INSTRUCTIONAL ASSISTANT EVALUATION FORM

(To be completed by cooperating teacher at semester end.)

Name of student Tanya Smith
Grade level

k-1

Cooperating teacher Carrie Overeem

(signature)
School

Kennedy

Date

12-10-15

Levels of performance: Place the appropriate number on the lines below.

Outstanding
5
Good
4
Satisfactory
3
Fair
2
Poor
1
Not observed
0
Does not apply
X items
As a participant in practice experience
I. Personal competencies
5 1. Complied with basic rules of attendance
5 2. Was at ease in classroom situations
5 3. Acted independently when necessary
5 4. Showed initiative in preparing materials
5 5. Displayed vitality in carrying out duties
5 6. Showed dependability in complying with necessary duties
5 7. Participated in discussion plans and schedule for the day
x 8. Accepted criticism
x 9. Modified behavior as a result of criticism
5 10. Adapted facial expression and voice control to activity
511. Cooperated with the teacher
II. Competencies with students
5 12. Refrained from over help-encouraged student to make significant personal effort
5 13. Understand behavior as symptomatic
514. Showed understanding of students individual needs
515. Was attentive to students individual needs
516. Was responsive to students requests
517. Was accepted by students
518. Showed respect for students
519. Showed friendliness and warmth with students
520. Was in control of the situation while working with a group of students

III. Specific Skills

Clerical
x 21. Collected/recorded monies (lunch, field trips, etc.)
x22. Recorded grades in a register, report card or other record
x23. Checked attendance
x 24. Checked objective test, marked errors
x 25. Took inventory and ordered supplies
5 26. Labeled and filed materials
x27. Checked books in and out of classrooms, libraries
x28. Made arrangements for field trips
529. Filled out forms, duplicated, and typed master sheets
Housekeeping
5 30. Changed room decorations and bulletin boards
5 31. Prepared the room in morning and checked over room at departure time
5 32. Helped with class parties
x 33. Helped with class pets
x 34. Reorganized storage areas
Technical
x 35. Operated audio-visual equipment (tapes, recorder, projector, phonograph, etc.)
5 36. Prepared art supplies
5 37. Set up special tables or working areas
5 38. Helped with displays
x 39. Cataloged books
5 40. Helped supervise indoor play games, dramas, talent shows
5 41. Helped supervise outdoor play
x 42. Cared for sick child until parents or adult arrived
5 43. Supervised students in lunchroom, at fountain, in restrooms
5 44. Displayed skills in the areas of:
Art
Reading
Language Arts
Science
Math
Social Studies
Music
Spelling
Physical Education
5 45. Helped with computer in classroom or computer labs

Instructional
x 46. Individual tutoring
5 47. Helped pupils with practice activities
x 48. Listened to students read or give reports
x 49. Reviewed mathematical concepts
5 50. Appropriate verbal interaction with students
5 51. Aided in the development of motor skills
x 52. Helped with make-up work after an absence
5 53. Helped students develop reading skills
5 54. Involved in small group instruction
5 55. Involved in large group instruction
5 56. Utilized appropriate behavior management strategies with students
1.

Indicate your reaction to the following personal factors that have importance. How well did your
student do?
a. Work with individual students: Tanya was at ease with the students and work well with them.
b. Work with small groups: When working with both children, Tanya was great at meeting both of
their needs.
c. Work with entire groups: x
d. Work with routine and management activities: Tanya enhanced the daily routine.

2.

Indicate your reaction to the following personal factors that have some importance.
How well did your student do?
a. Enthusiasm for work: Tanya was all in for the students.
b. Acceptance of responsibility: Tanya was always responsible and professional.
c. Use of voice- Great use of voice in different situations.
d. Insight shown in interpreting the behavior of students:- Tanya has a natural talent for interpreting
the behavior of the students.
e. Poise and confidence: Tanya was very confident and able to stay calm in many difficult
situations.

3.

What do you consider to be your students major strengths as a prospective instructional assistant?
Tanya has many strengths. Her ability to work with students and know their needs is a huge strength.
Also her ability to stay professional in all circumstances is an amazing quality.

4.

Are there areas that the student needs improvement and growth as an instructional assistant?
Do you feel the need is out of lack of experience or lack of potential?
None

5.

Did you consider the grade level at which the student worked to be an appropriate one? Why?
If not, what level would you recommend? The grade level and disabilities were very appropriate. I
think that Tanya could work at any level.

6.

Please add any other comments that might help us in working with the student you have had in your
classroom.
Tanya is a natural interacting with both students and staff. I feel as though anyone would be lucky
to have her as a paraprofessional.

A Recommended letter grade based on overall student performance (i.e. A, B, )

Please share this form with your student before submitting to NWTC instructor.