Republic of the Philippines

JOSE RIZAL MEMORIAL STATE UNIVERSITY

Dipolog Campus, Dipolog City

FIELD STUDY EVALUATION FORM

Semester: ________________ School Year: ________________

Field Study Student: ___________________________________Course/Year/Major: _____________

Cooperating School: ___________________________________________________________________
ResourceTeacher: _____________________________________________________________________

Direction: Please use the scale below to rate the Field Study Student’s Performance, encircle the number provided in
each item.
Legend: 5 - Outstanding
4 - Above average
3 - Average
2 - Needs improvement
1 - Needs extensive improvement

1. Punctuality 5 4 3 2 1
2. Friendliness 5 4 3 2 1
3. Personal appearance 5 4 3 2 1
4. Cooperative attitude with school personnel 5 4 3 2 1
5. Working relations with resource teacher 5 4 3 2 1
6. Awareness of student’s needs 5 4 3 2 1
7. Efficiency in keeping reports 5 4 3 2 1
8. Efficiency in the use of time 5 4 3 2 1
9. Enthusiasm 5 4 3 2 1
10. Initiative 5 4 3 2 1
11. Self-confidence 5 4 3 2 1
12. Emotional maturity 5 4 3 2 1
13. Optimism 5 4 3 2 1
14. Positive attitude towards others 5 4 3 2 1
15. Creative ability and leadership 5 4 3 2 1
16. Practice of professional ethics 5 4 3 2 1
17. Evidence of professional growth and development 5 4 3 2 1
18. Organized, teacher-like manner 5 4 3 2 1
19. Dependability 5 4 3 2 1
20. Adaptability 5 4 3 2 1

TOTAL POINTS: _______________

Formula to compute the rating: RATING: ______________________

Total Points x 50 +50 = ______ %

100 _________________________________________
Signature of Rater over Printed Name

Date: ____________________________________