Classroom Observation Form
Clinton County Joint Services
Students Name
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Date of Observation
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Month
/
Day
Year
Date
Name of Observer
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Time Observation Began
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Hour Minutes
AM
PM
AM/PM Option
Name of Classroom Teacher
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Time Observation Ended
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Hour Minutes
AM
PM
AM/PM Option
1) Please describe the class as a whole.
A) Describe the activities (e.g., individual seatwork, teacher instruction, homework review, cooperative learning, test-taking.
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B) What is the content area (e.g., math, reading, spelling, etc)?
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C) What is the class size?
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D) Are there additional adults in the room (e.g., paraprofessionals, volunteers, etc)? If so, what is the role?
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2) Please focus on the student of concern
A) What is the child's position in the class (e.g., seated in the front, isolated, near the door)?
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B) How does the teacher interact with the student (e.g., does the teacher provide individual help to the student; what was the teachers proximity to the student)?
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C) Describe any unusual mannerisms of the child.
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D) Describe the students level of participation (e.g., volunteer wait to be called on) and describe his/her responses (e.g., accuracy of answers relevancy of participation).
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E) Describe the students interactions with peers (e.g., initiating contact, withdrawal appropriateness, disruptiveness, friendliness, etc.).
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F) How does the student react to changes in, or transitions between, activities?
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3) In comparison to other students in the class:
A) Describe the students activity level (e.g., fidgety, leaves seat often, low energy, same as peers, etc.).
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B) Describe the student's attention to tasks (e.g., focus, participation. promptness).
C) Describe the student's compliance with teacher directives
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4) What are your overall impressions of the student - what stands out about this student?
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