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 ‘FAN.’ 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.