College of Education and Human Development PREPARING REFLECTIVE PRACTITIONERS INTERN TEACHER PLAN FOR IMPROVEMENT (To be developed by the Mentor/Cooperating Teacher in cooperation with the Intern Teacher and the University Coordinator) Name of Intern Teacher WIN School Name/District Grades/Subjects Taught Mentor/Cooperating Teacher University Coordinator Date In order to receive credit for the internship (4700 and/or 4710; 4740; 4750), an Intern Teacher must achieve a rating of “Emerging” or “Proficient” on each indicator. This Plan for Improvement documents and addresses those indicators which have currently been assessed as ‘Undeveloped.’ Successful completion of the following will be cooperatively determined by the Intern Teacher, Mentor/Cooperating Teacher(s), University Coordinator, and the Director of Field Placements. (Attachments may be made to this document but must be dated and signed by the Intern Teacher, Mentor/Cooperating Teacher, and the University Coordinator.) _________________________ *Intern Teacher’s Signature _________________________ Mentor/Cooperating Teacher’s Signature _________________________ University Coordinator’s Signature _______________ Date * The Intern Teacher’s signature is required to attest to the fact that this Plan for Improvement has been reviewed with her/him; it does not imply agreement or disagreement with its contents. 2/15