Addendum:

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Addendum:
The purpose of the addendum is to acknowledge changes to the following items:
1)
The Grading scale on the Triad form has been changed to create consistency among the various forms that are
used to evaluate practicum and student teaching interns. We are moving from a 1-4 scale to a 0-3 scale. This
has now been aligned to match the form submitted on TaskStream for a seamless transition.
2)
The second to last page of the form was asking for information that is no longer available due to the new
observation forms and the way the students are assessed. The new addition to the Triad form allows for the
Supervisor and the Mentor to collaborate and then average both scores onto one form. The mentor and the
supervisor are each still supposed to fill out their respective forms, this just allows for better transparency when
the forms are turned into the Office of Field Services.
Mentor teachers completing this form: Please note that all interns will receive two mentor observations
Please record the averages of each domain in the boxes below.
The third box requires an average of domains A-C.
Triads
7 Week
Please Circle One
Domain
A
Date
Domain
B
Domain
C
A-C
Average
15 Week
Domain
D
The intern and observer initial to
indicate receipt of Triad writeup
Supervisor
Triad Averages
Intern:
Observer:
Mentor Triad
Averages
Intern:
Observer:
Intern:
Observer:
Average of both
Supervisor and
Mentor
**Averages for 15 week are to be entered into
TaskStream for final grades
This section is to be completed for the 7-week Triad Conference only.
Midterm Evaluation (student teaching and practicum interns get a numeric grade at midterm):
Grade (circle one): A (3.0)
A- (2.7)
B+ (2.3)
B (2.0)
Strengths
B-(1.7)
C+ (1.3)
C (1.0)
D(.5)
F(0.0)
Goals for Second Half of Semester
Signatures for Midterm Evaluation (7-week)
Supervisor
Date
Mentor Teacher
Date
Intern
Date
Intern’s Name:
Supervisor’s Name:
This section is to be completed for the 15-week Triad Conference only
Final Evaluation (practicum interns receive a grade; student teaching interns are satisfactory or unsatisfactory):
Practicum (circle one): A (3.0)
Student Teaching (circle one):
A- (2.7)
B+ (2.3)
B (2.0)
B- (1.7)
C+ (1.3)
Satisfactory
C (1.0)
D (.5)
F (0.0)
Unsatisfactory
Supervisor (or CTE) will assign final grade based on mentor teacher and supervisor observations, seminar assignments, portfolio
artifacts, and professionalism.
Strengths
Areas for Continued Professional Growth
Signatures for Final Evaluation (15-week triad)
Supervisor
Date
Mentor Teacher
Date
Intern
Date
----------------------------------------------------------------------------------------------------------------------------------------------------- -------------
Honors and Recognition
****Outstanding Student Teacher****
**Initial here if nominated for Outstanding Student Teacher (top 20%): Mentor Teacher
Supervisor
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