USCA School of Education
Form I
COOPERATING TEACHER EVALUATION by Intern
Name of Intern
Cooperating Teacher
University Supervisor
School
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
1.
Established on open and free atmosphere between the two of us.
5
4
3
2
1
NA
2.
Treated me as an associate.
5
4
3
2
1
NA
3.
Encouraged the students to respect my position.
5
4
3
2
1
NA
4.
Encouraged me to develop my own style(s) of teaching.
5
4
3
2
1
NA
5.
5
4
3
2
1
NA
6.
Allowed me to have an opportunity to solve problems in class without
interference.
Made an effort to avoid embarrassing me in front of the class.
5
4
3
2
1
NA
7.
Was willing to help me when I needed assistance.
5
4
3
2
1
NA
8.
Accepted and could live comfortably with the usual mistakes of a
beginning teacher.
Expressed an interest in me as a person.
5
4
3
2
1
NA
5
4
3
2
1
NA
10.
Helped me feel comfortable in the classroom setting.
5
4
3
2
1
NA
11.
Made teaching enjoyable.
5
4
3
2
1
NA
12.
Was sensitive to individual differences.
5
4
3
2
1
NA
13.
Respected all students.
5
4
3
2
1
NA
14.
Was competent in subject matter.
5
4
3
2
1
NA
15.
Maintained classroom discipline.
5
4
3
2
1
NA
16.
Was courteous to parents.
5
4
3
2
1
NA
17.
Demonstrated a sense of humor.
5
4
3
2
1
NA
18.
Informed me of appropriate school policies.
5
4
3
2
1
NA
19.
Helpful in providing teaching materials.
5
4
3
2
1
NA
20.
Provided desk, textbooks, and other needed supplies.
5
4
3
2
1
NA
9.
21.
Allowed for a gradual induction into teaching responsibilities.
5
4
3
2
1
NA
22
Evaluated daily lesson plans.
5
4
3
2
1
NA
23.
Was a confidence builder.
5
4
3
2
1
NA
24.
Provided regular conference time.
5
4
3
2
1
NA
25.
Provided immediate feedback on instruction.
5
4
3
2
1
NA
26.
Pointed out weaknesses in performance in a negative way.
5
4
3
2
1
NA
27.
Pointed out weaknesses in performance in a positive way.
5
4
3
2
1
NA
28.
Used a variety of teaching techniques and materials.
5
4
3
2
1
NA
29.
Conferred regularly with my university supervisor.
5
4
3
2
1
NA
30.
Introduced me to other school personnel.
5
4
3
2
1
NA
31.
Fair in evaluating my performance.
5
4
3
2
1
NA
Would you recommend this teacher as a cooperating teacher?
Would you recommend this school as an internship site?
Comments: