Supervisor Summary Form

Please print first page and mail by post.

Report of Practicum CLD564Dates of Practicum
Student TeacherSchool
SupervisorPrincipal/Director
Person ReportingPosition
Subject(s)Grade(s) Date

 SuperiorAbove
Average
AverageBelow
Average
I.  Personal Qualities    
II.  Professional Competencies    
     A.  Lesson Plans    
     B.  Development of Lesson Plans    
     C.  Classroom Routine    
III.  PROFESSIONAL ATTITUDE    
IV.  TEACHER-STUDENT RELATIONSHIPS    

We would appreciate a frank confidential statement about the above-named person. This evaluation of the student's teaching experience will serve as a guide to school administrators for future employment. Thank you.

In my opinion this teacher has the following qualities:








Signature _________________________________           Date _________________

Position _________________________________

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