Field Experience Evaluation Form - Cooperating Teacher

Thank you for allowing our pre-service teacher to spend time in your classroom in order to fulfill observation and/or field hours for their course. To assist in our assessment of this pre-service candidate we would appreciate your assessment of the quality of the candidate’s professional behavior and contributions while present within your classroom.

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* 1. Cooperating Teacher's Name:

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* 2. JCU Instructor's Name:

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* 3. JCU Course:

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* 4. Select One:

Fall

Spring

Summer

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* 5. Year:

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* 6. Candidate's Name:

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* 7. Banner ID:

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* 8. School District:

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* 9. Building:

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* 10. Subject/Grade Level:

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* 11. Time spent in experience:

Hours

Minutes

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* 12. Please rate the candidate based on your assessment of the candidate’s professional behavior and contributions.

	Excellent	Good	Average	Poor	Not Observed
Attendance	Attendance Excellent	Attendance Good	Attendance Average	Attendance Poor	Attendance Not Observed
Punctuality	Punctuality Excellent	Punctuality Good	Punctuality Average	Punctuality Poor	Punctuality Not Observed
Appearance	Appearance Excellent	Appearance Good	Appearance Average	Appearance Poor	Appearance Not Observed
Human relations skills (with candidates/teachers)	Human relations skills (with candidates/teachers) Excellent	Human relations skills (with candidates/teachers) Good	Human relations skills (with candidates/teachers) Average	Human relations skills (with candidates/teachers) Poor	Human relations skills (with candidates/teachers) Not Observed
Willingness to cooperate	Willingness to cooperate Excellent	Willingness to cooperate Good	Willingness to cooperate Average	Willingness to cooperate Poor	Willingness to cooperate Not Observed
Openness to suggestions	Openness to suggestions Excellent	Openness to suggestions Good	Openness to suggestions Average	Openness to suggestions Poor	Openness to suggestions Not Observed
Use of correct English	Use of correct English Excellent	Use of correct English Good	Use of correct English Average	Use of correct English Poor	Use of correct English Not Observed
Organization	Organization Excellent	Organization Good	Organization Average	Organization Poor	Organization Not Observed
Performance of field experience (skills and knowledge)	Performance of field experience (skills and knowledge) Excellent	Performance of field experience (skills and knowledge) Good	Performance of field experience (skills and knowledge) Average	Performance of field experience (skills and knowledge) Poor	Performance of field experience (skills and knowledge) Not Observed
Classroom Management (skills and knowledge)	Classroom Management (skills and knowledge) Excellent	Classroom Management (skills and knowledge) Good	Classroom Management (skills and knowledge) Average	Classroom Management (skills and knowledge) Poor	Classroom Management (skills and knowledge) Not Observed

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* 13. Please add any additional comments. Again, thank you for helping our pre-service candidates become caring, qualified and competent future teachers.