USCA School of Education
Form J
UNIVERSITY SUPERVISOR EVALUATION
By Cooperating Teacher
University Supervisor
Semester
Date
Directions: Using the rating scale below, circle your responses to each statement. Once
completed, return to the Director of Field Experiences in the return envelope.
5
Very Satisfied
4
Satisfied
3
Neutral
2
Dissatisfied
1
Very Dissatisfied
NA
Not Applicable
THE UNIVERSITY SUPERVISOR:
1.
Held individual conferences with intern on a regular basis.
5
4
3
2
1
NA
2.
Observed actual classroom teaching performance of the intern.
5
4
3
2
1
NA
3.
Was available for conferences with cooperating teacher as needed.
5
4
3
2
1
NA
4.
Regularly provided feedback regarding student’s progress to the
intern.
5
4
3
2
1
NA
5.
Regularly provided feedback regarding student’s progress to the
cooperating teacher.
5
4
3
2
1
NA
6.
Was tactful, constructive and honest in providing criticism of plans
and presentations to the intern
5
4
3
2
1
NA
7.
Was tactful, constructive and honest in providing criticism of plans
and presentations to the cooperating teacher.
5
4
3
2
1
NA
8.
Sought the cooperating teacher’s advice and suggestions.
5
4
3
2
1
NA
9.
Provided clear expectations of the responsibilities of the cooperating
teacher.
5
4
3
2
1
NA
10.
Based supervision on mutual respect, cooperation, understanding, and
the attainment of success by intern.
5
4
3
2
1
NA
Note: This information will be shared with USCA faculty.