Clinical Practice/Internship Observation Form

Candidate:

Jessica Smith

Supervisor:

Nanare Slepian

School/District:

Charles Street School/Palmyra

Content Area &

Grade Level:

Kindergrten

Collaborating
Teacher:

Bettyanne Marron

Lesson Duration: 9:00-9:45

Lesson Date:

04/02/2015

Please select one:

Long Observation
Short Observation

Pre-Observation
Date & Time:

04/02/2015 08:45 AM

Post-Observation 04/02/2015 10:00 AM

Date & Time:
Instructions: Provide formative ratings for the candidate on each of the
indicators using the Performance Definitions in the Framework for
Teaching rubric (The Danielson Group). For ratings of Distinguished (D),
Unsatisfactory (U) or Not Observed (NO), a rationale must be included. For
ratings of Unsatisfactory (U), clear recommendations for growth must be
in the SUGGESTIONS section on page 2. Write a description of the lesson
context including any extenuating circumstances. In the SUGGESTIONS
section, indicate any specific suggestions that should be addressed prior
to or during the next observation, which should include those related to
ratings of NO.
Pre-Observation
PLANNING/ PREPARATION
Criterion

Performance Rating

Distinguish
ed

Proficie
nt

Basi
c

Unsatisfacto Not
Scor
ry
Observe e
d

1a.
Knowledge
of Content
and
Pedagogy

1b.
Knowledge
of Students

1c.
3
Instructional
Outcomes

1d.
Knowledge
of
Resources

1e.
Designing
Coherent
Instruction

1f.
Designing
Student
Assessment

Programspecific
(SPA)
Planning/Pr
ep
Indicators

Rubric

12

Score
Rubric
Mean

Rationale
(Required for D, U
or NO)
Classroom Observation
CLASSROOM ENVIRONMENT /INSTRUCTION
Criterion

Performance Rating
Distinguis
hed

Profici
ent

Basi Unsatisfac
c
tory

2b. Establishing a
3
culture for learning

2c. Managing
classroom
procedures

2d. Managing
student behavior

2e. Organizing
physical space

3a. Communicating 3
with students

3b. Questioning
and discussion
techniques

2a. Creating an
environment of
respect/rapport

Not
Scor
Observ e
ed

3c. Engaging
students in
learning

3d. Using
assessment in
instruction

3e. Demonstrating 3
flexibility/responsiv
eness

Program-specific
3
Environment/Instru
ction Indicators

Rubric
Score

22

Rubric
Mean

Rationale
(Required for D, U
or NO)
Post-Observation
PROFESSIONAL
Criterion

Performance Rating
Distinguish Proficie
ed
nt

Basi Unsatisfact
c
ory

Not
Observ
ed

Scor
e

4a. Reflecting
on teaching

4b.
Maintaining
accurate
records

4c.
Communicati
ng with
families

4d.
Participating
in a
professional
community

4e. Growing
3
and
developing
professionally

4f. Showing
3
professionalis
m

Programspecific
Professional
Indicators

Rubric
Score

12

Rubric
Mean

Candidate:
Date:
Basic Lesson
Context,
Extenuating
Circumstances
and Narrative
(use additional

Jessica co-taught a science/social studies lesson about

help ing the community. Jessica accessed prior knowledge
by asking students what they know about plants and the
environment.She added the answers to the Plant Schema
Poster. The 2 Kindergarten classes were eager to answer
the questions. The book Green City was read aloud

sheets if
necessary)

where a comunity worked together to make a beautiful

neighborhood using plants. Jessica displayed 4 short
videos on team work and how plants are so important in
our lives. Jessica used informal assessment by using
questions and student observations.Jessica's class
donated a plant to the ladies in the cafeteria for all their
hard work. The custodian visited and received a plant
from the other kindergarten class.This lesson concluded
her unit. Great co-teaching and planning together.

Suggestions

I would use index size cards to put on the schema chart.

It will be easier for the students to read.

If needed, please No file attached

upload your file
here:

Total Score

46

Total Mean

Grade
Total Score
Grade

46.0