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Field Supervisor TEAM Observation Form
Candidate Name
*
First Name
Last Name
Gender
*
Female
Male
Other
Decline to Answer
Candidate Program (ITLU Undergraduate or , MEdITL graduate)
*
Ethnicity
Hispanic/Latino
Caucasian
African American/Black
Mixed Ethnicity
Other
unknown
Type a question
Not Satisfied
Somewhat Satisfied
Satisfied
Any thoughts?
Service Quality
Cleanliness
Responsiveness
Friendliness
Candidate Endorsement Area:
*
Elementary, K-5
Elementary + ELL, K-5
Elementary + SPED (dual)
Biology, 6-12
Business, 6-12
Chemistry, 6-12
English, 6-12
History, 6-12
Math, 6-12
Art, K-12
Music, K-12
Physical Education, K-12
Special Education Comprehensive, K-12
Special Education Interventionist, K-8
Special Education Interventionist, 6-12
Observation #
*
Please Select
1
2
3
4
5
6
Other
# If not listed
Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2028
2027
2026
2025
2024
2023
2022
2021
2020
Year
Semester
*
Please Select
Fall
Spring
Year
*
Please Select
2022
2023
2024
2025
2026
2027
2028
Please indicate the clinical practice of your candidate:
traditional undergraduate student teacher
2 plus 2 (undergraduate student teacher)
traditional graduate student teacher
job embedded graduate
GYO/Apprentice
Cooperating Teacher
*
First Name
Last Name
Field Supervisor
*
First Name
Last Name
Placement Number
*
1st placement
2nd placement
Other
School Site
*
Grade
*
Subject
*
Time
Time of Day - From When to When
Designing and Planning Instruction
Designing and Planning Instruction
*
Significantly Above Expectations (5)
(4)
At Expectations (3)
(2)
Significantly Below Expectations (1)
N/A - No Evidence
Instructional Plans (IP)
Student Work (SW)
Assessment (AS)
Learning Environment
*
Significantly Above Expectations (5)
(4)
At Expectations (3)
(2)
Significantly Below Expectations (1)
N/A - No Evidence
Expectations (EX)
Managing Student Behavior (MSB)
Environment (ENV)
Respectful Culture (RC)
Instruction
*
Significantly Above Expectations (5)
(4)
At Expectations (3)
(2)
Significantly Below Expectations (1)
N/A - No Evidence
Standards and Objectives (SO)
Motivating Students (MS)
Presenting Instructional Content (PIC)
Lesson Structure and Pacing (LS)
Activities and Materials (ACT)
Questioning (QU)
Academic Feedback (FEED)
Grouping Students (GRP)
Teacher Content Knowledge (TCK)
Teacher Knowledge of Students (TKS)
Thinking (TH)
Problem Solving (PS)
Areas of Strength (Reinforcement Objective)
Areas to Strengthen (Refinement Objective)
Comments on Observation (OPTIONAL)
Observer Signature
Candidate Signature
Submit
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