Name __________________________ Clinical Title/Course # _________________________________________
School _______________________ Classrm Teacher _______________________ Grade Level/Subj. __________
Please rate the clinical placement using the following criteria:
NA = no evidence 1 = little or no evidence 2 = evident 3 = very evident
1. Teacher helped me acclimate to the
classroom and students.
2. I felt adequately supported by the
classroom teacher when observing,
assisting, and/or teaching.
3. Resource materials were provided as
needed.
4. This placement was effective in:
• Aiding students in the classroom
• Helping me develop as a teacher
5. What I learned in this clinical will be
applicable to my future teaching.
6. The theories presented in the
methods class were evident in the
clinical experience.
7. The implementation of “theory to
practice” was effective.
8. The teacher showed flexibility in
working with the clinical students.
9. Please share any other information about this clinical that might be pertinent to future placements in this particular
classroom or school, such as:
• This was a useful clinical placement because . . . or
• I did not feel this placement was as useful as it could be because . . .
12/09
CLINICAL SITE/COOP. TEACHER EVALUATION
