Technology Facilitation
Performance Indicator VII.A
Use the school technology               3
facilities and resources to
implement classroom
instruction.
Technology Facilitation
Performance Indicator VII.B
Follow procedures and
guidelines used in planning             3
and purchasing technology
resources.
Technology Facilitation
Performance Indicator VII.C
Participate in professional             3
development opportunities
related to management of
school facilities, technology
resources, and purchases.
                                            Comments
                                               Teacher Z: drive ; Student Z: drive
VII.A
                                             On-line training and learning opportunities
VII.B
                                       Professional development (resources & technology)
VII.C
                      Standard VIII – Leadership and Vision
 Educational technology facilitators will contribute to the shared vision for campus integration of
   technology and foster an environment and culture conducive to the realization of the vision.
            Criterion                                    Performance Rating
                                    Exemplary          Proficient       Minimally   Unacceptable
                                         (3)              (2)          Proficient         (0)
                                                                           (1)
Technology Facilitation
Performance Indicator VIII.A
Identify and apply educational
and technology related                    3
research, the psychology of
learning, and instructional
design principles in guiding
the use of computers and
technology in education.
Technology Facilitation
Performance Indicator VIII.B
Apply strategies for and                  3
knowledge of issues related to
managing the change process
in schools.


     2011 Lamar University                                                            Page 8 of 9
Educational Technology Leadership Internship Supervisor Evaluation Form


Technology Facilitation
Performance Indicator VIII.C
Apply effective group process         3
skills.
Technology Facilitation
Performance Indicator VIII.D
Lead in the development and           3
evaluation of district
technology planning and
implementation
Technology Facilitation
Performance Indicator VIII.E
Engage in supervised field-           3
based experiences with
accomplished technology
facilitators and/or directors.
                                         Comments
                                 Professional development (new technology, current research)
VIII.A
                                   Discuss new district tech. plan w/ tech. improvement plan
VIII.B                                                committee member
                                                          Tech-buddies
VIII.C
                                   Discuss new district tech. plan w/ tech. improvement plan
VIII.D                                                committee member
                                              Included in action research plan
VIII.E
                                          Signature


Signature
                                                         04/27/2012
Date
                                    Contact Information
Feel free to scan the form, attach it to an email message, and return the completed form
to Rosie A. Sellers at the following email address: rosie.sellers@lamar.edu

Address:Lamar University, P.O. Box 10034, Beaumont, TX, 77710
Office: (409) 880-8024
Fax: (409) 880-8685




     2011 Lamar University                                                        Page 9 of 9

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Etl intern superv_eval_su2_11_sig.doc completed

  • 1. Educational Technology Leadership Internship Supervisor Evaluation Form Technology Leadership Internship Supervisor Evaluation Directions Thank you for your supervision and mentoring of a Lamar University Educational Technology Leadership Intern. This is a service to the intern, to the profession, and the technology leadership program at Lamar University. We are asking you to complete the following Educational Technology Leadership Internship Supervisor Evaluation (ETLISE). The ETLISE can be used to structure a final summative conversation and conference with the intern, as the culminating event of the Internship/Practicum Experience. You are free to share the evaluation and your responses with the Interns (at your discretion) or you can just talk about it in general terms. We do need you to return it to Lamar as we will also be using this for purposes of program improvement. It is not entered as a grade for the student. In the event that there were multiple supervisors, just complete the sections applicable to the work done under your supervision. Basic Information Rebecca Pruneda Intern Name: Beverly Warren/ Jan Brady Supervisor/Mentor: Fairmeadows Elementary School/ Byrd Middle School Site Location: 04/27/2012 Date: Evaluation Definitions With regard to the Tech Facilitator Standards, the intern was Exemplary consistently engaged and demonstrated excellence in completing his/her activities and responsibilities. The intern was engaged and successful with his/her activities and Proficient responsibilities. The intern was occasionally successful with his/her activities and Minimally responsibilities, but needed to demonstrate greater proficiency and skill Proficient in practicing this competency. The intern was rarely successful with his/her activities and Unacceptable responsibilities and needed much greater proficiency and skill in practicing this competency. Standard I -Technology Operations and Concepts The Educational Technology Facilitator demonstrates an in-depth understanding of technology operations and concepts. 2011 Lamar University Page 1 of 9
  • 2. Educational Technology Leadership Internship Supervisor Evaluation Form Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) (1) Technology Facilitation Performance Indicator I.A The Technology Facilitator demonstrates knowledge, 3 skills, and understanding of concepts related to technology (as described in the ISTE NETS-T). Technology Facilitation Performance Indicator I.B The Technology Facilitator demonstrates continual 3 growth in technology knowledge and skills to stay abreast of current and emerging technologies. Comments Assisted in mentoring new teachers with technology training TF I.A Completed district training and implementation of problem TF I.B based learning Standard II - Planning and Designing Learning Environments and Experiences Educational Technology facilitators plan, design, and model effective learning environments and multiple experiences supported by technology. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) (1) Technology Facilitation Performance Indicator II.A The Technology Facilitator designs developmentally 3 appropriate learning opportunities that apply technology-enhanced instructional strategies to support the diverse needs of learners. Technology Facilitation Performance Indicator II.B The Technology Facilitator applies current research on 3 teaching and learning with 2011 Lamar University Page 2 of 9
  • 3. Educational Technology Leadership Internship Supervisor Evaluation Form technology when planning learning environments and experiences. Technology Facilitation Performance Indicator II.C The Technology Facilitator 3 identifies and locates technology resources and evaluates them for accuracy and suitability. Technology Facilitation Performance Indicator II.D The Technology Facilitator plans for the management of 3 technology resources within the context of learning activities. Technology Facilitation Performance Indicator II.E The Technology Facilitator plans strategies to manage 3 student learning in a technology-enhanced environment. Technology Facilitation Performance Indicator II.F The Technology Facilitator identifies and applies 3 instructional design principles associated with the development of technology resources. Comments On-line spec. ed. Teachers group focusing on technology TF II.A Planned & implemented research project for sp. Ed. Students applies basic tech. skills and uses a paired working arrangement On-line spec. ed. Teachers group focusing on technology TFII.B Planned & implemented research project for sp. Ed. Students applies basic tech. skills and uses a paired working arrangement On-line spec. ed. Teachers group focusing on technology TFII.C Planned & implemented research project for sp. Ed. Students applies basic tech. skills and uses a paired working arrangement District resources for teachers TFII.D Provided new strategies in grade level TFII.E TFII.F Open source/ creative commons checklist & tip sheet 2011 Lamar University Page 3 of 9
  • 4. Educational Technology Leadership Internship Supervisor Evaluation Form Standard III – Teaching, Learning, and the Curriculum Educational Technology facilitators apply and implement curriculum plans that include methods and strategies for utilizing technology to maximize student learning. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) (1) Technology Facilitation Performance Indicator III.A The Technology Facilitator 3 facilitates technology- enhanced experiences that address content standards and student technology standards. Technology Facilitation Performance Indicator III.B The Technology Facilitator 3 uses technology to support learner-centered strategies that address the diverse needs of students. Technology Facilitation Performance Indicator III.C The Technology Facilitator 3 applies technology to demonstrate students’ higher- order skills and creativity. Technology Facilitation Performance Indicator III.D The Technology Facilitator 3 applies technology to demonstrate students’ higher- order skills and creativity. Technology Facilitation Performance Indicator III.E The Technology Facilitator 3 uses current research and district/region/state/national content and technology standards to build lessons and units of instruction. Comments Included in action research plan TFIII.A On-line spec. ed. Teachers group focusing on technology TFIII.B Planned & implemented research project for sp. Ed. Students applies basic tech. skills and uses a paired working arrangement Included in action research plan 2011 Lamar University Page 4 of 9
