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Type: (choose one)
Evaluation Type: (choose one)
Date of Evaluation:
School:
Grade:
Subject:
Cooperating Teacher (first/last):
Directions:
Scoring Definitions:
No Score (0): The teacher candidate does not exhibit any attempt to meet the requirement of the
component.
Unsatisfactory (1): The teacher candidate does not yet appear to understand the concepts underlying
the component.
Needs Improvement (2): The teacher candidate demonstrates limited understanding of concepts
underlying the component.
Basic (3): The teacher candidate appears to understand the concepts underlying the component and
attempts to implement its elements. Implementation is usually successful. Additional reading,
discussion, visiting classrooms of other teachers, and experience (particularly supported by a mentor)
will enable the teacher candidate to become proficient in this area.
Developed (4): The teacher candidate demonstrates solid understanding of the concepts underlying the
component and is usually successful at implementing its elements.
Proficient (5): The teacher candidate clearly understands the concepts underlying the component and
implements it consistently in a highly effective manner for a first‑year teacher.
I. PREPAREDNESS
Lesson Plans
Created lesson plans that target all learners and
comprehensively encompass what occurs during the lesson,
0 5
1 2 3 4 from both the teaching and learning perspectives
Materials
Prepared materials in advance
0 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 5
Made developmentally appropriate choices
Attendance
Attended placement daily
0 5
Made up missed days. (Student teacher candidates are allowed
3 personal days; Practicum teacher candidates are allowed 0
personal days.)
Timeliness
Adhere to the school's attendance requirements for teachers
(e.g., arrival and departure times for teachers)
0 5
Strengths:
Goals:
II. INSTRUCTION
Content
Used multiple representations and explanations that capture
the key content ideas
Asked both open‑ended and closed questions that promote
student engagement and higher order thinking
Engages all students in discussion
0 5
Instructional Strategies
Demonstrated multiple instructional strategies
Used a variety of instructional groupings
0 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 5
Varied role in lesson delivery (instructor, coach, facilitator,
audience)
Communicated lessons with appropriate voice and visuals
Differentiation
Demonstrated differentiation for diverse learners and those
0 5
with diverse cultural backgrounds
Delivered instruction that was intellectually, socially and
emotionally appropriate
Assessment
Implemented informal and formal assessment
Used the data, observations and prior knowledge of student
skills to inform instruction
0 5
Tracked student progress (e.g., record keeping)
Strengths:
Goals:
III. LEARNING ENVIRONMENT & CLASSROOM CULTURE
Positive Reinforcement
Utilized positive reinforcement by being specific and helpful
Celebrated student success
0 5
Classroom Management
Clearly defined classroom expectations
Enforced and followed through with appropriate consequences
Individual and Collaborative Learning
Provided opportunities for individualized and small group
0 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 5
0 5
instruction and practice
Active Engagement in Learning
Connected content to student's background knowledge
0 5
Engaged students intrinsically throughout the entire lesson
Strengths:
Goals:
IV. PROFESSIONAL RESPONSIBILITY
Meeting Deadlines
Submitted lesson plans one day prior to an observed lesson
Completed forms on time, as outlined in the Field Experience
Handbook
Professionalism
Upheld observation meeting dates, unless changed by
cooperating teacher
Worked with University Supervisors and Cooperating teachers to
resolve issues in a mature and professional manner
0 5
0 5
Received feedback well
School Events
0 Attended faculty meetings, parent conferences, after‑school
1 2 3 4 1 2 3 4 5
events
Professional Development
0 Attended in‑service days and workshops
5
Attended a professional development opportunity outside of
the school building that are aligned to content, pedagogy or
curriculum
Strengths:
Goals:
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