Page - Fall 2013 Early Childhood Education Evaluation - Towson University
Early Childhood Education Evaluation
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Q1 Name of intern:
[Code = 1] [Textbox]
Q2 Position:
Mentor Teacher[Code = 1]
University Supervisor[Code = 2]
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Q3 Name of University Supervisor:
[Code = 1] [Textbox]
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Display if Q2='Mentor Teacher'
Q4 Name of Mentor Teacher:
[Code = 1] [Textbox]
Display if Q2='University Supervisor'
Q5 Name of school where intern is placed:
[Code = 1] [Textbox]
Q6 Are you evaluating rotation 1 or 2?
Rotation 1[Code = 1]
Rotation 2[Code = 2]
Q7 Grade level taught:
[Code = 1] [Textbox]
Q8 Name of person completing this form:
[Code = 1] [Textbox]
Q9 Intern's program:
Undergraduate[Code = 1]
Master of Arts in Teaching (MAT)[Code = 2]
Master of Education (M.Ed.)[Code = 3]
Other[Code = 4]
Required answers: 1
Allowed answers: 1
Q10 Intern's major:
ECED (Early Childhood Education)[Code = 1]
ECSE (Early Childhood Education & Special Education - Dual Certification)[Code = 2]
ELEC (Elementary Education & Early Childhood Education - Dual Certification)[Code = 3]
Other[Code = 4]
Required answers: 1
Allowed answers: 1
Q11 At what campus did this intern complete his/her professional education coursework?
Towson campus[Code = 1]
College of Southern Maryland (CSM)[Code = 2]
Universities at Shady Grove (USG)[Code = 3]
Higher Education and Applied Technology Center (HEAT) in Harford County[Code = 4]
Other[Code = 5]
Required answers: 1
Allowed answers: 1
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Page - InTASC Standards
Please assess your intern's performance level and indicate your rating on each of the InTASC Standards using the
criteria found at the following link: InTASC Standards.
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The Learner and Learning
Q12 InTASC 1: Learner Development
The intern demonstrated understanding of how learners grow and develop, recognizing that patterns of learning and
development vary individually within and across the cognitive, linguistic, social, emotional, and physical areas, and
designed and implemented developmentally appropriate and challenging learning experiences.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q13 InTASC 2: Learning Differences
The intern demonstrated understanding of individual differences and diverse cultures and communities to ensure
inclusive learning environments that enabled each learner to meet high standards.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Q14 InTASC 3: Learning Environments
Allowed answers: 1
The intern worked with others to create environments that supported individual and collaborative learning, and that
encouraged positive social interaction, active engagement in learning, and self-motivation.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
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Allowed answers: 0
Content
Q15 InTASC 4: Content Knowledge
The intern demonstrated understanding of the central concepts, tools of inquiry, and structures of the discipline(s) he or
she teaches and created learning experiences that made the discipline accessible and meaningful for ALL learners to
assure mastery of the content.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q16 InTASC 5: Application of Content
The intern demonstrated understanding of how to connect concepts and use differing perspectives to engage learners in
critical thinking, creativity, and collaborative problem solving related to authentic local and global issues.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
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Instructional Practice
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Q17 InTASC 6: Assessment to Prove and Improve Student Learning
The intern demonstrated understanding and used multiple methods of assessment to engage learners in their own
growth, to monitor learner progress, and to guide the teacher's and learner's decision making.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom) [Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q18 InTASC 7: Planning for Instruction
The intern planned instruction that supported every student in meeting rigorous learning goals by drawing upon
knowledge of content areas, curriculum, cross-disciplinary skills, and pedagogy, as well as knowledge of learners and
the community context.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom) [Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q19 InTASC 8: Instructional Strategies
The intern demonstrated understanding and used a variety of instructional strategies to encourage learners to develop
deep understanding of content areas and their connections, and to build skills to apply knowledge in meaningful ways.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom) [Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
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Allowed answers: 0
Professional Responsibility
Q20 InTASC 9: Professional Learning and Ethical Practice
The intern engaged in ongoing professional learning and used evidence to continually evaluate his/her practice,
particularly the effects of his/her choices and actions on others (learners, families, other professionals, and the
community), and adapted practice to meet the needs of each learner.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom) [Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q21 InTASC 10: Leadership and Collaboration
The intern sought appropriate leadership roles and opportunities to take responsibility for student learning, to collaborate
with learners, families, colleagues, other school professionals, and community members to ensure learner growth, and
to advance the profession.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom) [Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q22 Technology
The intern used available technology not as an end in itself, but as a tool for learning and communication, integrating its
use in all facets of professional practice, and for adapting instruction to meet the needs of each learner.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom) [Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
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Page - Part II. Other Performance Factors
Using the same 5/distinguished to 1/unsatisfactory ratings, or Not applicable if placement did not provide opportunity,
please assess your intern's demonstrated ability to:
Q23 Differentiate instruction and work effectively with learners from diverse backgrounds (e.g., socio-economic,
racial, ethnic).
