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.
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