STUDENT TEACHER RATING FORM

Student Teacher’s Name: Jerickson A. Mauricio Cooperating School: Our Lady of Fatima Academy
Rating Period : February 21- May 13 Year/Grade level handled: Grade 9/10/12

Direction: Please check the appropriate box relative to the performance exhibited by the student teacher.
Rating Relative to student teacher’s ability to exhibit professional and personal qualities.
3.0 poor (failed to meet the performance)
3.5 fair (performance needs some development to meet the criterion)
4.0 average (the performance meets the criterion)
4.5 good (the performance meets and some exceeds the criterion)
5.0 excellent (the performance fully exceeds the criterion)

Professional and Personal Qualities Poor (3) Fair Average Good Excellent Remarks
(3.5) (4) (4.5) (5)
1. Works well independently
2. Works well with others
3. Uses time efficiently in class
4. Has a positive attitude towards work
5. Treats people with respect
6. Contributes to class discussion
7. Comes to class prepared
8. Has good command of the language
9. Has mastery of the subject matter
10. Attends to all school academic and non-
academic activities promptly
11. Submits lesson plan, school reports and
finishes assigned tasks on time
12. Exercises listening, reading and writing skills
13. Possesses leadership skills
14. Asks thought provoking questions
15. Manifests courtesy and politeness.
16. Assesses students/pupils’ performance
objectively
17. Performs loco parentis role
18. Deals with school stakeholders respectfully
19. Exhibits simplicity and humility
20. Has exemplified strong commitment
Total

Comments:
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Rated by: ____________________________________________________________________________

Cooperating Teacher/Faculty Observer
(Signature over printed name)
Date: ____________________________

NEUST-EDU-F007
Rev 00 (9.12.18)