SUNY Cortland Physical Education Student Teaching Coaching/Extra-Curricular Activity Appraisal Form Student Teacher____________________________ Date(s) of Participation_____________________ Co-Curricular Advisor______________________ School District____________________________ Co-Curricular Activity______________________ Grade Level(s)____________________________ Weekly hour time requirement: 0-4 hours 5-9 hours 10-14 hours 15-19 hours >20 hours Directions: Please provide a description of the student teacher’s performance in your extra-curricular activity along with an overall rating. Provide the student teacher with the original form. The student teacher will provide his/her department supervisor with a copy of this form and place the original in his/her professional portfolio. Personal Qualities: appearance, enthusiasm, rapport w/students, control, tact, voice Comments: Professional Qualities: conscientious, reliable, accepts criticism, rapport w/staff, attitude Comments: Planning: creativity, activities appropriate to level, organization, knowledge, safety, use of aids Comments: Contribution to Program Comments: Overall rating: Proficient Competent Developing Teacher candidate consistently demonstrates the qualities of an effective coach: knowledgeable, well prepared, strong communicator, effective & a positive role model. Teacher candidate is improving in his/her ability to be an effective coach. Teacher candidate is beginning to develop required skills to become an effective coach. Advisor/Mentor: ___________________________________________ Date: ________________