Professional Documents
Culture Documents
Attached is the evaluation form that was filled out during your recent evaluation.
REMINDER! 0s do not mean the teacher candidate scored 0 points on that item.
0s indicate an item was NA = Not Applicable or Not Observed in that setting.
Within this email, there is a link labeled: “URL to View Results.” This link will provide you with a PDF of the evaluation.
If you have any questions about the guidelines or this form, please contact: teachersuccess@wgu.edu
Recipient Data:
Time Finished: 2021-02-16 15:47:01 MST
IP: 205.118.120.253
ResponseID: R_2BmvKOjXFjiQ0g3
Link to View Results: Click Here
URL to View Results: https://wguir.co1.qualtrics.com/CP/Report.php?SID=SV_1YVJLncUb5KpVul&R=R_
2BmvKOjXFjiQ0g3
Response Summary:
General Information NOTE: It is imperative that you ensure the teacher candidate name and their program match the
student you are currently observing. Please go through this section carefully. Teacher Candidate Julie Roberts Program
Name Bachelor of Arts, Elementary Education Program Code BAELED Please enter the following information before
beginning the evaluation:
Evaluation Date (FORMAT: yyyy-mm-dd year - month - day) 2021-02-16
Teacher Candidate WGU ID Number (9 digits) 001228978
Please indicate whether this is the midterm or the final evaluation and your role: Host Teacher (HT) or Clinical Supervisor
(CS). NOTE: Please ONLY choose “Serving as Both CS & HT” if you are: 1. The Clinical Supervisor for a Teacher of
Record (contracted classroom teacher without a Host Teacher in that room). OR 2. The one/same person serving as
both the Host Teacher and the Clinical Supervisor.
Midterm - Host Teacher
If you marked a 0, 1 or 2, you are required to include comments to provide suggestions for improvement or why an area
was not observed. We also encourage you to share any comments of success or strength you saw demonstrated by the
teacher candidate in this section.
Julie comes to the classroom with the instinct of a true teacher. She came in on a high level, but has managed to
https://mail.google.com/mail/u/4?ik=7a7cb1a219&view=pt&search=all&permthid=thread-f%3A1691893765332195367&simpl=msg-f%3A1691893765332195367 2/4
3/18/2021 Western Governors University Mail - Student Copy of Evaluation
continue to grow and progress. She went down the hall the other day to observe another fifth grade teacher on our team
and the students became rather concerned, "Where's Mrs. Roberts? Did she leave? Is she coming back?" We all love her!
Julie takes criticism very well. I mentioned that our transitions were getting a little loose and loud, so she corrected that
immediately without complaint. She seeks feedback in order to hone her skills. She has done everything in her power to
teach effectively and our students are blessed because of it. We are so lucky to have Mrs. Roberts in our classroom! I'm
especially grateful that I had a competent person like Julie to take charge of the class for six consecutive school days
when I was ill. There was a substitute teacher here those six days as well, but Julie was the leader and the Real Teacher
in the room. She is doing a great job!
If you marked a 0, 1 or 2, you are required to include comments to provide suggestions for improvement or why an area
was not observed. We also encourage you to share any comments of success or strength you saw demonstrated by the
teacher candidate in this section.
Julie accepts each child as they are and works hard to help them prepare for sixth grade.
If you marked a 0, 1 or 2, you are required to include comments to provide suggestions for improvement or why an area
was not observed. We also encourage you to share any comments of success or strength you saw demonstrated by the
teacher candidate in this section.
Julie is an ace at all of this!
If you marked a 0, 1 or 2, you are required to include comments to provide suggestions for improvement or why an area
https://mail.google.com/mail/u/4?ik=7a7cb1a219&view=pt&search=all&permthid=thread-f%3A1691893765332195367&simpl=msg-f%3A1691893765332195367 3/4
3/18/2021 Western Governors University Mail - Student Copy of Evaluation
was not observed. We also encourage you to share any comments of success or strength you saw demonstrated by the
teacher candidate in this section.
Julie is a prize for the profession!
Optional Question: During the meeting to discuss the evaluation: Ask the teacher candidate, “How do you think you are
doing in demonstration teaching? What are your areas of strength and/or challenge?
Julie is an expert at individualizing with students. She does this personally by asking about their weekend as well as
academically by intervening with them one on one.
Optional: If you are the host teacher and would like the clinical supervisor to receive a copy of this form, enter the clinical
supervisor’s email address in this field. Conversely, if you are the clinical supervisor and would like the host teacher to
receive a copy of this form, enter the host teacher’s email address in this field.
dempseydo@gmail.com
Please share your summary comments regarding this evaluation overall (minimum one sentence required).
Thank you for giving me a tool to share my excitement regarding the great things Mrs. Julie Roberts is accomplishing in
our fifth grade classroom.
ACKNOWLEDGMENT By typing in your name in the space provided below and submitting this evaluation form, you are
acknowledging that you evaluated the teacher candidate and submitted this form. You are also required to document
that you conducted a Post Evaluation Conference with the teacher candidate either in person or on the phone to review
the results of the evaluation and your comments. Please indicate in the boxes below your name and the date that you
conducted the Post Evaluation Conference. You and the teacher candidate will be emailed a copy of this evaluation.
Please add noreply@qemailserver.com to your email address book to receive your copies. NOTE: If you do not see
continued growth and have concerns about the ability of the teacher candidate to meet all standards, please contact
the Teacher Success Team at teachersuccess@wgu.edu or call 1-866-889-0132 Option 4.
Evaluator Name Jody Kyburz
Date of Post Evaluation Conference (FORMAT: yyyy-mm-dd year - month - day) 2021-02-16
Was the Post Evaluation Conference conducted in person or via telephone/video conference? We encourage a three-way
conference with the teacher candidate, host teacher and clinical supervisor.
Telephone/video conference
Embedded Data
complete 1
sfCSEmail dempseydo@gmail.com
sfFieldExperience a0T0c00000ZxSKq
sfHTEmail jkyburz@alpinedistrict.org
sfName Julie Roberts
sfProgram BAELED
sfProgramName Bachelor of Arts, Elementary Education
sfState Utah
sfStuEmail jrob868@my.wgu.edu
https://mail.google.com/mail/u/4?ik=7a7cb1a219&view=pt&search=all&permthid=thread-f%3A1691893765332195367&simpl=msg-f%3A1691893765332195367 4/4