Skip to content
Fall 2021 Regent University CAS Student Teacher Evaluation by School Administrator
Placement Information
*
Student Teacher's Name
(Required.)
Student Teacher's Race
American Indian or Alaskan Native
Asian or Asian American
Black or African American
Hispanic or latino
Native Hawaiian or Other Pacific Islander
White or Caucasian
Mixed Race
Not listed, Uncertain, or Prefer Not to Respond
*
Student Teacher's Endorsement Area
(Required.)
Early/Primary, PreK-3
Elementary Education, PreK-6
Secondary Education, English
Secondary Education, Math
Secondary Education, History/Social Studies
Uncertain
*
Grade Taught
(Required.)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Middle School
High School
*
Internship Semester (Fall or Spring, Year)
(Required.)
*
School of Student Teaching Placement
(Required.)
*
School Division
(Required.)
Chesapeake Public Schools
Virginia Beach City Public Schools
Atlantic Shores Christian Schools
Other (please specify)
*
Evaluator's Name (First Last)
(Required.)
*
Evaluator's Email. We will return a PDF copy of your report to this address.
(Required.)
Email Address:
*
Evaluator's Position/Role
(Required.)
School Administrator
Specialist
University Department Chair
Other (please specify)
*
Date of Observation (MM/DD/YYYY)
(Required.)