College of Education PREPARING REFLECTIVE PRACTITIONERS PRE-INTERN PLAN FOR IMPROVEMENT (To be developed by the Mentor Teacher in cooperation with the Pre-intern Teacher and the University Instructor) SEMESTER YEAR Name of Pre-intern Student WIN School Name/District Grades/Subjects Taught Mentor Teacher University Instructor Date 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 Pre-intern, Mentor Teacher(s), and University Instructor (submit a copy of this plan to the Pre-intern Coordinator in the Office of Field Placements). _________________________ *Pre-intern Student’s Signature _________________________ Mentor Teacher’s Signature _________________________ University Instructor’s Signature _______________ Date * The Pre-intern Student’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.