EDUC 797: FALL INTERNSHIP EVALUATION FORM

MASTER OF ARTS IN TEACHING

TOWSON UNIVERSITY
INTERN Kate Zachar

MENTOR TEACHER Alena Brockey

SCHOOL St. Elizabeth

SUBJECT/GRADE(S) TAUGHT ELEM

DATES OF INTERNSHIP:
minimum 25

August 25, 2014 to December 8, 2014 Total Days in School:

PERFORMANCE
INDICATOR
Interactions with
students (InTASC 2, 3)
Classroom
Management (InTASC
5)
Subject Matter Knowledge
(INTASC 1)
Ability to plan for small
segments of instruction
(InTASC 4, 7)
Knowledge of instructional
technology (InTASC 6)
Ability to assess student
learning and adapt
instruction (InTASC 8)
Collaboration with parents
and interaction with faculty
and school personnel
(InTASC 10)
Self-assessment/Reflection
(InTASC 9)
Communications skills and
response to feedback
(InTASC 6, 9)

Distinguished
Proficient
(Consistently) (Frequently)
X
X

X
X

X
X

X
X

Basic
(Sometimes)

Emergent
(Rarely)

Not
Observed

Flexibility

X
X

Organizational skills
Attitude and appearance

Time management of
classroom responsibilities

Punctuality

Initiative

COMMENDATIONS:
Kate is effective with planning lessons and differentiation.

RECOMMENDATIONS:
Kate should continue to access resources for the IEP process and classroom management.

MENTOR TEACHER (SIGNATURE)

INTERN (SIGNATURE)

Alena Brockey

Kate Zachar

DATE December 3, 2014

DATE December 3, 2014

NOTE: Please provide a copy of this evaluation to the intern and the university PDS
Coordinator within three days of the completion of EDUC 797 Internship