secondary education forms packet
TRANSCRIPT
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(Forms and other materials also available online at:
www.education.uiowa.edu/students/sfe) 13-14
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STUDENT TEACHER ACTIVITIES CHECKLIST
The following orientation experiences are appropriate for the beginning weeks of the student teaching assignment. Efforts
should be made to complete and check off the activities appropriate to your assignment.
I. GENERAL ORIENTATION EXPERIENCES
meet building personnel: locate building areas:
____principal ____toured the building
____secretary ____IMC/library
____unit teachers ____outdoor areas
____other teachers ____cafeteria
____special teachers ____gymnasium
____custodian ____teachers' work area
____other personnel (media, etc.) ____office (nurse)
____supply room/available technology
II. DISCUSSION WITH COOPERATING TEACHER
school policy: unit or room policy:
____discipline ____classroom rules
____fire/disaster/tornado drill ____curriculum materials
____lockdown procedures ____teacher manuals
____injures/illness ____basic routines
____absence ____management techniques
____faculty meetings ____students with special needs
____parking ____record keeping
____school calendar ____grouping
____use of IMC ____available resources
____use of copy equipment, etc. ____cross-cultural issues
III. OBSERVATION OF THE COOPERATING TEACHER'S PROCEDURES:
____lecture ____questioning techniques
____use of textbook ____reinforcement
____discussion ____feedback
____time management ____student/teacher interaction
____whole class work ____directions
____small group work ____listening
____cooperative learning ____synthesis
____groups work simultaneously ____conclusions/closure____individualization ____evaluation
____students with disabilities ____management/discipline
____gifted children ____motivational strategies
____ELL children ____short term objectives
____communication ____long range objectives
____pacing ____parent/teacher interaction
____lesson plans ____teacher/teacher interaction
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UI Secondary Education Student Teacher
Emergency Notification
Student Name____________________________________________________________Please print legibly
Emergency Contact Person#1________________________________________________
Phone Number___________________________________________________________
Emergency Contact Person#2________________________________________________
Phone Number___________________________________________________________
If possible, please take me to _______________________________________________Hospital Name
Dr. Name and Phone#______________________________________________________
Allergies or other medical information that might be required:
UI Secondary Education Student Teacher
Emergency Notification
Student Name____________________________________________________________Please print legibly
Emergency Contact Person#1________________________________________________
Phone Number___________________________________________________________
Emergency Contact Person#2________________________________________________
Phone Number___________________________________________________________
If possible, please take me to _______________________________________________Hospital Name
Dr. Name and Phone#______________________________________________________
Allergies or other medical information that might be required:
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THE UNIVERSITY OF IOWA STUDENT TEACHING PROPOSAL
(tentative plan of semester activit ies to be completed by the Student Teacher and Cooperating Teacher)
Student Teacher_________________________________________ Date_______________________________
School _______________________________________________ District______________________________
Cooperating Teacher________________________________ Grade Level ____________________________
TERMS OF PROPOSAL
1. Dates of Experience:___________________________________________________________
2. Length of Student Teaching Day--from:____________________to:___________________
3. Student teachers adhere to the local school district calendar.
4. Report all absences or unexpected tardiness to the following people (include phone #):
a.______________________________________________________________________________
b.______________________________________________________________________________
5. Student teaching assignment and activities will include:
___________________________ _________________________ __________________________
Cooperating Teacher Student Teacher College Supervisor
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Student Field Experiences Midterm Final College of Education Cooperating Teacher The University of Iowa Student Teacher
College Supervisor SECONDARY STUDENT TEACHING EVALUATION FORM
(See key on page 41 of Student Teaching Handbook)
Student: Cooperating Teacher:
School Assignment: College Supervisor:
Date: Recommended Grade: Interactive: Satisfactory FailPre & Post Active: Satisfactory Fail
