Student Teacher____________________________ Date(s) of Participation_____________________ Co-Curricular Advisor______________________ School District____________________________

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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: ________________
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