EDUC450 Assessment

The student should complete this entire section, including hours, and sign at the
bottom. The form will not be accepted if incomplete. Narrative commentary
(Please use back of sheet if necessary)
Student

Course/Section EDUC 450 – Instruction II

CSU Instructor Dawn Mallette/Cori Hixon-Cunningham

School
Match-up Teacher(s)
(First & Last Name)
Grade(s)/Subject(s)
Total Hours at this
School to date
The match up teacher should complete the remainder of this form.
This course requires this student to be at your site for a minimum of 3.5 hours per week for 12
weeks. Please indicate this student’s attendance below:

TOTAL NUMBER OF DAYS ABSENT

TOTAL NUMBER OF HOURS MISSED DUE TO TARDINESS OR EARLY DEPARTURE

TOTAL NUMBER OF HOURS MISSED DURING THIS PRACTICUM ASSIGNMENT

Please check the appropriate ratings below to evaluate the characteristics of this student. We
would also appreciate your written narrative of strengths and suggestions for improvement.
Superior
| Acceptable Suggestions for improvement
| | Marginal (Please use back of sheet if necessary)
| | | Unknown

      Appearance - Dresses appropriately/professionally

      Communication - Listens actively to students and teachers;
clearly articulates; appropriately interacts with students and
teachers; presents self well in front of classroom
      Cooperation - Acts on suggestions; assists others; seeks help
when needed
      Initiative - Identifies appropriate opportunities for leadership;
exerts effort productively; assumes control in appropriate
situations; volunteers to teach/assist
      Instructional Skills - Exhibits familiarity with subject matter and
principles of teaching
      Maturity - Demonstrates poise, self-confidence, self-control, self-
motivation, tactfulness
      Management - Establishes and maintains effective learning
situations
      Role Modeling - Models appropriate student/staff behavior(5 pts)
      Responsibility - Demonstrates reliability, dependability,
commitment, courtesy
      Responsiveness - Relates in appropriate ways to students in the
classroom; understands student needs; promotes active student
involvement
      Attendance - Thoroughly prepares for and attends EVERY session
This student is successfully completing this PDS experience. Y N
Final Evaluation –
Mentor Teacher’s signature Date

To the teacher — You can either mail this form to the

address listed, or place it in Cori’s mailbox
PDS Student’s Signature Date
Student’s signature indicates she or he has seen this evaluation, but does not imply agreement with it.