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  • 7/27/2019 Secondary Education Forms Packet

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    (Forms and other materials also available online at:

    www.education.uiowa.edu/students/sfe) 13-14

    http://www.education.uiowa.edu/students/sfe
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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