RATINGS: Relative to Student Teachers ability to Meet State Teaching Performance Standards
N=Not Observed 1=Does Not 2=Approaching 3=On Target 4=High Degree 5=Exceptional
STATE PERFORMANCE STANDARD RATING EVIDENCE/COMMENTS
A. STUDENT LEARNING
Learning Theories N 1 2 3 4 5
Multiple Levels of Thinking N 1 2 3 4 5Questioning Skill N 1 2 3 4 5
Student Feedback N 1 2 3 4 5
B. DIVERSE LEARNERS
Respects All Students N 1 2 3 4 5
Responds to Diversity N 1 2 3 4 5
Consideration of Individual Differences N 1 2 3 4 5
Level of Instruction N 1 2 3 4 5
C. PLANNING INSTRUCTION
Lesson Organization N 1 2 3 4 5
Daily Planning & Preparation N 1 2 3 4 5
Resources in Planning N 1 2 3 4 5
Initiative N 1 2 3 4 5
Creativity N 1 2 3 4 5
Procedures & Management N 1 2 3 4 5
Meets Deadlines N 1 2 3 4 5
Time Management N 1 2 3 4 5
Long-range Planning N 1 2 3 4 5
Original Unit N 1 2 3 4 5
D. INSTRUCTIONAL STRATEGIES
Variety of Instructional Techniques N 1 2 3 4 5Skill in Teaching Content N 1 2 3 4 5
Introductions, Transitions, & Conclusions N 1 2 3 4 5
Adaptability/Flexibility N 1 2 3 4 5
E. LEARNING ENVIRONMENT
Interactions with Students N 1 2 3 4 5
Perceptive & Responsive to Student Behavior N 1 2 3 4 5
Consistency in Expectations of Behavior N 1 2 3 4 5
Anticipation & Management of Problems N 1 2 3 4 5
Room Appearance & Environment N 1 2 3 4 5
System for Student Self-Management N 1 2 3 4 5
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RATINGS: Relative to Student Teachers ability to Meet State Teaching Performance Standards
N=Not Observed 1=Does Not 2=Approaching 3=On Target 4=High Degree 5=Exceptional
STATE PERFORMANCE STANDARD RATING EVIDENCE/COMMENTS
F. COMMUNICATION
Written English N 1 2 3 4 5
Spoken English N 1 2 3 4 5
Interest & Enthusiasm N 1 2 3 4 5
Appreciation & Utilization of Humor N 1 2 3 4 5
Language of Subject Matter N 1 2 3 4 5
G. ASSESSMENT
Formative Assessments N 1 2 3 4 5
Summative Assessments N 1 2 3 4 5
Communicates Progress Criteria N 1 2 3 4 5
Record Keeping N 1 2 3 4 5
H. REFLECTION AND PROFESSIONAL DEVELOPMENT
Skill in Self Evaluation N 1 2 3 4 5
Acceptance of Suggestions and Criticism N 1 2 3 4 5
Implementation of Suggestions/Criticism N 1 2 3 4 5
Learns From Experience N 1 2 3 4 5
Participation in Seminar & School Meetings N 1 2 3 4 5
Video Self-Assessment N 1 2 3 4 5
Portfolio N 1 2 3 4 5
I. COLLABORATION, ETHICS, AND RELATIONSHIPS
Self-Confidence N 1 2 3 4 5
Social Warmth N 1 2 3 4 5Reliability, Responsibility, & Ethics N 1 2 3 4 5
Professional Relationships N 1 2 3 4 5
Personal Appearance & Demeanor N 1 2 3 4 5
J. TECHNOLOGY
Incorporates Technology in Teaching N 1 2 3 4 5
Appropriate Choice of Materials N 1 2 3 4 5
Effective Implementation N 1 2 3 4 5
K. SUBJECT MATTER KNOWLEDGE
Possesses Content Knowledge N 1 2 3 4 5
Extends Content Knowledge N 1 2 3 4 5
COMMENTS ON STRENGTHS AND AREAS FOR CONTINUED GROWTH: (Response required from student teachers.)
Signature/Date
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SECONDARY PROGRAM AREA (cover sheet)
MIDTERM EVALUATION FOR SECONDARY STUDENT TEACHING
(Completed by Cooperating Teacher and College Supervisor at 3-way conference)
Student Teacher UID#
Assignment
(School) (District)
(Area/Level)
(Dates)
Interactive Phase Recommended Evaluation: Satisfactory Fail
Pre-/Post-Active Phases Recommended Evaluation: Satisfactory Fail
Cooperating Teacher Signature
Date
Interactive Phase Recommended Evaluation: Satisfactory Fail
Pre-/Post-Active Phases Recommended Evaluation: Satisfactory Fail
College Supervisor Signature
Date
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RATINGS: Relative to Student Teachers ability to Meet State Teaching Performance Standards
N=Not Observed 1=Does Not 2=Approaching 3=On Target 4=High Degree 5=Exceptional
STATE PERFORMANCE STANDARD RATING EVIDENCE/COMMENTS
F. COMMUNICATION
Written English N 1 2 3 4 5
Spoken English N 1 2 3 4 5
Interest & Enthusiasm N 1 2 3 4 5
Appreciation & Utilization of Humor N 1 2 3 4 5
Language of Subject Matter N 1 2 3 4 5
G. ASSESSMENT
Formative Assessments N 1 2 3 4 5
Summative Assessments N 1 2 3 4 5
Communicates Progress Criteria N 1 2 3 4 5
Record Keeping N 1 2 3 4 5
H. REFLECTION AND PROFESSIONAL DEVELOPMENT
Skill in Self Evaluation N 1 2 3 4 5
Acceptance of Suggestions and Criticism N 1 2 3 4 5
Implementation of Suggestions/Criticism N 1 2 3 4 5
Learns From Experience N 1 2 3 4 5
Participation in Seminar & School Meetings N 1 2 3 4 5
Video Self-Assessment N 1 2 3 4 5
Portfolio N 1 2 3 4 5
I. COLLABORATION, ETHICS, AND RELATIONSHIPS
Self-Confidence N 1 2 3 4 5
Social Warmth N 1 2 3 4 5Reliability, Responsibility, & Ethics N 1 2 3 4 5
Professional Relationships N 1 2 3 4 5
Personal Appearance & Demeanor N 1 2 3 4 5
J. TECHNOLOGY
Incorporates Technology in Teaching N 1 2 3 4 5
Appropriate Choice of Materials N 1 2 3 4 5
Effective Implementation N 1 2 3 4 5
K. SUBJECT MATTER KNOWLEDGE
Possesses Content Knowledge N 1 2 3 4 5
Extends Content Knowledge N 1 2 3 4 5
COMMENTS ON STRENGTHS AND AREAS FOR CONTINUED GROWTH: (Response required from student teachers.)
