COLLEGE OF ARTS & SCIENCES,
AND
EDUCATION
Office of Field Services and Professional Development Schools
2500 West North Avenue, Baltimore, Maryland 21216
Grace Hill Jacobs Room 709; (410) 951 – 3081
“Educator as Reflective Facilitator of Learning”
Revised Fall 2015
FIELD EXPERIENCE EVALUATION FORM
Directions to Pre/Candidate: Complete the information section of this form and deliver to your P-12 Clinical Educator.
Name: _______________________________________________ Student ID#: __________________________
Course Enrolled: _____________________________ Course Instructor: _______________________________
Major: _______________________________ Semester: __________________________________________
Field Experience Site: ______________________________ P-12 Clinical Educator: ___________________________
Grade: ___________________ Subject: ___________________________________________
Type of Experience Requested: (Check response) □ Observation (Early) □ Participation (Methods)
Dates of Involvement: __________________________ Total Hours Completed: ___________________
Semester Completed: □ Fall □ Spring □ Summer Year ___________________________
DIRECTIONS to P-12 Clinical Educator: Please complete this evaluation form and return it for our records. Check the
response that most approximates your opinion regarding the performance of the prospective teacher who observed in
your classroom. Check the most appropriate response to reflect the efforts of the prospective teacher.
Measure Always Usually Sometimes Rarely
1. The prospective teacher was on time for field experience
hours.
2. The prospective teacher portrayed a professional image in
appearance and behavior.
3. The prospective teacher was attentive and respectful of the
students, practicum supervisor, and ongoing activities.
4. The prospective teacher was actively involved in the
instructional process and was willing to help in the classroom.
5. The prospective teacher was enthusiastic to teach and learn.
6. The prospective teacher was recognized and willingly support
English Language Learners and Special Education students.
7. If necessary, the prospective teacher notified the practicum
supervisor if he/she had to be absent or late for sessions.
Comments:
_______________________________ ___________ _____________________________ __________
P-12 Clinical Educator’s Signature Date Course Instructor’s Signature Date
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