Field Experience Evaluation Form Grade 3 Student: Suny Quis supervisor: Heidi L. urs Placement: jan E. Kenedy Please check all activities the student engaged in, Students may participate in as many [ennentey ‘ets tinted elo based on Jour expectations, and their eve experts and mor. 9) observing class sessions 4 _/ Reading to the class 7 Tutoring individuals or nal groups 1 Participating in lesson planning processes (e.g. through discussion or writing lesson plans) v Teaching a lesson —V Engaged in co-teaching practices % Leading an educational or leisure game/activity a esinisteing a quiz oF test —¥ Heping during hanc-time andor playtime 4 Please rate the students” performance using the seale below: Low High Arrives on time and stays for fulltime 123 4Q)NA Conducts self in a professional manner 123 4 wa Is dressed appropriately 123 4 @wa Is prepared 123 4 QNA Listens to others thoughtfully and respectfully 27.4 N/A. ‘Uses spoken and written language correctly and appropriately ae NA Respects differences and diversity, and contributes to promoting social justice 123 4 Qwa ‘Asks questions in an appropriate manner 123 4@QNna Accepts responsibility for completing tasks assigned 123 4 GWA Displays a cooperative attitude, volunteering and completing tasks willingly ¢ Models appropriate behaviors 123 4@NaA Solicits and makes use of feedback constructively 123 4 QN6a Respects and keeps confidentiality of student information 123 4QwNa Total hours spent in your class: [5() ‘Overall grade (please cirele one from below): 4.0-outstanding 3.7=excellent 3.3above average 3.0-average 2.7=below average 2.0-poor Please provide your overall evaluative comments here: Shelley Queme is a very positive, re young lady Signature of supervisor: taal C Boers. ons bleProfessionalism Rating Scale Dispositions [415 Collaboration Willing to work collaboratively e Listens to others” ideas Y| Responsibility | Secks, accepts, and acts upon constructive ele feedback Y| ‘Completes assignments ina timely manner Positive “Models effective interpersonal relationships bbehaviors/communication Engages in positive interaction with colleagues and faculty Is proactive, and seeks to soive problems Professional Is punctual and attends class sessions on a behaviors regular basis v Presents self in a personable manner ao ‘Uses spoken and written English language | | effectively and appropriately lv] High level of Exhibits interest in and enthusiasm for the ‘competence and Teaming process Vv integrity Ts well prepared and contributes to in-class and online discussion v ‘Academie Maintains a high level of academic integrity by honesty adhering to the Academic Honor Code v ‘Atitudes toward | Stays open-minded and responds positively to 7 Diversity diverse opinions Total: _/70 points I: inadequate 2: developing 5: excellent