Signature/Date
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A URL li nk to the evaluation form wi ll be email ed to the cooperating teacher
Please select appropriate field experience:
Elementary Secondary
Practicum
Student Teaching
Art
Music
English
ESL
Foreign Language
Mathematics
Science
Social Studies
Special Education
Cooperating Teacher Evaluation of College Supervisor
Name of College Supervisor: ___________________________________________________
Instructions: Please circle the number (1-5) corresponding to the description that most accurately describes
your College Supervisor. Feel free to comment on individual items where appropriate.
Scale: N = No Opportunity 1 = Poor 2 = Fair 3 = Satisfactory 4 = Good 5 = Excellent
The Col lege Supervisor:
1. Effectively communicated expectations N 1 2 3 4 5
2. Set a good example as a professional N 1 2 3 4 5
3. Provided relevant and useful feedback N 1 2 3 4 5
4. Maintained an attitude of encouragement and showed interest N 1 2 3 4 5
in the fieldexperience students progress
5. Made himself-herself available when needed. N 1 2 3 4 5
6. I would be interested in hosting another field experience student. YES NO
Additional comments (may be continued on back of page):
Signature: _________________________________
Date: ____________________
Submission may either be to thi s address
or a URL which wi ll be emailed to you:
Office of Student Field Experiences
The University of Iowa
N310 Lindquist Center
Iowa City, IA 52242-1529
For office use only
This evaluation was reviewed with the College Supervisor: YES NO Date: __________
By whom: ___________________________________________________
Signature: ____________________________________________________
Comments:
Supervisor Signature: ___________________________________________
Supervisor's Comments:
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MockEvaluationofStudentTeachersontheIowaTeachingStandards
June2003
HouseFile549(spring2003)mandatedthatIowasTeacherPreparationProgramsprovideastudentteachingexperiencethatincludesopportunitiesforthestudentteachertobecomeknowledgeableabouttheIowateachingstandards,includingamockevaluationperformedbythecooperatingteacher.
Themockevaluationshallnotbeusedasanassessmenttoolbythepractitionerpreparationprogram.Thismockevaluationdoesnotrequirethattheevaluatorbestateevaluatorapprovedorthatthestudentteacherprovidedocumentationtosupportcompetence.
StudentTeacher:_________________________________________________________ Date:____________________GradeLevel(s)____________________________Subject(s):_______________________________________________SponsoringInstitution:____________________________________SchoolDistrict:______________________________CooperatingTeacher:______________________________________School:__________________________________Thisformwascompletedby:
___ Student Teacher ___Cooperating Teacher/Designee ___ Other: ________________Directions:Studentsshouldcompletethisform,asaself-assessment,duringtheendofthestudentteachingsemester.Cooperatingteacherswillcompletethesameform,andpriortotheendofthesemesterthestudentteacherandcooperatingteacherwillcompareanddiscusstheirperceptions.Thisformisforthestudentteachersuseonly.Thesponsoringinstitutionwillnotreceiveacopy. I. DEMONSTRATE ABILITY TO ENHANCE ACADEMIC PERFORMANCE AND SUPPORT FOR AND
IMPLEMENTATION OF THE SCHOOL DISTRICTS STUDENT ACHIEVEMENT GOALS.Theteacher:a. Providesevidenceofstudentlearningtostudents,families,andstaff.b. Implementsstrategiessupportingstudent,building,anddistrictgoals.c. Usesstudentperformancedataasaguidefordecisionmaking.d. Acceptsanddemonstratesresponsibilityforcreatingaclassroomculturethatsupportsthelearningofeverystudent.e. Createsanenvironmentofmutualrespect,rapport,andfairness.f. Participatesinandcontributestoaschoolculturethatfocusesonimprovedstudentlearning.g. Communicateswithstudents,families,colleagues,andcommunitieseffectivelyandaccurately.
