Midway College Teacher Education

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Field Placement Student Assessment

Student First Name*	Last Name*
Supervising Teacher First Name*	Last Name*
Supervising Teacher's Email	Date
School*		Semester/Year*
Grade/Subject*		Code*

Directions: Please select the number best describing the performance of your Midway College education major this semester based on the legend below. Feel free to not respond to any items that you cannot accurately evaluate and to add comments to more fully reflect your responses. Please return to the Teacher Education Office. Thank you again for providing this valuable experience to the Midway College Teacher Education Program students.

Distinguished

Proficient

Apprentice

Novice

N/A

1. Takes Direction and follows through on plans assigned (Standard I)*
	4	3	2	1	N/A

2. Ability to work with diverse students (Standard II)*
2. Ability to work with diverse students (Standard II)*	4	3	2	1	N/A

3. Demonstrates instructional skills and pedagogy (Standard III)*
	4	3	2	1	N/A

4. Willingness to accept suggestions, can self assess and change instruction if needed (Standard V)*
	4	3	2	1	N/A

5. Knowledge of content (Standard VIII)*
5. Knowledge of content (Standard VIII)*	4	3	2	1	N/A

6. Promptness and dependability (Standard X)*
6. Promptness and dependability (Standard X)*	4	3	2	1	N/A

7. Enthusiasm and initiative (Standard X)*
7. Enthusiasm and initiative (Standard X)*	4	3	2	1	N/A

8. Leadership Skills (Standard X)*
8. Leadership Skills (Standard X)*	4	3	2	1	N/A

Comments:

I am interested in having other field students in the future.

I am interested in having a student teacher (requires master's degree and 4 years teaching experience).

Please print a copy for your records after clicking Finish.