EmailMe Form - MA 470 - Teaching Secondary School Math

Student Name *

First Last

Field Experience Evaluation Term *

2026 Fall Term

2026 Winter Term

Supervising Teacher *

First Last

Supervising Teacher's Class/Grade *

Supervising Teacher's School *

Supervising Teacher's School District *

PLEASE USE THE FOLLOWING RATING SCALE

1-Recommend Intervention (The Education office will address these concerns)
2-Developing (Below average behaviors and participation)
3-Proficient (Appropriate behaviors and participation)
4-Exemplary (Outstanding behaviors and participation)
NA-Not Applicable at this time

1. Planning

2. Instruction

Takes initiative to interact with diverse students *

Inquires about an effective classroom learning environment *

3. Assessment

Inquires about assessment purposes *

4. Professional Responsibilities

Demonstrates effective verbal and nonverbal communication *

Develops a professional relationship with students *

Shows responsibility for being present and ready for assigned tasks *

Exhibits professional qualities in dress and behavior *

Elicits a positive response from others *

Leads and serves within the classroom *

Shows promise for being an effective teacher and reflective teacher *

COMMENTS

All comments are helpful but are especially important for 1 or 4 ratings. Students receiving 1 ratings will complete an intervention. Students receiving 4 ratings demonstrate exceptional promise. Thank you.

Please record your comments:

Date *

MM / DD / YYYY

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