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Not applicable[Code = 0] [N/A]
Required answers: 1
Allowed answers: 1
Q24 Differentiate instruction and work effectively with learners with special needs.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Not applicable[Code = 0] [N/A]
Required answers: 1
Allowed answers: 1
Q25 Differentiate instruction and work effectively with English Language Learners (ELL).
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Not applicable[Code = 0] [N/A]
Required answers: 1
Q26 Differentiate instruction and work effectively with gifted and talented learners.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Not applicable[Code = 0] [N/A]
Allowed answers: 1
Required answers: 1
Allowed answers: 1
Q27 Collaboratively plan and/or teach with specialized resource personnel (e.g., guidance counselor, resource
teacher, special educator, reading specialist, media specialist, speech pathologist).
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Not applicable[Code = 0] [N/A]
Required answers: 1
Allowed answers: 1
Q28 Final supervisor's rating:
Satisfactory[Code = 1]
Unsatisfactory[Code = 2]
Required answers: 1
Allowed answers: 1
Display if Q2='University Supervisor'
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Page - Part III. NAEYC Standards
Using the same 5/distinguished to 1/unsatisfactory ratings, please assess your intern’s performance on the NAEYC
Standards using the criteria found in the following link: NAEYC Standards.
Required answers: 0
Allowed answers: 0
Q29 NAEYC 1. Promoting Child Development and Learning
The intern demonstrated and used an understanding of young children's characteristics and needs, and of multiple
interacting influences on children's development and learning, to create environments that are healthy, respectful,
supportive, and challenging for each child.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q30 NAEYC 2. Building Family and Community Relationships
The intern demonstrated understanding that successful early childhood education depends upon partnerships with
children's families and communities. They know about, understand, and value the importance and complex
characteristics of children's families and communities. They use this understanding to create respectful, reciprocal
relationships that support and empower families, and to involve all families in their children's development and learning.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q31 NAEYC 3. Observing, Documenting, and Assessing to Support Young Children and Families
The intern demonstrated understanding that child observation, documentation, and other forms of assessment are
central to the practice of all early childhood professionals. They know about and understand the goals, benefits, and
uses of assessment. They know about and use systematic observations, documentations, and other effective
assessment strategies in a responsible way, in partnership with families and other professionals, to positively influence
children's development and learning
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q32 NAEYC 4. Using Developmentally Effective Approaches
The intern demonstrated understanding that teaching and learning with young children is a complex enterprise, and its
details vary depending on children's ages, characteristics, and the settings within which teaching and learning occur.
They understand and use positive relationships and supportive interactions as the foundation for their work with young
children and families. They know, understand, and use a wide array of developmentally appropriate approaches,
instructional strategies, and tools to connect with children and families and positively influence each child's development
and learning.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q33 NAEYC 5. Using Content Knowledge to Build Meaningful Curriculum
The intern used knowledge of academic disciplines to design, implement, and evaluate experiences that promote
positive development and learning for each and every young child. They understand the importance of developmental
domains and academic (or content) disciplines in early childhood curriculum. They know the essential concepts, inquiry
tools, and structure of content areas, including academic subjects, and can identify resources to deepen their
understanding. They use their own knowledge and other resources to design, implement, and evaluate meaningful,
challenging curriculum that promotes comprehensive development and learning outcomes for every young child.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q34 NAEYC 6. Becoming a Professional
The intern identified and conducted self as a member of the early childhood profession. They know and use ethical
guidelines and other professional standards related to early childhood practice. They are continuous, collaborative
learners who demonstrate knowledgeable, reflective, and critical perspectives on their work, making informed decisions
that integrate knowledge from a variety of sources. They are informed advocated for sound educational practices and
policies.
Distinguished (Consistently)[Code = 5] [Numeric Value = 5]
Proficient (Frequently)[Code = 4] [Numeric Value = 4]
Satisfactory (Generally)[Code = 3] [Numeric Value = 3]
Basic/Needs Improvement (Seldom)[Code = 2] [Numeric Value = 2]
Unsatisfactory (Failed to)[Code = 1] [Numeric Value = 1]
Required answers: 1
Allowed answers: 1
Q35 Summarizing statements regarding the intern's classroom experiences during this placement and ability to assume
the role of classroom teacher:
[Code = 1] [Textbox]
Required answers: 1
Allowed answers: 1
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