UW-Stout School of Education
Student Teaching/Internship Assessment
Teacher Candidate Name: __________________________________________________________ ID: ________________________________ Date: _____________________
Cooperating Teacher: _____________________________________________________ Placement site: ________________________________________
Choose One: Midterm
Final
Licensure Program/Certification: _____________________________________________________________________
PERFORMANCE RATING KEY
Please select the rating that best represents your assessment of the Teacher Candidate’s performance based on
the Wisconsin Teacher Standards and related Danielson Domains/Components.
Unsatisfactory (U)
(Incomplete)
Requires more education/practice
Emerging (E)
Basic (B)
Performs with minimal competency; regular
supervision required
Performs as a successful beginning teacher
candidate
Rating
1. Teachers know the subjects they are teaching. The teacher understands
the central concepts, tools of inquiry and structures of the disciplines she or he teaches
and can create learning experiences that make these aspects of subject matter
meaningful for pupils.
Domain 1: Planning and Preparation
1a. Demonstrating Knowledge of Content and Pedagogy
2. Teachers know how children grow. The teacher understands how children with
broad ranges of ability learn and provides instruction that supports their intellectual, social
and personal development.
Domain 1: Planning and Preparation
1b. Demonstrating Knowledge of Students
SCHOOL OF EDUCATION
Proficient (P)
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P
B
E
U
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P
B
E
U
Heritage Hall 267, Menomonie, WI 54751
715-232-1088
Inspiring Innovation. Learn more at www.uwstout.edu/soe
Performs as a competent, experienced teacher
candidate
Cooperating Teacher Comments
3. Teachers understand that children learn differently. The teacher
understands how pupils differ in their approaches to learning and barriers that impede
learning and can adapt instruction to meet the diverse needs of pupils, including those
with disabilities and exceptionalities.
Domain 2: The Learning Environment
2b. Establishing a Culture for Learning
Domain 3: Professional Practice
3e. Demonstrating Flexibility and Responsiveness
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P
B
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U
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P
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U
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P
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U
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P
B
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U
4. Teachers know how to teach. The teacher understands and uses a
variety of instructional strategies, including the use of technology, to encourage
children’s development of critical thinking, problem solving, and performance skills.
Domain 3: Professional Practice
3b. Using Questioning and Discussion Techniques
3c. Engaging Students in Learning
5. Teachers know how to manage a classroom. The teacher uses an
understanding of individual and group motivation and behavior to create a learning
environment that encourages positive social interaction, active engagement in
Learning and self-motivation.
Domain 2: The Learning Environment
2a. Creating an Environment of Respect and Rapport
2c. Managing Classroom Procedures
2d. Managing Student Behavior
2e. Organizing Physical Space
6. Teachers communicate well. The teacher uses effective verbal and nonverbal
communication techniques as well as instructional media and technology to foster active
inquiry, collaboration and supportive interaction in the classroom.
Domain 3: Professional Practice
3a. Communicating Clearly and Accurately
Domain 4: Professional Responsibilities
4c. Communicating with Families
SCHOOL OF EDUCATION
Heritage Hall 267, Menomonie, WI 54751
715-232-1088
Inspiring Innovation. Learn more at www.uwstout.edu/soe
7. Teachers are able to plan different kinds of lessons. The teacher
organizes and plans systematic instruction based upon knowledge of subject matter,
pupils, and the community and curriculum goals.
Domain 1: Planning and Preparation
1c. Selecting Instructional Goals
1d. Demonstrating Knowledge of Resources
1e. Designing Coherent Instruction
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P
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U
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P
B
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U
8. Teachers know how to test for student progress. The teacher
understands and uses formal and informal assessment strategies to evaluate and ensure
the continuous intellectual, social and physical development of the pupil.
Domain 1: Planning and Preparation
1f. Assessing Student Learning
Domain 3: Professional Practice
3d. Providing Feedback to Students
Domain 4: Professional Responsibilities
4b. Maintaining Accurate Records
9. Teachers are able to evaluate themselves. The teacher is a reflective
practitioner who continually evaluates the effects of his or her choices and actions on
pupils, parents, professionals in the learning community and others and who actively seeks
out opportunities to grow professionally.
Domain 4: Professional Responsibilities
4a. Reflecting on Teaching
4e. Growing and Developing Professionally
4f. Showing Professionalism
10. Teachers are connected with other teachers and the community.
The teacher engages in relationships with school colleagues, parents and agencies in the
larger community to support pupil learning and well-being and acts with integrity, fairness
and in an ethical manner.
Domain 4: Professional Responsibilities
4a. Contributing to the School and District*
*Teacher candidate participates as appropriate*
SCHOOL OF EDUCATION
Heritage Hall 267, Menomonie, WI 54751
715-232-1088
Inspiring Innovation. Learn more at www.uwstout.edu/soe
11. Teachers use their knowledge of subject matter, teaching and learning,
and technology to design, develop, and evaluate authentic learning
experiences and assessments using contemporary tools that advance
student learning (ISTE Standard 1 and 2).
International Society for Technology in Education (ISTE) Standards
#1 Teachers use their knowledge of subject matter, teaching and learning, and technology to
facilitate experiences that advance student learning, creativity, and innovation in both face-to-face
and virtual environments.
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P
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U
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P
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#2 Teachers design, develop, and evaluate authentic learning experiences and assessments
incorporating contemporary tools and resources to maximize content learning in context and to
develop the knowledge, skills, and attitudes identified in the ISTE Standards for Students.
12. Teachers demonstrate the effective use of digital tools and resources in
a legal and ethical manner to fulfill professional responsibilities (ISTE
Standard 3, 4, and 5).
International Society for Technology in Education (ISTE) Standards
#3 Teachers exhibit knowledge, skills, and work processes representative of an innovative
professional in global and digital society.
#4 Teachers understand local and global societal issues and responsibilities in an evolving digital
culture and exhibit legal and ethical behavior in their professional practices.
#5 Teachers continuously improve their professional practice, model lifelong learning, and exhibit
leadership in their school and professional community by promoting and demonstrating the effective
use of digital tools and resources.
COMMENTS:
_______________________________________________________________
Student Signature
Date
________________________________________________________________
Cooperating Teacher Signature
Date
________________________________________________________________
University Supervisor Signature
Date
SCHOOL OF EDUCATION
Heritage Hall 267, Menomonie, WI 54751
715-232-1088
Document revised: December
11th, 2015
Inspiring
Innovation. Learn more at www.uwstout.edu/soe