Professional Documents
Culture Documents
Student Name:
Host Teacher: Host School:
Grade Level/Content Area: Dates of Internship:
Date Day Time In Time Out Date Day Time In Time Out
For the following attributes, rate the student according to the following scale:
4= Superior, outstanding The teacher becomes a mediator of
3= Strong, above average knowledge, a promoter of dignity,
responsibility and self-worth, and a
2= Average coordinator of learning by developing
1= Below average professionally. The student will have access
to this information.
0= Inadequate
Professional Development: A B C D F
4 3 2 1 0
A. Enthusiasm working with students and X
engaged in lessons
B. Laptop and Cell Phone Put Away (unless X
for an assignment)
C. Responsibility- Completion of tasks and X
willingness to get involved
D. Rapport- ability to relate to students X
E. Appearance clean, dressed like a X
teacher
F. Courtesy and tact uses appropriate X
teacher language
G. Self-confidence jumps in and takes X
initiative without being asked
H. Attendance punctual and communicates X
with host teacher when needed
Comments: Emily is very conscientious and aware of classroom needs.
Verified by
Julie Bono 12/8/17
Host Teacher Date
Student Date