York College of Pennsylvania
Department of Education
STUDENT TEACHING VISITATION FORM
Name: ________________________________________________________ Date: ________________________
Subject(s)/Grade: _______________________________________________ Time: ________________________
Conference with ST: ________________________________ Conference with CT: _________________________
E
P
S
U
NO
E=Exemplary
Category I – Planning and Preparation
P=Superior
Category II – Classroom Management
S=Satisfactory
Category III – Instructional Delivery
U=Unsatisfactory
Category IV - Professionalism
NO=Not Yet Observed
Planning and Preparation – (PA standards, Objectives, Knowledge of content, Lesson plans,
Differentiation, Resources, Technology, Assessment of learning, Level of instruction)
Classroom Management – (Physical environment, Behavior management, Interactions, Routines and
procedures, Rapport, Focus, Engagement rate)
Instructional Delivery – (Congruence, Communication, Strategies & Techniques, Content, Engagement,
Transitions, Questioning, Pacing, Feedback, Assessment, Integration, Reinforcement, Higher order thinking)
Professionalism (Integrity, Judgment, Respect, Peer interaction & communication, Journaling &
reflectivity, Procedures, Participation, Student Records, Relationships, Awareness of Act 48, Commitment)
Original: Supervisor
Copy 1: Student
Copy 2: Teacher
College Supervisor’s Reaction and Suggestions
Student Teacher's Signature: ________________________________ Date: __________________________
Supervisor’s Signature: _____________________________________ Date: __________________________