EVAL #4
check appropriate response:
________ self evaluation
________ teacher evaluation
________ professor/college supervisor evaluation
Student: ________________________________ Edu # and Title: ______________________________________
Cooperating Teacher: ___________________________ Date(s) of lesson/tutoring: _________________________
School: _____________________________ Grade/Subject: ___________ District: _________________________
Considering planning and presentation, this instructional episode was: (check the appropriate level)
________1. Level One: At a lower performance level than expected.
________ 2. Level Two: At the performance level generally expected from a pre-service teacher.
________ 3. Level Three: At a level that exceeded my expectations for a pre-service teacher.
Please Comment: (Consider areas such as preparation, interaction with students, knowledge of content, and
presentation skills)
Signature of Evaluator: ___________________________________________ Date ________________________
Signature of Prof./College Supervisor: _________________________________________ Date:________________
DIRECTIONS: Notify your EDU professor/college supervisor exactly when you will be teaching a lesson. Ask your cooperating teacher to
complete one of these forms. You also need to complete one for a self-assessment. (If your "lesson" covers more than one day, these forms may
be reflective of the "overall" experience.) Submit the two (2) evaluation forms to your EDU professor.
(It is recommended that you copy this form and your response for your own files before you submit this to your EDU professor.)
12/09
GENERAL EVALUATION FOR LESSON
OR TUTORIAL EXPERIENCES
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