Cooperating Teacher Record

Cooperating Teacher Record

Updated: 3/7/17 jlc

Student Teacher______Campus______Cooperating Teacher Initials _____

Week #3 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation(formative or summative)
Other: / Comments

Student Teacher’s goal(s) for the week:

Student Teacher’s Initials______

Week #4 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Practicum Contribution Project
Career planning
Field Supervisor evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

Week #5 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Week #6 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

Week #7 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Week #8 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

Week #9 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Week #10 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference : 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

Week #11 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Week #12 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

Week #13 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Week #14 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

Week #15 Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference : 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, beginning competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Practicum Contribution Project
Career planning
Field Supervisor evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

EXTRA Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

Student Teacher______Campus______Field Supervisor Initials _____

EXTRA Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s Initials______

EXTRA Date ______Time Span______Subject/Activity Observed______

Observation: Formal Written Observation Walk-Through Conference: 2-Way 3-Way

Rating: 1 2 3 4 (unacceptable, emerging competence, advanced competence, n/o or n/a)

Conference Topics
Lesson planning
Assessment techniques (process and content)
Reaching learners
Reflections/notes of self-assessment
Documentation: academic, behavioral
Classroom management
Communications with families
Relationships with professional colleagues
Specific students
Contribution Project
Career planning
Evaluation (formative or summative)
Other: / Comments

Student teacher’s goal(s) for the week:

Student Teacher’s\ Initials______