FIELD OBSERVATION STUDENT EVALUATION - completed by Cooperating CCSD teacher

Please complete the following evaluation using the Performance Indicator Scores below (with the student)
once the total observation hours are met. Your constructive comments are extremely valuable to the
student. This page should be returned to the student along with their Time Log. If you prefer to fax or
mail the completed documents, you may do so by sending it to the CSN Professor’s attention via Fax:
(702) 651-4908 or through regular US mail to:

CSN North Las Vegas Campus - Education Dept.

3200 E. Cheyenne Ave.
Las Vegas, NV 89030-4228
SORT CODE CYS-222

Enter the appropriate “Performance Indicator Score” in the spaces below

(4)=exemplary (3)=consistent level (2)=not consistent (1)=lacking

4
_____ Professional appearance, adherence to CCSD dress code
4_____ Reliability, punctuality
_____4 Communicates effectively with teachers and staff
_____4 Demonstrates manners, graciousness
4_____ Reflects upon observations using critical thinking
_____4 Demonstrates enthusiasm and curiosity toward the profession
_____4 Models respectful behavior with students
4_____ Uses appropriate language
4_____ Exhibits pre-service educator success indicators

Comments: Katie has been a pleasure and will be an asset to the teaching profession.
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Cooperating Teacher’s Signature: __________________________________ Date:__________