FORM A

PRACTICUM STUDENT INFORMATION

Semester: ___________
A. PERSONAL INFORMATION
Name :__________________________________
ID

:______________________

Address:
____________________________________________________________
____________________________________________________________
Zip Code

: __________________

Phone (Day): ______________

Phone (Eve) : __________________

E-mail

: __________________________

B. PRACTICUM ASSIGNMENT
Supervisor/ Principal/ Teaching Staff: ______________________________
School Assigned

: ______________________

Grade Level

:_______________

C. STATEMENT
This is to certify that:
I

personally

attended

Practicum

IV

Orientation

Briefing

prior

to

commencement of the Practicum

I have read and fully understand the information and guidance provided in
the Students Practicum Handbook
I am ready to commence the Practicum

____________________
(Students Signature)

_________________
(Date)

PRACTICUM SCHEDULE
Name: _________________________________ Students ID:________________
Practicum School: __________________________Phone No: ___________
Practicum will commence on: _________________and end on: __________

SCHEDULE

Weekly Schedule
WEEK

ACTIVITIES/ DUTIES

REMARKS

Approved By:

..
(Students Signature

.
(Principal/ Teaching Staffs Signature)

.
(Supervisors Signature)

Form B
WEEKLY RECORD OF ACTIVITIES
____________________________________________________________

Student: _________________________ Students ID: _________________

WEEK:
*For students to list activities/ duties for the week.

* For students to fill in daily activities/ duties for the week.

DATE/DAY

ACTIVITIES/ DUTIES

REMARKS

Lesson Plan Format

THEME: SAFETY

WEEK 1 THEME: FIRE SAFETY

SUBJECT

: Mathematics

DEVELOPMENT AREA

: Cognitive development

ACTIVITY

: Sorting flammable and inflammable items

OBJECTIVE

: At the end of the lesson, the child must be able to:

1. identify things that can burn and things that cannot
burn.
2. discriminate between things that can burn and things
that cannot burn.
3. sort things that can burn and things cannot burn into
two distinct sets.
4. classify objects by condition: can burn or cannot burn.

INTEGRATED DEVELOPMENT

: Through this activity, the child will also be able to

achieve these objectives in the following areas of development:

1. Language to learn new vocabulary i.e. candle, stove, matches, paper, plastic,
metal, glass
2. Art and Craft to create a poster collage on objects that can burn and objects
that cannot burn using construction paper, pictures and glue
3. Moral to know the danger of fire and things that burn
DURATION

: 30 minutes

TIME

: Monday

AGE GROUP

: 6 years

MATERIALS

:
1. picture cards of objects in school and at home that can
burn, example matches, paper, candles, stove and
burner, lighter, cigarettes, electrical outlets and switches,
petrol, iron and cloth, gas cylinder, open flame and
campfire, barbeque grill etc.
2. picture cards of objects in school and at home that
cannot burn for example plastic containers, rubber
tubing, metal utensils, glassware, ceramic ware, plastic
toys and crayons.
3. word labels for the objects on the picture cards
4. construction paper, scissors and glue

PROCEDURE

1. Teacher prepares picture cards of objects that can burn

and that cannot burn which are usually found in the
school and home, one set of each kind of card for every
group of four children.
2. Teacher divides children into groups if four.
3. Teacher explains that things that burn are things that
can cause fire or catch fire and become hot. These
things can be dangerous. Teacher also explains that
some things do not burn easily.
4. She shows pictures of these objects using her set of
picture cards during the explanation so that the children
are able to identify, recognize and discriminate these
objects easily. Teacher also shows word labels to identify
each picture.
5. Every group is then given a set of picture cards showing
objects that can burn and objects that cannot burn,
similar to the picture cards that the teacher used during
her explanation, and the appropriate word labels for the
objects in the picture cards.
6. Every group is also given two sheets of construction
papers and glue.
7. The children are then asked to sort the picture cards into
two sets based on the property of objects that can
burn and objects that cannot burn.
8. Teacher facilitates while the children glue two sets of
pictures with the correct word labels onto separate
pieces

of

construction

paper. Their

work

is

then

displayed at the Fire Safety Theme Centre in the

classroom.
EXTENSION ACTIVITY

: A worksheet showing harmful objects that can burn

easily. The child must mark X on the pictures of the
things that can burn or cause fire.

REFLECTION

*****

Form D
WEEKLY FORMATIVE PRACTICUM EVALUATION
Student

: ____________________________ Students ID: _____________

School

: ______________________________

Principal/ Teaching Staff : ____________________________

Supervisor

:_____________________________
Evaluation

(Ratings:

4=Exceeds expectations

1=Unsatisfactory

3=Meets expectations

2=Improvement needed

0=Not observed)

A.

