ANEXO 1: LESSON PLAN FORM

Name of Student Teacher:

School/Institution:

Date: DAY MONTH YEAR Time & Length of class:

Class/grade: Number of students:

Cooperating teacher : University Supervisor:

Achievement: National Standard:

Skills Focus: Language Focus:

Anticipated Problems: Planned Solutions:

Stage of lesson Aim(s) of lesson Procedure Time University Supervisor’s

Teacher and student activity and comments
interact
ion

Stage of lesson Aim(s) of lesson Procedure Time University Supervisor’s

Teacher and student activity and comments
interact
ion
ANEXO 2: FEEDBACK FORM FOR OBSERVATION VISITS
Student Teacher’s Name: ____________________________________________ Date: ____________
School: ______________________ Grade: _____ University Supervisor: _______________________
Things that went well:

Areas to work on:

Teacher’s language

Signed (University Supervisor): ______________________________________________________

Signed (Student Teacher): __________________________________________________________
Please bear in mind that this feedback form must be kept in your teaching portfolio.
ANEXO 3: POST OBSERVATION SELF-EVALUATION

Name: _______________________________________________ Date: _______________

What went well? Why? How do you know? (Give evidence from the lesson, students production,
class atmosphere, etc.)

What didn’t go so well? Why? How do you know? (Give evidence)

What were your lesson objectives? Have they been achieved? How do you know? (Give evidence
from the lesson)

What would you do differently if you were to teach this lesson again, if anything? Why?

In view of your learning experience in this lesson, and your observation of your students, what
will your next steps be, what will your action points be for the next lessons?
ANEXO 4: RECORD OF OBSERVATION VISITS (Student Teaching)

To be completed by the university supervisor during each observation visit (Total 8). The student
teacher and/or the cooperating teacher will have this form at all times. They will give it to the
university supervisor upon arrival to the school and then collect it back at the end of the observation
visit. The student teacher is responsible for handing in this form when requested by the student
teaching coordinator.

Institution: _____________________________________________________________________
Student teacher’s name ___________________________________________________________
University Supervisor’s name ______________________________________________________

Date of visit Grade(s) Remarks (Observaciones) Signature

visited
ANEXO 5: RECORD OF TUTORIAL / FEEDBACK SESSIONS (Student Teaching)

To be completed by the university supervisor during each tutorial session (Total 16). The student
teacher will have this form at all times. He/she will give it to the university supervisor at the end of
each tutorial session and then collect it back immediately. The student teacher is responsible for
handing in this form when requested by the student teaching coordinator.

Institution: _____________________________________________________________________
Student teacher’s name ___________________________________________________________
University Supervisor’s name ______________________________________________________

Date of Length Remarks (Observaciones) Signature

tutorial/feedbac of
k session Session
ANEXO 6: REPORTE FINAL DE CALIFICACION DE LA PRÁCTICA DOCENTE

NOMBRE DEL PRACTICANTE: _______________________________ CENTRO DE PRACTICA: ___________________________

GRUPOS: _____________________________ ASESOR: ____________________________________________________

ASPECTOS OBSERVACIONES PORCENTAJ NOTA

E
A. DESARROLLO DE LA PRACTICA
(Plan de práctica, actividad
complementaria, teaching performance,
otros aspectos inherentes al proceso de 50%
acción docente)

B. LEARNING JOURNAL (Notebook)

20%

C. TEACHING PORTFOLIO
(Preparación de clases, formatos de
retroalimentación del asesor, etc.) 10%

D. ENSAYO (Paper) – (In English)

20%

ANOTACIONES RESPECTIVAS AL
INFORME FINAL POR PARTE DEL
ASESOR

NOTA DEFINITVA (SUMA %) 100%

FIRMA DEL ASESOR: ____________________________________________ FECHA: ___________________________

ANEXO 7: EVALUATION OF STUDENT TEACHING

Dear Student Teacher,

We are collecting information to help us improve the student teaching process at the Foreign
Language Program. Your cooperation as a participant in this experience is invaluable. Therefore, we
invite you to complete this questionnaire thoroughfully. Number 5 is completely achieved, while
number 1 is not achieved at all.

1. In what ways do you think the methodology you used throughout the student teaching
experience satisfies the students’ necessities?
5 4 3 2 1
Justify your answer: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

2. What is your opinion about the materials you used in the activities implemented during the
teaching practice? Are you satisfied with their quality and usefulness?
5 4 3 2 1
Justify your answer: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

3. Do you agree that the teaching portfolio really contribute to your teacher education?
5 4 3 2 1
Justify your answer: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

4. What changes would you recommend in order to improve student teaching?

__________________________________________________________________________
__________________________________________________________________________
________________________________________________________________________

5. How do you evaluate your professional growth as a result of your teaching practice
experience this semester? Rate your gains:
1. My professional practice improved extraordinarily with this experience.
2. My professional practice improved considerably with this experience.
 3. My professional practice improved moderately with this experience.

