CALDYE
OBSERVATION FEEDBACK FORM OF STUDENT TEACHER
Division of Education
Office of Certification and Field Experience
Student Teacher
Date: hind 2, Zar
Re
Grade:
Subject:
School:
District:
‘+ Evaluation of Personnel may be based on the evidence from observation, input
from other supervisors,
documentation, discussions, and the effectiveness ofthe staff person in implementing the state standards:
This form contributes directly to the mid-year and end of semester summary evaluations.
+ CODES: L4-Exemplary Practice L3-Basie Competence L2-Limited Competence L1-Exhibits Difficulty NO-Not
Observed
wih earers with sensitivity to developmena, ctrl ingistic ad social difxences
LEARNER DEVELOPMENT — ccvcopmenaly sopra sss nous | LE G & Li [NO
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Vell te DIFFERENCES — incisive eaning enviroment, matiatural zh i NO
content and perspectives, inv ferences respecte, ini neds met sags 6
support EL. stusents, materials reflect an equitable portrayal of diversity nt oO Oo
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Ragen LEARNING ENVIRONMENT — demonstrates general warmth, caring and 14/13 /L2]7L1 [NO
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eat Poe ee one4. CONTENT KNOWLEDGE: scivtis develop eric thinking and problem
solving in content aca, knowledge and command of subject matisr
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5. APPLICATION OF CONTENT: intetsiptinarylearing xpenences,
leames apply content knowiedg to salve real world problems, we tecnaogical tol.
cormmuniate knowledge through varity of forms (oral, writen ee.) nemey actvis within. | BE
tent reas, stvies promote and value devel
6. ASSESSMENT apprise formative and summative asesments, continuous
sessment evident, meaningful and specific feedback provided, exessment wed fo
diferent nition, modifies and adjusts intion
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8. INSTRUCTIONAL STRATEGIES: insuetionl stv achieve
lesson elective questions oft dep understanding of content (higher
teacher Serves nso, coch alia, models melacognitive
sls, questioning) any of appropriate materials and resources to achieve
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eS9. PROFESSIONAL LEARNING & ETHICAL PRACTICE —
evidence of efestive practice for improvement of profesional practice evidence of
‘maintaining and analyzing accuse student records appropri proesionl dencaor reflects
son andes consi sin, denna ie eign ein.
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10. LEADERSHIP & COLLABORATION = works with other school L4
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11. PROFESSIONAL RESPONSIBILITY — rosters snd maintains a cassrom E ie i i NO
envionment which protects student fom sexually physically, verbally, or emotionally
harassing behavior by action in sound and professionally reiponsble manner
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Grade A date pul 1, A005
‘Supervisor/Cooperating Teacher Signature/| Date 4/2/15.
Student Teacher's Signature Date 4/21/é5
Professor's Signature ee ee ee ale ee