Checklist #1: Site Orientation
Student:
School site:
Students are responsible for checking competencies when completed.
teacher’s signature confirms completion of required competencies.
The community classroom
_____ 1. I am acquainted with the school building, facilities, library, restrooms, cafeteria, offices,
parking regulations, faculty lounge, location of instructional resources and the classroom(s) in which I am
teaching.
_____ 2. I know the names of the students I am teaching and their correct pronunciation.
_____ 3. I understand the school’s procedures for taking attendance, opening exercises, and general
information related to classroom management.
_____ 4. I have become acquainted with the school’s policies and classroom rules, procedures and
norms, e.g., discipline, attendance, permits, roll checks, seating charts, cheating, tardiness and use of
support facilities such as library, audio-visual, pupil counseling. I have read and understand the school
policy manual and faculty handbook.
_____ 5. I am familiar with the school’s safety and security policies, and the plan for fires,
earthquakes, and all other emergencies.
_____ 6. I understand my community classroom teacher’s expectations in terms of meeting required
conferences for planning lessons and type of lesson plans required.
_____ 7. I have knowledge of the grading/evaluation procedures used at the school.
_____ 8. I understand the rules of conduct established by the administration of the school.
_____ 9. I understand how students are to be grouped for instruction, i.e., by ability level, grade level,
and/or subject matters.
_____ 10. If applicable, I have received information that will enhance my ability to relate with students
who have special problems.
_____ 11. I have spent time informally interacting with students.
Student
Community Classroom Teacher
Checklist #2: On-Site Observations
Student:
School Site:
On-Site Observation #1
Teacher:
Subject:
Teacher’s Signature:
Date:
Grade Level:
Describe lesson briefly:
What were the teacher’s strengths?
On-Site Observation #2
Teacher:
Subject:
Teacher’s Signature:
Describe lesson briefly:
What were the teacher’s strengths?
Date:
Grade Level:
Checklist #3: Interviews
Student Teacher: _____________________________
School Site: ________________
The student teacher is responsible for interviewing a minimum of 5 of the following personnel, and
collecting the appropriate signatures after the interviews are conducted. All interviews are to be
conducted with personnel assigned at your community classroom site. In lieu of the signatures of
interviewed personnel, I will accept verification via the community classroom teacher’s initials.
Title
Interview Date
Signature of Person Interviewed
Principal
_____________
_________________________
Assistant Principal
_____________
_________________________
Department Chair
_____________
_________________________
Secretary
_____________
_________________________
Receptionist
_____________
_________________________
Custodian/Plant Manager
_____________
_________________________
Attendance Recorder/Clerk
_____________
_________________________
School Nurse
_____________
_________________________
School Counselor
_____________
_________________________
Security/Safety Personnel
_____________
_________________________
Library Media Teacher
_____________
_________________________
Activities Coordinator
_____________
_________________________
Athletic Director
_____________
_________________________
Resource Personnel
_____________
_________________________
Other
_____________
_________________________
Checklist Information
Checklist #1 / Site Orientation
The purpose of checklist #1 is to familiarize oneself with various aspects of your community classroom
school. All eleven competencies need to be fulfilled. Your community classroom teacher will sign each
competency when you have completed and/or gathered the reading, study, or information. This checklist
should be completed within the first six-week grading period. The listed competencies are part of an
important foundation to ensure future success in your community classroom experience. Be prepared to
share your findings with your classmates.
Checklist #2 / On-Site Observations
The purpose of checklist #2 is to familiarize oneself with two other teachers at your community
classroom school site. The observation needs to be approximately thirty minutes in length. You may
conduct your observations during your scheduled community classroom time as long as you are given
permission from your community classroom teacher. You will need to fill out the paperwork as you
conduct your observation. You will need to get the teacher’s signature when you have completed the
observation; you may need to go back to the classroom at a more convenient time. In other words, if the
teacher is in the middle of a lesson, working with a student, etc… do not interrupt him/her as you exit
the classroom. Find a convenient time to revisit the teacher and ask for his/her signature at that time.
Checklist #3 / Interviews
Running a school is no small feat. To ensure the academic success of each student, all school personnel
must work collaboratively. The purpose of interviewing various school personnel is to discover his/her
role in the scope of running a school. There is not a set list of questions to ask, but please communicate
the purpose of your interview. Possible questions to include are: How long have you been in your role
and what process did you take to get here? What type of education / credential is needed for your
role? Can you share a memorable experience / student interaction? Does he/she have any “pearls of
wisdom” to share? You are not required to take notes during the interview/conversation. Please ask
him/her to sign your checklist as verification of your interaction. Be prepared to share your interviews
with classmates.