Personal Qualities

1.

Appearance

______

2.

Punctuality

______

3.

Reliability

______

4.

Adaptability

______

5.

Cooperation

______

Comments/ Remarks

B. Professional Qualities: Communication, Human Development and Learning, and Roles

of the Teacher
1.

Open, flexible teaching personality

______

2.

Respect for other professionals

______

3.

Maturity of judgment

______

4.

Awareness of physical and social

development of students

5.

______

Command of oral and written

Language

6.

______

Communicates and works with all

families and/or colleagues

______

7.

Displays problem solving skills

______

8.

Creates an environment which

fosters diversity

9.

Comments/ Remarks

______

Reflects on performance and seeks

continuous improvement

______

C. Knowledge of Subject Matter: Demonstrates knowledge and understanding of the

subject matter
Comments/ Remarks
1.

Knowledge in subject area

______

2.

Techniques and methodology

3.

Applicability and adaptation

______

of materials for all students

4.

including diverse learners

______

Knowledge of terminology

______

D. Planning: Plans, implements, and evaluates effective instruction in a variety of learning

environments
Classroom Management/Learning Environments
1.

Formulates a standard of
behavior for all students

2.

______

Deals fairly with all

students

4.

______

Demonstrates a positive
attitude toward all students

3.

Comments/ Remarks

______

Effectively manages classroom

routine to maximize learning

______

Instructional Skills
5.

Prepares effectively for lessons

6.

Identifies short and long term

objectives

7.

______
______
Comments/ Remarks

Effectively delivers instruction:

relates new content to prior
knowledge, uses a variety of
strategies, develops
appropriate modifications for all
students including diverse learners

8.

Actively involves all students:

Motivates learners; asks probing
questions, develops and uses
activities that promote active

______

student participation; creative and

stimulating
9.

______

Appropriate sequencing for all

students including diverse learners

10.

______

Integrates technology when

appropriate

______

11. Uses and/or collects assessment

data to plan and evaluate instruction ______
12.

Provides student feedback and

reports pupil progress

13.

______

Assessment data indicates that

instruction resulted in students
learning

______

Principal/ Teaching Staffs Signature: _______________

Date:________________
Period of Evaluation:_______________________________

Form E
FINAL SUMMATIVE REPORT OF PRACTICUM
Name

:_____________________________

Students ID:_____________

Practicum

: _________________

Term: _______ Year: ______

School

: _________________________________________

Subject

: _________________________________________
Evaluation

(Ratings:

4=Exceeds expectations

needed

1=Unsatisfactory

3=Meets expectations

2=Improvement

0=Not Observed

ASSESSMENT
Uses assessment strategies to assist the continuous development of the learner. Evaluates
student achievement determines developmental levels and needs uses a variety of effective
evaluation

techniques

and

instruments

to

complement

instruction

evaluates

teaching/learning and makes appropriate adjustments.

Comments/ Remarks

COMMUNICATION
Uses effective communication techniques with students and all other stakeholders. Speaks
coherently, logically writes in easily understood style with correct grammar and spelling;
uses appropriate non-verbal modes of communication and voice modulation to establish
rapport.

Comments/ Remarks
_______

CONTINUOUS IMPROVEMENT
Engages in continuous professional quality improvement for self and school. Reflects respect
for diverse perspectives, ideas, and opinions in planned learning activities learns from peers

and

colleagues

organizational

and

develops

policies/procedures

professional

relationships

demonstrates

professional

complies
ethics

with

necessary

fulfills

teaching

responsibilities participates in extra-curricular activities

Comments/ Remarks

CRITICAL THINKING
Uses appropriate techniques and strategies which promote and enhance critical, Creative
and evaluative thinking capabilities of students. Provides opportunities for students to learn
higher-order thinking skills poses problems, dilemmas, and questions in lessons.

Comments/ Remarks

DIVERSITY
Uses teaching and learning strategies that reflect each students culture, learning styles,
special needs and socioeconomic background. Fosters a learning environment in which all
students are treated equitably recognizes the cultural, linguistic and experiential diversity of
students recognizes students learning styles and cultural and linguistic diversity and
provides for a range of activities; employs techniques useful in creating a climate of
openness, mutual respect, support and inquiry.
Comments/ Remarks

ETHICS
Adheres to the Code of Ethics and Principles of Professional Conduct. Makes reasonable
effort to protect students from conditions harmful to learning and/or to the students mental
and/or physical health and/or safety maintains honesty in all professional dealings.

Comments/ Remarks

HUMAN DEVELOPMENT AND LEARNING

Uses an understanding of learning and human development to provide a positive learning
environment which supports the intellectual, personal, and social development of all
students. Uses multiple activities, which engage and motivate students at appropriate
developmental levels.

