Report of Student Teaching/Internship Competencies During Clinical Practice
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UW-Stout, School of Education - revised Fall 2009
Student Name:
Please Choose One:
ID:
Date:
Semester:
Grade Level:
Degree Program or Area AND Course Number:
PERFORMANCE RATING KEY
Proficient (4)
Performs as a competent,
experienced student teacher
Basic (3)
Unsatisfactory (1)
(Incomplete)
Emerging (2)
Performs as a successful beginning Performs with minimal competency;
Requires more education/practice
regular supervision required
student teacher
Not Observed
Not allowed on final evaluation
Please select the rating that best represents your judgement of the Intern/Student Teacher's performance based on the Wisconsin Teacher
Standards and related Danielson Domains/Components.
Cooperating Teacher's Comments
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
Proficient
Basic
Emerging
Unsatisfactory
Not Observed
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
Proficient
Basic
Emerging
Unsatisfactory
Not Observed
3. Teachers understand that children learn differently. The teacher
understands how pupils differ in their approaches to learning and the 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
Proficient
Basic
Emerging
Unsatisfactory
Domain 3: Professional Practice
3e. Demonstrating Flexibility and Responsiveness
Not Observed
4. Teachers know how to teach. The teacher understands and uses a variety
Proficient
of instructional strategies, including the use of technology, to encourage children's
development of critical thinking, problem solving, and performance skills.
Basic
Emerging
Domain 3: Professional Practice
3b. Using Questioning and Discussion Techniques
3c. Engaging Students in Learning
Not Observed
5. Teachers know how to manage a classroom. The teacher uses an
Proficient
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
Unsatisfactory
Basic
Emerging
Unsatisfactory
Not Observed
Proficient
Basic
Emerging
Unsatisfactory
Not Observed
7. Teachers are able to plan different kinds of lessons. The teacher
organizes and plans systematic instruction based upon knowledge of subject
matter, pupils, the community, and curriculum goals.
Domain 1: Planning and Preparation
1c. Selecting Instructional Goals
1d. Demonstrating Knowledge of Resources
1e. Designing Coherent Instruction
Proficient
Basic
Emerging
Unsatisfactory
Not Observed
8. Teachers know how to test for student progress. The teacher
understands and uses formal and informal assessment strategies toevaluate
and ensure the continuous intellectual, social, andphysical development of the
pupil.
Domain 1: Planning and Preparation
1f. Assessing Student Learning
Proficient
Basic
Emerging
Domain 3: Professional Practice
3d. Providing Feedback to Students
Domain 4: Professional Responsibilities
4b. Maintaining Accurate Records
Unsatisfactory
Not Observed
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
Proficient
Basic
Emerging
Unsatisfactory
Not Observed
10. Teachers are connected with other teachers and the community.
The teacher fosters 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.
Proficient
Basic
Emerging
Domain 4: Professional Responsibilities
4d. Contributing to the School and District*
Unsatisfactory
Not Observed
11. Teachers make effective use of instructional technologies to enhance
student learning.
WI Teacher Standard #6
The teacher uses effective verbal and non-verbal communication.
Domain 3: Instruction
3c. Engaging Students in Learning
Proficient
Basic
Emerging
Unsatisfactory
Not Observed
Student Teacher/Intern Comments:
State strengths and areas for growth and how you are addressing these.
Cooperating Teacher Comments:
Date:
Student Teacher/Intern Signature:
University Supervisor Signature
(For MidTerm and Final Evaluations ONLY)
Date:
Cooperating Teacher Signature:
Date: