WEST CHESTER UNIVERSITY (WCU) EARLY FIELD EXPERIENCES EVALUATION FORM FOR SCHOOLS AND CLASSROOM ASSIGNMENTS (Not

for Classroom or School Observations)

Candidates Name Subject Area/Grade Mentor Teacher School

Course Abbrev., No., & Section Course Name/Title WCU Faculty Member

Dates of Assignments

Directions: The statements on this form are characteristics and qualities that the Candidate is expected to demonstrate and which indicate the extent of his/her development at this point in the preparation sequence. As you carefully consider each item, please place an X in the box next to the level of performance that you think the Candidate demonstrated . Please select only one option for each section. The mentor teacher, either alone or in conjunction with the University Faculty Member/Course Instructor, prepares the evaluation of candidates in early field experiences. The University Faculty Member aggregates the results for the class. An aggregated summary and individual Candidates forms are sent to the Chairperson/Program Coordinator who forwards this Unit assessment to the Assessment Specialist in Recitation, Room 206C. Evaluation Scale (please select only one option for each section) 3 - Exemplary: Candidate performed at a level well beyond that expected of a novice (This rating should be reserved to highlight exceptional strengths.) 2 - Superior: Candidate performed commendably; reflective of successful efforts 1 - Acceptable: Candidate performed adequately with few exceptions; reflective of acceptable efforts 0 - Unacceptable: Candidate performed at a level less than acceptable; reflective of the need to strengthen and/or develop 00 - Not Applicable: Insufficient basis for judgment 1. Interaction with the Site-Based Teacher--Relationship 3 = Exemplary 2 = Superior 1 = Acceptable Consistently Consistently Frequently demonstrates a demonstrates a demonstrates a professional relationship professional relationship professional relationship with the site-based with the site-based with the site-based teacher through teacher through teacher through behaviors such as behaviors such as behaviors such as respect, courtesy, respect, courtesy, respect, courtesy, professional professional professional communication, and communication, and communication, and confidentiality--well confidentiality. confidentiality. beyond what would be expected of a novice teacher. 2. Interaction with the Site-Based Teacher--Feedback 3 = Exemplary 2 = Superior 1 = Acceptable Consistently asks Consistently asks for Frequently asks for for and receives and receives feedback and receives feedback feedback appropriately, appropriately, and acts appropriately, and acts and acts on on suggestions. on suggestions. suggestions--well beyond what would be expected of a novice

0 = Unacceptable Needs to show evidence of a professional relationship with the site-based teacher through behaviors such as respect, courtesy, professional communication, and confidentiality.

00 = Not Applicable Insufficient basis for judgment.

0 = Unacceptable Needs to demonstrate openness to and acceptance of feedback and/or needs to show effort in acting on constructive feedback.

00 = Not Applicable Insufficient basis for judgment.

WCU Early Field Experiences Evaluation Form for Schools and Classroom Assignments teacher.

WCU Early Field Experiences Evaluation Form for Schools and Classroom Assignments 3. Relationship with the Other Building Staff 3 = Exemplary 2 = Superior Consistently Consistently demonstrates demonstrates professional professional relationships with the relationships with the other building staff other building staff through behaviors such through behaviors such as respect, courtesy, as respect, courtesy, professional professional communication, and communication, and confidentiality--well confidentiality. beyond what would be expected of a novice teacher. 4. Interaction with the Students--Relationship 3 = Exemplary 2 = Superior Consistently Consistently maintains professional maintains professional relationships with the relationships with the students by students by demonstrating behaviors demonstrating behaviors such as professional such as professional boundaries, acceptance boundaries, acceptance of individual of individual differences, and respect differences, and respect for all students--well for all students. beyond what would be expected of a novice teacher. 5. Interaction with the Students--Learning 3 = Exemplary 2 = Superior Consistently shows Consistently shows respect for all students respect for all students as learners by as learners by demonstrating behaviors demonstrating behaviors such as: communicating such as: communicating appropriate high appropriate high expectations and expectations and motivating students to motivating students to achieve; holding achieve; holding students accountable for students accountable for their achievements and their achievements and behaviors; and behaviors; and accommodating learning accommodating learning by differentiating by differentiating practices and practices and assessments--well assessments. beyond what would be expected of a novice teacher. 1 = Acceptable Frequently demonstrates professional relationships with the other building staff through behaviors such as respect, courtesy, professional communication, and confidentiality. 0 = Unacceptable Needs to show evidence of professional relationships with the other building staff through behaviors such as respect, courtesy, professional communication, and confidentiality.

3 00 = Not Applicable Insufficient basis for judgment.

1 = Acceptable Frequently maintains professional relationships with the students by demonstrating behaviors such as professional boundaries, acceptance of individual differences, and respect for all students.

0 = Unacceptable Needs to show evidence of professional relationships with the students by demonstrating behaviors such as professional boundaries, acceptance of individual differences, and respect for all students.

00 = Not Applicable Insufficient basis for judgment.

1 = Acceptable Frequently shows respect for all students as learners by demonstrating behaviors such as: communicating appropriate high expectations and motivating students to achieve; holding students accountable for their achievements and behaviors; and accommodating learning by differentiating practices and assessments.

0 = Unacceptable Needs to show evidence of respect for all students as learners by demonstrating behaviors such as: communicating appropriate high expectations and motivating students to achieve; holding students accountable for their achievements and behaviors; and accommodating learning by differentiating practices and assessments.

00 = Not Applicable Insufficient basis for judgment.

WCU Early Field Experiences Evaluation Form for Schools and Classroom Assignments 6. Professionalism 3 = Exemplary Consistently demonstrates professional attributes such as appropriate dress, speech, and mannerisms--well beyond what would be expected of a novice teacher. 2 = Superior Consistently demonstrates professional attributes such as appropriate dress, speech, and mannerisms. 1 = Acceptable Frequently demonstrates professional attributes such as appropriate dress, speech, and mannerisms. 0 = Unacceptable Needs to show evidence of professional attributes such as appropriate dress, speech, and mannerisms.

4 00 = Not Applicable Insufficient basis for judgment.

7. Adherence to Building Policies 3 = Exemplary 2 = Superior Consistently adheres Consistently adheres to building policies and to building policies and procedures--well beyond procedures. what would be expected of a novice teacher. 8. Adherence to University Policies 3 = Exemplary 2 = Superior Consistently adheres Consistently adheres to University policies to University policies and procedures such as and procedures such as attendance, punctuality, attendance, punctuality, and completion of and completion of assignments--well assignments. beyond what would be expected of a novice teacher. 9. Preparedness 3 = Exemplary Consistently prepares for the daily aspects of curriculum and instruction--well beyond what would be expected of a novice teacher. 2 = Superior Consistently prepares for the daily aspects of curriculum and instruction.

1 = Acceptable Frequently adheres to building policies and procedures.

0 = Unacceptable Needs to show evidence of adherence to building policies and procedures.

00 = Not Applicable Insufficient basis for judgment.

1 = Acceptable Frequently adheres to University policies and procedures such as attendance, punctuality, and completion of assignments.

0 = Unacceptable Needs to show evidence of adherence to University policies and procedures such as attendance, punctuality, and completion of assignments.

00 = Not Applicable Insufficient basis for judgment.

1 = Acceptable Frequently prepares for the daily aspects of curriculum and instruction.

0 = Unacceptable Needs to show evidence of preparation for the daily aspects of curriculum and instruction.

00 = Not Applicable Insufficient basis for judgment.

10. Please indicate with an X placement: Art Functional/Daily Living Skills Music Other (Please specify: )

what content areas the candidate taught/tutored/experienced during this early field

English/Language Arts/Reading Health/Physical Education Science Yes

Foreign Language Mathematics Social Studies

11. Did the candidate experience an inclusive classroom?

No Yes No

12. Did the candidate work with students from diverse racial/ethnic/cultural groups?

WCU Early Field Experiences Evaluation Form for Schools and Classroom Assignments 13. Briefly summarize the types of projects and activities the candidate accomplished during this experience.

14. Please give an overall rating of the candidate in the completion of the tasks above. Please refer to page 1 of this form for definitions of the evaluation scale. Exemplary = 3 Superior = 2 Acceptable = 1 Unacceptable = 0 Not Applicable = 00

Mentor Teacher Signature/Date University Faculty Member Signature/Date Candidate Signature/Date

WCU Early Field Experiences Evaluation Form for Schools and Classroom Assignments

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09/21/2006