TOPICS 1 2 3
1. Cognitive and Linguistic Gains
1.1 Pronunciation
1.2 Fluency in speaking
1.3 Vocabulary and language used by teaching
professionals
1.4 Acquisition and use of complex grammar forms in
my oral production
1.5 Acquisition and use of complex grammar forms in
my written production
1.6 Participation in academic discussions
1.7 Capacity of assessing activities and assignments
2. Socio affective gains
2.1 Competences for collaborative work
2.2 Effective Communication with university supervisor,
cooperating teacher and students
2.3 Ability to control anxiety and stress
2.4 Awareness of the context and school reality
3. Metacognitive gains
3.1 Capacity to control the time I need for in – class
activities and in my work as a teacher
3.2 Capacity to evaluate how my performance as a
teacher is in relation to professional activities
3.3 Revision of my own assignments (activities, tasks)
3.4 Competence to anticipate possible difficulties and
how to face them
3.5 Capacity to propose solutions to possible difficulties
related to my work as a teacher
4.Professional self-esteem
4.1 Identification of own needs and those of my
students
4.2 Motivation to follow advice/suggestions that will help
me to improve my teaching practice.
4.3 Awareness of my role in the achievement of
national objectives and policies related to the teaching
of English in the country
4.4 Journal of reflections related to my work in the
classroom.
4.5 Search for topics related to my teaching practice in
books and professional magazines.
4.6 Search and acquisition of materials suitable for my
students.
4.7 Class and activities preparation for my students.
4.8 Class preparation with different focus ( reading,
vocabulary, writing, grammar, listening)
4.9 Awareness of my role as an active member of the
community of English teachers

6. What opinion do you have about the feedback received from the university supervisor?
Assess it and give reasons.
5 4 3 2 1
Justify your answer:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

7. How would you rate (assess) the support received from the university supervisor for the
completion of the assignments demanded in the teaching practice?
5 4 3 2 1
Justify your answer: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

8. What would you like to comment about the tutorial/feedback sessions, their organization
and the supervisor’s performance?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________

9. How would you rate (assess) the support received from the cooperating teacher and the
institution for the development of the teaching practice?
5 4 3 2 1
Justify your answer: __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________

Name of Student teacher: _________________________________________________

Thank you very much for your help and commitment you have shown in completing
this questionnaire
ANEXO 8: FORMATO DE EVALUACIÓN DEL PROFESOR - PRACTICANTE POR PARTE
DE LOS ESTUDIANTES DEL CENTRO DE PRÁCTICA.

INSTITUCION: ________________________________________________________________
NOMBRE DEL PROFESOR – PRACTICANTE: _____________________________________
GRADO ________________________ FECHA: ______________________________________

1. INSTRUCCIONES: Lea cuidadosamente cada uno de los siguientes aspectos y marque con
una X su respuesta.

ASPECTOS SIEMPRE ALGUNAS NUNCA

VECES
1. Me gustó la manera de ser del profesor.
2. El profesor realizó actividades divertidas en clase.
3. El profesor dictó las clases en inglés.
4. El profesor utilizó material muy atractivo para
enseñarnos.
5. El profesor logró que los estudiantes tuvieran buen
comportamiento en la clase de inglés.
6. El profesor llegó a clase puntualmente.
7. El profesor nos dio la oportunidad de hablar con él por
fuera del salón de clase.
8. Me sentí motivado(a) para aprender inglés.

2. INSTRUCCIONES: Escriba sus comentarios con relación a los siguientes puntos:

Lo me más me gustó de las clases de inglés:

___________________________________________________________________________________
________________________________________________________________________
______________________________________________________________________________
Lo que menos me gustó de las clases de inglés:
___________________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________

Muchas gracias por su colaboración

ANEXO 9: INFORME SINTÉTICO DEL COOPERADOR AL COORDINADOR DE
PRÁCTICA

CENTRO DOCENTE: ______________________________________________________

COOPERADOR: __________________________________________________________
PRACTICANTE: __________________________________________________________
GRUPOS: ________________________________ FECHA: _______________________
Instrucciones: Marque con una X su respuesta a cada aspecto.

ASPECTOS OBSERVACIONES
1. Muestra preparación en todo aspecto?
Si _________ No ___________
2. Maneja contenidos?
Si _________ No ___________
3. Muestra adecuado manejo pedagógico y
metodológico?
Si _________ No ___________
4. Maneja bien los grupos?
Si _________ No ___________
5. Maneja adecuadamente la carpeta de
observaciones?
Si _________ No ___________
6. Cumple con las horas de permanencia en la
institución (6 horas semanales de clase y 5 de
planeación de clases y actividades)?
Si _________ No ___________
7. Desarrollo las actividades complementarias?
Si _________ No ___________

COOPERADOR _______________________________________________________

VoBo COORDINADOR ACADEMICO ______________________________________

ANEXO 10: FORMATO DE PAZ Y SALVO (CHECK OUT SHEET)

PAZ Y SALVO PRÁCTICA DOCENTE PARA SER DILIGENCIADO POR EL CENTRO
EDUCATIVO

EL CENTRO EDUCATIVO _________________________________________________

Hacemos constar que el (la) alumno(a) practicante

______________________________________________________________________

Ha cumplido con las actividades programadas y se encuentra a PAZ Y SALVO con la

institución por todo concepto (calificaciones, libros, parceladotes, etc.)

______________________________________________________
ENCARGADO DE BIBLIOTECA Y/O SALA DE RECURSOS

_______________________________________________________
PROFESOR COOPERADOR

_________________________________________________________
JEFE DE DEPARTAMENTO

________________________________________________________
COORDINADOR A