Revised 12/05

Teacher as a Responsive, Reflective Professional: A Partner in Learning

Cleveland State University College of Education and Human Services

Pre-Service Teacher Intern Observation Form

Intern: / Date:
School: / Observation #:
Mentor/CTE: / Supervisor:
Subject/
Grade Level: / Other(s) Present:

Please circle role of person completing observation: Mentor Teacher Classroom Teacher Educator Supervisor

Performance Levels

4.0 3.5 3.0 2.5 2.0 1.5 1.0

Outstanding Good/Satisfactory Fair/Needs Improvement Unsatisfactory/Failing

N/O = Not observed or not applicable; this is an unscored item and does not count towards an intern’s overall observation average

Note: Not all criteria need to be scored for observations of practicum interns or for every observation of a student teacher.

DOMAIN A: Primarily completed prior to the observation, using the lesson plan

Organizing Content Knowledge for

Student Learning

/

Level #

/ Comments
(3 comments minimum, highlighting effective and suggested practices)
1a / Intern knows students’ backgrounds.
1b / Intern relates students’ background information to lesson.
1c / Intern varies instruction based on students’ background.
2a / Intern has established clear goals.
2b / Intern’s goals relate to varied learning styles.
2c / Intern’s goals provide for varied assessment techniques.
2d / Intern’s goals establish appropriate expectations for all students.
3a / Intern’s lesson fits goals/objectives of subject area(s).
3b / Intern demonstrates correct sequencing of subject matter.
3c / Intern demonstrates appropriate content knowledge.
3d / Intern demonstrates ability to make connections with/between content areas.
4a / Intern’s activities and materials fit students’ learning goals and styles.
4b / Intern’s length of activities is appropriate for students.
4c / Intern’s activities and materials involve students in meaningful learning.
5a / Intern plans for systematic evaluation.
5b / Intern’s evaluation method is appropriate for goals of the lesson.
5c / Intern’s evaluation method is appropriate for students.

Note: Not all criteria need to be scored for observations of practicum interns or for every observation of a student teacher.

DOMAIN B: Primarily completed during the observation

Enhancing the Learning Environment /
Level #
/ Comments
(3 comments minimum, highlighting effective and suggested practices)
1a / Intern recognizes the importance of all students.
1b / Intern shows impartiality.
1c / Intern establishes a classroom climate of courtesy and respect.
2a / Intern expresses interest in students.
2b / Intern establishes positive rapport with students.
2c / Intern demonstrates appropriate sense of humor.
3a / Intern uses individual and collaborative learning activities.
3b / Intern encourages students to ask questions.
3c / Intern provides students with choices in learning.
3d / Intern develops students’ desire to pursue further learning.
4a / Intern states specific and appropriate expectations.
4b / Intern applies rules consistently and fairly.
4c / Intern maintains students’ attention throughout the lesson.
4d / Intern reinforces positive behavior.
5a / Intern identifies and corrects unsafe classroom conditions.
5b / Intern enhances student learning with bulletin boards/displays of student work.
5c / Intern varies physical environment to meet students’ needs.

DOMAIN C: Primarily completed during the observation

Extending Student Thinking / Level # / Comments
(3 comments minimum, highlighting effective and suggested practices)
1a / Intern’s lesson goals/objectives are clear to the students.
1b / Intern’s instructional procedures are clear to the students.
2a / Intern’s content is clearly and accurately communicated to the students.
2b / Intern uses a variety of teaching theories, viewpoints, and methods of inquiry.
2c / Intern uses correct language, spelling, and syntax in all aspects of learning experience.
3a / Intern uses questioning techniques to extend all students’ thinking and curiosity.
3b / Intern uses questioning strategies to stimulate creative, independent, and critical thinking.
4a / Intern asks appropriate questions to assess comprehension.
4b / Intern identifies students’ verbal and nonverbal cues for levels of understanding.

Note: Not all criteria need to be scored for observations of practicum interns or for every observation of a student teacher.

4c / Intern uses assessments to document student performance/understanding of learners.
5a / Intern communicates progress to students promptly.
5b / Intern clarifies lesson for students having difficulty understanding.
6a / Intern establishes routines and procedures to maximize instructional time.
6b / Intern paces the lesson appropriately for the students and content.
6c / Intern adjusts instruction/activities and uses teachable moments to meet students’ needs.
7a / Intern understands how manipulatives, materials, and technology support learning.
7b / Intern uses a variety of materials, manipulatives, and technology.

DOMAIN D: Primarily completed during post-observation conference with intern and mentor

Professionalism in Field Experiences / Level # / Comments
(3 comments minimum, highlighting effective and suggested practices)
1a / Intern uses self-evaluation techniques to recognize and correct weaknesses.
1b / Intern reflects on achievement of the learning goals.
2a / Intern maintains accurate student records.
2b / Intern analyzes and interprets student records accurately.
3a / Intern requests professional assistance from appropriate sources.
3b / Intern establishes professional rapport with mentor and supervising instructors.
3c / Intern maintains accurate oral and written communication with families.
3d / Intern attends school functions.
4a / Intern follows school policies.
4b / Intern demonstrates punctuality.
4c / Intern maintains appropriate appearance.
4d / Intern performs assigned professional duties.
4e / Intern uses appropriate vocabulary and correct grammar/punctuation.
5a / Intern maintains a portfolio and documentation of professional development.
5b / Intern participates in faculty meetings and professional growth activities.
5c / Intern plans for continuous professional growth.
6a / Intern demonstrates appropriate content knowledge.
6b / Intern demonstrates correct sequencing of subject matter.
6c / Intern uses evaluation results in planning future instruction.
Specific Comments
(This section is best used to provide a final summary of comments on the lesson observed,
including 2-4 “points of growth” or suggestions for the intern to consider for the next lesson)

OVERALL OBSERVATION SCORE/GRADE (CALCULATE AVERAGE OF SCORES ABOVE): ______

INTERN SIGNATURE:______

OBSERVER SIGNATURE (MENTOR/CTE/SUPERVISOR):______

Observation Follow-Up Form

Intern Name: Date:

Intern: Use this form to focus your discussion with your mentor/CTE/supervisor during your post-observation conference. You are responsible for completing this form and submitting it to your supervisor, attached to your lesson plan and the rest of this observation form. Note: This follow up form must be completed and your lesson plan must be submitted before your observation is considered official and recorded by your supervisor.

Behaviors to Continue / Behaviors to Improve
Domain A: Planning
Domain B: Class Environment
Domain C: Teaching
Domain D: Professionalism

Standards/Assessments: List the primary standard (objective, goal, or outcome) of this lesson, then identify its source (e.g., district standards, state standards, your personal experience). Finally, note the assessment tool used to evaluate the achievement of this standard.

Standard Source Assessment

Relevance/Adaptations: Briefly describe the ways in which you made this lesson relevant to your students’ lives or communities. Also, describe the ways in which you adapted this lesson based on the particular needs of your students.

College Outcomes/Artifacts: Choose at least one College outcome that this lesson addressed. List the outcome and the related artifact.

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