Cleveland State University Office of Field Services
Teacher Intern:
Observation
Notes:
Time:
Observer’s Name:
Activity:
Observation 1 2 3 4 5 6
Observation Form
Lesson Topic:
Date:
Strengths:
Recommendations:
Goals/Next Steps for Teacher Intern:
Supervisor/Mentor’s Next Steps:
Comment:
Next Observation Date:
___ 1: Understands student learning, development,
Diversity (C2)
___ Knowledge of students (A1) (A4)
___ Knowledge of student development
___ Expect all students will achieve (A1)
___ Model respect for diversity (A1) (B3)
___ Identifies intervention needed for enrichment,
reinforcement, remediation (A1) (C3)
Focus for next visit:
___ 2: Knowledge of content area
___ Knowledge content and how to teach it to students (A3)
(A6 – A16) (C2)
___ Use of instructional strategies to teach concepts
___ Knowledge of district and state contents (A3)
___ Ability to use cross-curricular approach (C1)
___ Ability to make content relevant
Use the following ratings for the items in boxes 1-7.
U-Unacceptable
E-Emerging
ME- Meets Expectations
___ 5: Learning environments that promote high levels
of learning and achievement
___ Treat students fairly in respectful environment (B1)
(B4)
___ Environment is physically and emotionally safe (B5)
___ Motivate students to work productively and assume
responsibility for learning (B3) (B4)
___ Students work independently, collaboratively and/or as
a whole class
___ Maintain environment conducive to learning for all (B4)
(B5)
___ 3: Varied assessments for instruction and
evaluation to ensure student learning
___ Use of varied diagnostic, formative and summative
assessments and how to use data generated (A5) (C5)
(C6)
___ Analyze data to monitor student learning (C5) (C6)
___ Plan, differentiate and modify instruction (A5) (C2) (C3)
(C5) (C6)
___ Communicate progress with various stakeholders (C6)
___ Use of self-assessment and goal setting
___
___
___
___
___
___
___
___
___ 6: Collaborate and communicate with
stakeholders to support student learning
___ Communicate clearly and effectively (D2) (D3)
___ Share responsibility with parents to support student
learning, emotional and physical development and
mental health (D2) (D3)
___ Collaborate with school stakeholders (D2) (D3)
___ Collaborate with community to promote positive
environment for student learning
___ 7: Assume responsibility for professional growth
and serve a s member of a learning community
___ Follow ethics, policies and legal codes of professional
conduct take responsibility for engaging in continuous
and purposeful professional development (D4)
___ Be an agent of change to impact teaching quality,
school improvements and student achievement. (D2)
4: Plan and deliver effective instruction for each
Learner (C5) (C7)
Align instructional goals with district and state
Standards (A2)
Address the achievement gap
Link learning activities to defined goals (C4)
Plans instructional design and delivery based on
students think and learn (A2) (A4) (C3)
Differentiates instruction to support learning needs of
All (A2) (A4) (B3) (C3)
Activities help student become independent learners
and complex problem solvers (A4) (C4)
Use of technology and resources to enhance
Learning (C3)
___ Other
___ Timely lesson plans (C7)
___ Professional Dispositions (D1)
___ Attendance
Comments: Please provide additional documentation for any standard that is scored as “Unacceptable” and discuss immediately following the observation.
Dispositions: Using the following criteria, check the appropriate box to evaluate the candidate’s professional dispositions.
1
Regular and Punctual Attendance
2
Dependable and Responsible (e.g., initiates timely communication with cooperating teacher and supervisor regarding absences, scheduling, documentation, etc.)
3
Demonstrates positive communication style with students, colleagues, and supervisor
4
Appropriate use of technology for non-classroom activities (e.g., not using Facebook, texting, personal emails, etc.)
5
Appropriate Role Model (e.g., passion for teaching, positive attitude, no inappropriate content on personal websites such as Facebook or Twitter, not “friending” students,
etc.)
6
Appropriate Professional Appearance (e.g., proper attire, personal hygiene, etc.)
7
High Ethical Standards (e.g., proper citation of resources, not representing others’ work as your own, adhering to the Student Academic Code of Conduct, etc.)
8
Appropriate Grammar and Vocabulary (including use of slang, inappropriate humor,
etc.)
9
Responsive to Constructive Feedback
10
Respects Privacy of Students and Confidentiality of Information
Unacceptable
Acceptable
Comments: Please provide additional documentation for any disposition that is scored as “Unacceptable” and discuss immediately following the observation.