USCA School of Education
Form H
COOPERATING TEACHER EVALUATION By University Supervisor
Cooperating Teacher
School
Intern
University Supervisor
Semester
Directions: Using the rating scale below, circle your responses to each statement.
5
Very Satisfied
4
Satisfied
3
Neutral
2
Dissatisfied
1
Very Dissatisfied
NA
Not Applicable
THE COOPERATING TEACHER:
1.
Participated in training and orientation activities connected with teaching
intern program.
5
4
3
2
1
NA
2.
Worked with the designated university supervisor in planning the
experiences of the intern.
5
4
3
2
1
NA
3.
Worked to develop a positive relationship with the intern.
5
4
3
2
1
NA
4.
Worked to develop a positive relationship with the university supervisor.
5
4
3
2
1
NA
5.
Appeared from comments and behavior to have requested and/or looked
favorably upon working with an intern.
5
4
3
2
1
NA
6.
Provided appropriate support to the intern in planning and implementing
instruction.
5
4
3
2
1
NA
7.
Was available for conferences with the university supervisor.
5
4
3
2
1
NA
8.
Demonstrated attitudes and practices reflecting current theory and best
classroom teaching practice.
5
4
3
2
1
NA
9.
Cooperated with the university supervisor.
5
4
3
2
1
NA
Do you recommend this cooperating teacher for future participation in the intern program at USC Aiken? (circle one)
Recommended
Recommended with reservations*
Not recommended*
*Please provide explanation:
Signature of University Supervisor ___________________________________
Intern Form H
Revised 07/01/07