Strengths:
Areas for Improvement:
II. DEMONSTRATES COMPETENCE IN CONTENT KNOWLEDGE APPROPRIATE TO THE TEACHINGPOSITION.Theteacher:
a.
Understandsanduseskeyconcepts,underlyingthemes,relationships,anddifferentperspectivesrelatedtothecontentarea.b. Usesknowledgeofstudentdevelopmenttomakelearningexperiencesinthecontentareameaningfulandaccessible
foreverystudent.c. Relatesideasandinformationwithinandacrosscontentareas.d. Understandsandusesinstructionalstrategiesthatareappropriatetothecontentarea.
Strengths:
Areas for Improvement:
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III. DEMONSTRATES COMPETENCE IN PLANNING AND PREPARING FOR INSTRUCTION.Theteacher:a. Usesstudentachievementdata,localstandardsandthedistrictcurriculuminplanningforinstruction.b. Setsandcommunicateshighexpectationsforsocial,behavioral,andacademicsuccessofallstudents.c. Usesstudentdevelopmentalneeds,background,andinterestsinplanningforinstruction.d. Selectsstrategiestoengageallstudentsinlearning.e. Usesavailableresources,includingtechnologies,inthedevelopmentandsequencingofinstruction.
Strengths:
Areas for Improvement:
IV. USES STRATEGIES TO DELIVER INSTRUCTION THAT MEETS THE MULTIPLE NEEDS OF STUDENTS.
Theteacher:a. Alignsclassroominstructionwithlocalstandardsanddistrictcurriculum.b. Usesresearch-basedinstructionalstrategiesthataddressthefullrangeofcognitivelevels.c. Demonstratesflexibilityandresponsivenessinadjustinginstructiontomeetstudentneeds.d. Engagesstudentsinvariedexperiencesthatmeetdiverseneedsandpromotesocial,emotional,andacademic
growth.e. Connectsstudentspriorknowledge,lifeexperiences,andinterestsintheinstructionalprocess.f. Usesavailableresources,includingtechnologies,inthedeliveryofinstruction.
Strengths:
Areas for Improvement:
V. USES A VARIETY OF METHODS TO MONITOR STUDENT LEARNING.
Theteacher:a. Alignsclassroomassessmentwithinstruction.b. Communicatesassessmentcriteriaandstandardstoallstudentsandparents.c. Understandsandusestheresultsofmultipleassessmentstoguideplanningandinstruction.d. Guidesstudentsingoalsettingandassessingtheirownlearning.e. Providessubstantive,timely,andconstructivefeedbacktostudentsandparents.f. Workswithotherstaffandbuildinganddistrictleadershipinanalysisofstudentsprogress.
Strengths:
Areas for Improvement:
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VI. DEMONSTRATES COMPETENCE IN CLASSROOM MANAGEMENT.Theteacher:a. Createsalearningcommunitythatencouragespositivesocialinteraction,activeengagement,andself-regulationfor
everystudent.b. Establishes,communicates,modelsandmaintainsstandardsofresponsiblestudentbehavior.c. Developsandimplementsclassroomproceduresandroutinesthatsupporthighexpectationsforlearning.d. Usesinstructionaltimeeffectivelytomaximizestudentachievement.e. Createsasafeandpurposefullearningenvironment.
Strengths:
Areas for Improvement:
VII. ENGAGES IN PROFESSIONAL GROWTH.Theteacher:a. Demonstrateshabitsandskillsofcontinuousinquiryandlearning.b. Workscollaborativelytoimproveprofessionalpracticeandstudentlearning.c. Appliesresearch,knowledge,andskillsfromprofessionaldevelopmentopportunitiestoimprovepractice.d. EstablishesandimplementsprofessionaldevelopmentplansbasedupontheteacherneedsalignedtotheIowa
TeachingStandardsanddistrict/buildingstudentachievementgoals. Strengths:
Areas for Improvement:
VIII. FULFILLS PROFESSIONAL RESPONSIBILITES ESTABLISHED BY THE SCHOOL DISTRICT.
Theteacher:a. Adherestoboardpolicies,districtprocedures,andcontractualobligations.b. Demonstratesprofessionalandethicalconductasdefinedbystatelawandindividualdistrictpolicy.c. Contributestoeffortstoachievedistrictandbuildinggoals.d. Demonstratesanunderstandingofandrespectforalllearnersandstaff.e. Collaborateswithstudents,families,colleagues,andcommunitiestoenhancestudentlearning.
Strengths:
Areas for Improvement:
_____________________________________ ____________ ____________________________________ ____________Student Signature Date Cooperating Teacher or Designee Signature Date