Comments/ Remarks

KNOWLEDGE OF SUBJECT MATTER

Demonstrates knowledge and understanding of subject matter. Possesses knowledge of the
major concepts, vocabulary, and inquiry methods of the subject

matter

field

integrates

subject with other areas of study; uses a variety of strategies/methods, materials and
activities; is creative and stimulating; relates subject matter to experiences of students;
provides

instruction

to

individual,

small

groups

or

large

groups

with

appropriate

modifications and interventions.

Comments/ Remarks

LEARNING ENVIRONMENTS
Creates and maintains positive learning environments in which students are actively
engaged in learning, social interaction, cooperative learning and self-motivation. Recognizes
cognitive, linguistic, and affective needs of individual students and arranges learning

environments and activities to meet these needs; facilitates student development in

integrating new knowledge applying new learning in problem-solving and decision making,
acquiring desirable attitudes toward learning, and promoting high standards of academic
performance; manages student behavior through positive discipline; monitors flow of
students and events during instruction to maximize learning; design space, routines,
records, materials, activities for optimal learning to occur.

Comments/ Remarks

PLANNING
Plans, implements, and evaluates effective instruction in a variety of learning environments;
Plans appropriate daily and long-range lessons; states objectives in terms of outcomes.
Evaluates plans against objectives; involves students in setting objectives; incorporates
school and community resources.

Comments/ Remarks

ROLE OF THE TEACHER

Works with various education professionals, parents, and other stakeholders in the
continuous improvement of the educational experiences of students. Believes all students

can learn and succeed cares and accepts all students; accords genuine respect and courtesy
to students; responds positively to students requests for help.
Comments/ Remarks

TECHNOLOGY
Uses appropriate technology in teaching and learning processes; teaches students to use
available computers and other forms of technology; uses technology in lesson and material
preparation.

Comments/ Remarks

Principal/ Teaching Staff: ________________________

REPORT OF PRACTICUM (Continued)

Summative Comments:

Date: ____________

Principal/ Teaching Staff

: ________________________

Date: ____________

Supervisor

: ________________________

Date: _____________

Form F
EVALUATION OF LESSON PLAN/TEACHING EFFECTIVENESS
Name

: __________________________________ Date: _______________

Title of Lesson:

_________________________________________________________________
School:
_________________________________________________________________
Principal/ Teaching Staff/ Supervisor
_________________________________________________________________
Evaluation
(Ratings:

4=Exceeds expectations

1=Unsatisfactory

3=Meets expectations

2=Improvement needed

0=Not Observed)

A. Planning Instruction

Comments/ Remarks

Deciding What to Teach

1. Assess, analyze, and identify student skill
development

______

2. Identify gaps between performance levels

______

3. Consider contextual variables

______

Deciding How to Teach

4. Establish and prioritize appropriate goals
and instructional objectives

______

5. Select appropriate instructional methods

and materials
6. Establish grouping structures

______
______

7. Paces instruction and covers content

appropriately
8. Integrates technology when appropriate

_______
______

Comments/ Remarks
B. Managing Instruction
Preparing for Effective Instruction
1. Effectively manages classroom routine
to maximize learning
2. Formulates a standard of behavior and

______

deals fairly with all students

______

3. Maintains academic focus and paces

instructions appropriately

______

4. Maximizes student learning and behavior

through positive discipline

______

5. Establish positive classroom environment

i.e., pleasant, safe, and friendly
C.

______

Delivering Instruction

Effectively Delivers Instruction

Comments/ Remarks

1. Speaks coherently; uses appropriate verbal

and nonverbal skills

______

2. Motivates learners

______

3. Relates new content to prior knowledge

______

4. Employs a variety of strategies including

questioning

______

5. Uses appropriate modifications for all

students including diverse learners

______

6. Promotes active student participation

______

7. Appropriate sequencing for all students

including diverse learners
8. Provides clear directions

______
______

9. Monitors student performance and provides

feedback as necessary

______
Comments/ Remarks

D. Evaluating Instruction
1. Uses a variety of evaluation techniques
and instruments

______

2. Uses and/or collects assessment data

to plan and evaluate instruction

______

3. Provides student feedback and

reports pupil progress

______

4. Assessment data indicates that

instruction resulted in student learning

______

..
Principal/ Teaching Staff/ Supervisors Signature:

EVALUATION OF LESSON PLAN/TEACHING EFFECTIVENESS (Continued)

Describe three teaching strengths related to this lesson:

1.

2.

3.

Describe three areas of needed improvement related to this lesson:

1.

2.

3.