  • 5. Educational Technology Leadership Internship Supervisor Evaluation Form TFIII.C Included in action research plan TFIII.D Included in action research plan TFIII.E Standard IV – Assessment and Evaluation Educational Technology facilitators apply technology to facilitate a variety of effective assessment and evaluation strategies. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) (1) Technology Facilitation Performance Indicator IV.A The Technology Facilitator 3 applies technology in assessing student learning of subject matter using a variety of assessment techniques. Technology Facilitation Performance Indicator IV.B The Technology Facilitator uses technology resources to 3 collect and analyze data, interpret results, and communicate findings to improve instructional practice and maximize student learning. Technology Facilitation Performance Indicator IV.C Apply multiple methods of 3 evaluation to determine students’ appropriate use of technology resources for learning, communication, and productivity. Comments Using on-line tools and programs for assessing And TFIV.A improving instruction based on results Using on-line tools and programs for assessing And TFIV.B improving instruction based on results Project rubric for teachers/ TFIV.C Project rubric for students Standard V – Productivity and Professional Practice Educational technology facilitators apply technology to enhance and improve personal productivity and professional practice. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable 2011 Lamar University Page 5 of 9
  • 6. Educational Technology Leadership Internship Supervisor Evaluation Form (3) (2) Proficient (0) (1) Technology Facilitation Performance Indicator V.A The Technology Facilitator 3 uses technology resources to engage in ongoing professional development and lifelong learning. Technology Facilitation Performance Indicator V.B The Technology Facilitator 3 continually evaluates and reflects on professional practice to make informed decisions regarding the use of technology in support of student learning. Technology Facilitation Performance Indicator V.C The Technology Facilitator 3 applies technology to increase productivity. Technology Facilitation Performance Indicator V.D The Technology Facilitator 3 uses technology to communicate and collaborate with peers, parents, and the larger community in order to nurture student learning. Comments Share information from TCEA TFV.A Evaluate TX STAR chart to address teacher technology TFV.B needs Included in action research plan TFV.C Assists others using power video for lessons and presentations Web page TFV.D Standard VI – Social, Ethical, Legal, and Human Issues Educational technology facilitators understand the social, ethical, legal, and human issues surrounding the use of technology in P-12 schools and assist teachers in applying that understanding in their practice. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) (1) Technology Facilitation 2011 Lamar University Page 6 of 9
  • 7. Educational Technology Leadership Internship Supervisor Evaluation Form Performance Indicator VI.A The Technology Facilitator 3 models and teaches legal and ethical practice related to technology use. Technology Facilitation Performance Indicator VI.B The Technology Facilitator applies technology resources to enable and empower 3 learners with diverse backgrounds, characteristics, and abilities. Technology Facilitation Performance Indicator VI.C 3 The Technology Facilitator identifies and uses technology resources that affirm diversity. Technology Facilitation Performance Indicator VI.D The Technology Facilitator enforces classroom 3 procedures that guide students’ safe and healthy use of technology and that comply with legal and professional responsibilities. Technology Facilitation Performance Indicator VI.E The Technology Facilitator facilitates equitable access to 3 technology resources for all students. Comments Tip sheet/ guidelines for citing & referencing VI.A Accessibility and adaptive tech for gen. ed. VI.B Tech to address cultural diversity VI.C Resource lists VI.D VI.E Included in action research plan Standard VII – Procedures, Policies, Planning, and Budgeting for Technology Environments Educational technology facilitators promote the development and implementation of technology infrastructure, procedures, policies, plans, and budgets for PK-12 schools. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) 2011 Lamar University Page 7 of 9
  • 8. Educational Technology Leadership Internship Supervisor Evaluation Form (1) Technology Facilitation Performance Indicator VII.A Use the school technology 3 facilities and resources to implement classroom instruction. Technology Facilitation Performance Indicator VII.B Follow procedures and guidelines used in planning 3 and purchasing technology resources. Technology Facilitation Performance Indicator VII.C Participate in professional 3 development opportunities related to management of school facilities, technology resources, and purchases. Comments Teacher Z: drive ; Student Z: drive VII.A On-line training and learning opportunities VII.B Professional development (resources & technology) VII.C Standard VIII – Leadership and Vision Educational technology facilitators will contribute to the shared vision for campus integration of technology and foster an environment and culture conducive to the realization of the vision. Criterion Performance Rating Exemplary Proficient Minimally Unacceptable (3) (2) Proficient (0) (1) Technology Facilitation Performance Indicator VIII.A Identify and apply educational and technology related 3 research, the psychology of learning, and instructional design principles in guiding the use of computers and technology in education. Technology Facilitation Performance Indicator VIII.B Apply strategies for and 3 knowledge of issues related to managing the change process in schools. 2011 Lamar University Page 8 of 9
  • 9. Educational Technology Leadership Internship Supervisor Evaluation Form Technology Facilitation Performance Indicator VIII.C Apply effective group process 3 skills. Technology Facilitation Performance Indicator VIII.D Lead in the development and 3 evaluation of district technology planning and implementation Technology Facilitation Performance Indicator VIII.E Engage in supervised field- 3 based experiences with accomplished technology facilitators and/or directors. Comments Professional development (new technology, current research) VIII.A Discuss new district tech. plan w/ tech. improvement plan VIII.B committee member Tech-buddies VIII.C Discuss new district tech. plan w/ tech. improvement plan VIII.D committee member Included in action research plan VIII.E Signature Signature 04/27/2012 Date Contact Information Feel free to scan the form, attach it to an email message, and return the completed form to Rosie A. Sellers at the following email address: rosie.sellers@lamar.edu Address:Lamar University, P.O. Box 10034, Beaumont, TX, 77710 Office: (409) 880-8024 Fax: (409) 880-8685 2011 Lamar University Page 9 of 9