CSN Student: CSN Instructor: CCSD School Assignment: CCSD Cooperating Teacher: bur ion y aly High Schoo Mes- Melvin i CCSD Grade/Department/Discipline: | Y) § ) \ a ; 5) ‘School Principal: ‘School Phone & Fax AWW To2) 1.49 -\USO ae 02) BSS -G4 lol x Date Time In am pm ‘Time Out am pm Hours Verification Initial 8:00 am & in 8:00 aM 2: lem & 124 ZZtom ie Cooperati ing Teacl _FIELD OBSERVATION STUDENT. Total HRS UATION Please complete the following evaluation (with the student) after the observation, using the Performance Indicator Ratings. Our constructive comments are very valuable to the student. If you wish to fax or mail the completed document, you may do so by sen Fax 702.651.4908 or 3200 E. Cheyenne Ave. SORT CODE S2A, Las Vegas, NV 89030-4228 CSN Ed. Dept. to the teacher’s attention:Check the appropriately box 4=exemplary/3=consistent level/2=not consistent/I-lacking a. 3 2 1. Professional appearance, adherence to CCSD dress code 2. Reliability, punctuality 3. Communicates effectively with teacher and staff 4, Demonstrates manners, graciousness 5, Reflects upon observation by using appropriate 6. language and critical thinking, 7. Demonstrates enthusiasm and curiosity 8, Models respectful behavior 9, Uses appropriate language 10. Exhibits pre-service edueator qualities. Cooperating Teacher's veo) 9 tt ®. Comments,