Kutztown University Elementary Education Department

Clinical Experience In-Progress Formative Observation Instrument

_______ Lesson Observation ___X____ General Assessment
Student teacher _____Alyssa Hilmer_______ Cooperating Teacher & School _A. McCallum_____________
Subject_Reading_____ Time ___9:30am______ Date _2/20/20____ KU Supervisor_Ivory_____________________
Not Met Acceptable Proficient N/A Evidence
Planning and Preparation – used for evidence before the lesson
1a. Displays knowledge of content in plan X Provided backward
design lesson plan
2a. Displays knowledge of pedagogy in plan X
b. Displays knowledge of students through X Individualized student
accommodations/differentiations in plan supports
c. Sets instructional outcomes evident in plan X

d. Use of resources, materials, technology, etc available and X Scripted lesson, reading
evident in plan books, work books
e. Designs coherent developmentally appropriate X
instruction
f. Designs measurable student assessment that aligns to X
standards, objectives, and instruction
The Classroom Environment – used for evidence during the lesson
a. Establishes and maintains respect and rapport for X Provided an opportunity
students for all students to
respond
b. Creates an equitable culture for learning along with high X Provided individualized
expectations support to students
throughout
c. Uses and maintains classroom procedures, including X Successfully transitioned
appropriate transitions to different learning
activities while
maintaining engagement
d. Sets behavioral expectations, monitors behavior, and Use of behavior specific
uses positive classroom management techniques X praise, redirection, and
proximity throughout
lesson.
e. Organizes a safe and equitable physical learning space X Effective seating
arrangement
Instruction – used for evidence during the lesson
a. Communicates effectively with students X Provided clear
instructions and
expectations
b. Uses a variety of critical thinking questions and promotes X Promoted inquiry based
questions and discussion learning
c. Engages students in challenging learning tasks X Provided prompting for
supported by scaffolding; pacing is appropriate support
d. Integrates/records formative assessments throughout X Monitored student
lesson and gives student feedback reading throughout
e. Demonstrates flexibility and responsiveness by X Demonstrates an
Supervisor / Mentor Teacher Signature_ Kyleigh Ivory Student Teacher Signature_______________________
teaching to student needs awareness of student
needs through
appropriate antecedent
strategies
Professional Responsibilities– used for evidence before or during the lesson
a. Reflects accurately on teaching X Reflective journal
b. Communicates effectively with families X Parent letter
c. Participates in building a supportive professional X Excellent report of
community progress by co-op
d. Displays high standards of professionalism –PA code X Professional
(dress & demeanor, communication, relationships etc. are communication,
professional), including punctuality & daily attendance attendance and
punctuality reported by
cooperating teacher
Give evidence for the scores.

Miss Hilmer provided a comprehensive backward design lesson plan including relevant Pennsylvania State
standards, core vocabulary, aligned assessment, and individualized accommodations. She appropriately utilized
the district reading curriculum, including a scripted lesson and corresponding materials. Throughout the lesson
she promoted critical thinking by prompting students to review and reflect on context clues provided in the
reading. She maintained an excellent pace, tone, and successfully transitioned to various learning activities while
maintaining engagement. She effectively redirected students to the appropriate behavior if undesired behavior
was observed. Lastly, her cooperating teacher reports exceptional professionalism, and initiative.

Supervisor / Mentor Teacher Signature_ Kyleigh Ivory Student Teacher Signature_______________________