Republic of the Philippines

Leyte Normal University

College of Education
Tacloban City

EVALUATION FORM FOR THE COOPERATING TEACHER-EDUCATOR

Name of Cooperating Teacher-Educator: ____________________________________________________

Grade Level: ____________________ Subject Area/s: _________________________________________
Cooperating School: _______________________________ School Principal: ______________________
Shifting Term: ( ) 1st ( ) 2nd Semester: ( ) First ( ) Second School Year: 20____ - 20 ____
Internship Period: _____________________ Name of Teacher Intern: (optional) ___________________

Please tick (✓) the box that corresponds to the level of assistance, mentoring and supervision you
received from your Cooperating Teacher-Educator during your teaching internship period.

5 – Always 3 – Occasionally 1 - Never

4 – Often 2 – Seldom

PART 1

AREAS OF CONCERN 1 2 3 4 5
A. Lesson Planning
1. Assigned you with topics for teaching a week before the
scheduled teaching
2. Checked your lesson plans at least two days prior to actual
teaching
3. Provided suggestions to improve your grammar
4. Provided appropriate comments and suggestions in formulating
clear and precise objectives
5. Provided appropriate comments and suggestions in choosing
appropriate strategies for teaching
6. Assisted you in your weaknesses in asking questions, and in
explaining the subject matter
Total Points
Average
B. Teaching and Learning Situation
Instruction and Communication Skills
1. Observed you during the actual teaching
2. Assisted you in development of techniques for classroom
management
3. Assisted you in achieving realistic teaching experiences.
4. Provided immediate feedback after your teaching
5. Allowed you to have straight teaching twice a week towards the
last week of the deployment period
Assessment of Learning
1. Mentored you in preparing table of specifications, summative and
periodical tests, performance-based assessment tools
2. Assisted you in interpreting test results properly for remediation,
reinforcement, and enrichment
3. Assisted you in the conduct of remedial instruction, and
enrichment activities
4. Trained you on how to compute the final ratings of the learners
5. Oriented you in accomplishing varied school forms
Preparation and Utilization of Instructional Materials
1. Assisted in selecting and using basic instructional materials
appropriate for the given activity
2. Assisted in obtaining and using new and supplementary
instructional materials and/or ICT

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3. Supervised you on how to utilize instructional materials properly
and efficiently
4. Encouraged creativity and initiative.
Participation in School Activities
1. Guided you in planning, organizing, and in conducting school, and
community activities
2. Assisted you in coaching learners for school and inter-school
competitions
3. Allowed you to participate in the school celebrations for teachers
Total Points
Average
C. Classroom Management
1. Provided you with knowledge and techniques on how to motivate
and keep learners’ attention and interest
2. Demonstrated on how to manage learner’s behaviour
constructively
3. Guided you in imposing class discipline and in handling disciplinary
problems
4. Used cooperative planning in contributing to the teaching-learning
situation.
5. Mentored you on checking the learners attendance, paying
attention to routine matters, and proper room structuring
6. Trained you in conducting homeroom meetings, and in dealing
with parents’ concerns
Total Points
Average
D. Professional Development
1. Conducted post conference at least twice a week to discuss
matters for improvement
2. Shared positive teaching and learning experiences
3. Assisted you in setting up levels of achievement appropriate to
your development.
4. Encouraged continued professional growth through participation
in professional organization(s), and national conferences
5. Encouraged self-evaluation.
6. Created an atmosphere of acceptance, friendliness, and belonging
7. Modelled the dispositions of capability, character, and service.
Total Points
Average

Instructions to arrive at the Cooperating Teacher-Educator’s final rating:

1. Add all the scores in each column to find the Total Points. Then divide it by the number of items to
get
the Average of the cooperating teacher-educator in each sub-area.
2. Add the Average for sections A, B, C, and D, to come-up with the General Average. Below is the
transmutation reference.

Scale
(General Average) Description

4.21 – 5.0 Outstanding General Average:

3.41 – 4.20 Very Satisfactory Description:
2.61 - 3.40 Satisfactory Date:
1.81 – 2.60 Below Satisfactory

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 1.0– 1.80 Needs Improvement

PART II

Please check the column for your answer.

Orientation YES NO

1. Introduced you to the learners, and oriented you on the classroom

policies during the first day of deployment

2. Allowed you to observe classes before you are given full rein in the
classroom

3. Demonstrated effective teaching methods, and discussed important

points with you

4. Clarified teacher-interns’ roles and responsibilities during the initial

conferences

Other Comments:

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F-COE-011 (09-02-19)