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Southern Connecticut State University Education Department

EDU 311-80: Responsive Curriculum & Assessment


MIDTERM EVALUATION OF STUDENT PERFORMANCE

Student________________________
Master Teacher__________________

School_________________________
Grade level____________________

The purpose of this evaluation is to provide formative feedback and to identify any
concerns before these concerns develop into major issues.
Please complete this form regardless of the amount of time the student has spent in your
classroom. Place the form in a sealed envelope and sign the back of the envelope. The
student will hand deliver the evaluation to me by October 22.

If there are any concerns, please contact me at 203-560-2387.


Note: 5 is the highest score and N/O means not observed.
Is reliable
Is conscientious
Is enthusiastic
Demonstrates ethical behavior
Shows an openness to learn
Collaborates with master teacher

5__4__3__2__1__
5__4__3__2__1__
5__4__3__2__1__
5__4__3__2__1__
5__4__3__2__1__
5__4__3__2__1__

N/O__
N/O__
N/O__
N/O__
N/O__
N/O__

Strengths demonstrated:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Areas for improvement:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Additional comments:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Approximately how many hours has the field experience student spent in your class? ___

_________________________________
Signature

_____________
Date

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