Mentor Teacher/ Intern Weekly Collaborative Feedback Form

Instructions: ​Beside each dimension, place a check in What’s Working?

the appropriate box to indicate if the dimension is an area of - Lessons are engaging
strength, an area that requires growth, or if you did not yet have the
- Students are actively participating
opportunity to observe or discuss this dimension.
- Reading groups are going well
After completing this checklist, use it as a reference while - Use of technology is amazing
completing the open-ended prompts, focusing on a few areas.
Dimension Strength Challenge No opportunity
D= to observe/ Current Focus/ Challenge/ Concern:
developi discuss
ng Current Focus:
Taking over 100% of classroom instruction
Professional x
Knowledge

Content x Teaching Intern’s Next Steps (and date of

Understanding
demonstration/ completion)
Regard for x
Student Intern will take over all classroom lessons and
Perspective
activities
Analysis & x
Inquiry

Instructional x Mentor Teacher’s Next Steps

Planning/​ I will continue to monitor Mary through planning and
Learning Format
designing lessons for reading, global explorations and
Instructional x math. Mary is taking 100%of the instruction. I will help
Delivery
and monitor Mary’s instruction throughout the day/
Instructional x
Dialogue

Productivity x

Student x
Engagement

Assessment of/ x
for Student
Learning

Quality of x
Feedback

Learning x
Environment

Teacher x
Sensitivity

Behavior x
Management

Professionalism x