TEACHER INTERN RATING FORM

Teacher Intern Name: Mary Ann M. Octavio_____________ Cooperating School: Talavera North Elem School______
Rating Period : ____________________________________ Year/Grade level handled: Grade 3_________________

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 92.5

Comments:
She is a good at teaching, especially using a various examples to illustrate her point.__________________________
Thank you and keep it up._________________________________________________________________________
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Rated by:________________________________WILMA M. HERNANDEZ____________________________________

Cooperating Teacher/Faculty Observer
(Signature over printed name)
Date: March 17, 2023______________

NEUST-EDU-F007
Rev 00 (9.12.18)