Clinical Practice/Internship Observation Form

Candidate:

Jessica Smith

Supervisor:

Nanare Slepian

School/District:

Palmyra/Charles Street

Content Area &

Grade Level:

Kindergarten

Collaborating
Teacher:

Betty Ann Morran

Lesson Duration: 11:30-12:30

Lesson Date:

03/11/2015

Please select one:

Long Observation
Short Observation

Pre-Observation
Date & Time:

03/11/2015 11:15 AM

Post-Observation 03/11/2015 12:30 PM

Date & Time:
Instructions: Provide formative ratings for the candidate on each of the
indicators using the Performance Definitions in the Framework for
Teaching rubric (The Danielson Group). For ratings of Distinguished (D),
Unsatisfactory (U) or Not Observed (NO), a rationale must be included. For
ratings of Unsatisfactory (U), clear recommendations for growth must be
in the SUGGESTIONS section on page 2. Write a description of the lesson
context including any extenuating circumstances. In the SUGGESTIONS
section, indicate any specific suggestions that should be addressed prior
to or during the next observation, which should include those related to
ratings of NO.
Pre-Observation
PLANNING/ PREPARATION
Criterion

Performance Rating

Distinguish
ed

Proficie
nt

Basi
c

Unsatisfacto Not
Scor
ry
Observe e
d

1a.
Knowledge
of Content
and
Pedagogy

1b.
Knowledge
of Students

1c.
3
Instructional
Outcomes

1d.
Knowledge
of
Resources

1e.
Designing
Coherent
Instruction

1f.
Designing
Student
Assessment

Programspecific
(SPA)
Planning/Pr
ep
Indicators

Rubric

14

Score
Rubric
Mean

Rationale
(Required for D, U
or NO)
Classroom Observation
CLASSROOM ENVIRONMENT /INSTRUCTION
Criterion

Performance Rating
Distinguis
hed

Profici
ent

Basi Unsatisfac
c
tory

2b. Establishing a
3
culture for learning

2c. Managing
classroom
procedures

2d. Managing
student behavior

2e. Organizing
physical space

3a. Communicating 3
with students

3b. Questioning
and discussion
techniques

2a. Creating an
environment of
respect/rapport

Not
Scor
Observ e
ed

3c. Engaging
students in
learning

3d. Using
assessment in
instruction

3e. Demonstrating 3
flexibility/responsiv
eness

Program-specific
3
Environment/Instru
ction Indicators

Rubric
Score

20

Rubric
Mean

Rationale
(Required for D, U
or NO)
Post-Observation
PROFESSIONAL
Criterion

Performance Rating
Distinguish Proficie
ed
nt

Basi Unsatisfact
c
ory

Not
Observ
ed

Scor
e

4a. Reflecting
on teaching

4b.
Maintaining
accurate
records

4c.
Communicati
ng with
families

4d.
Participating
in a
professional
community

4e. Growing
3
and
developing
professionally

4f. Showing
3
professionalis
m

Programspecific
Professional
Indicators

Rubric
Score

12

Rubric
Mean

Candidate:
Date:
Basic Lesson
Context,
Extenuating
Circumstances
and Narrative
(use additional

Jessica taught a wnderful math lesson

Content outcomes:
1. The number 20 is made up o 2 groups of 10.
2.The number 20 competely fills up 2 ten frames.
3.Where to begin counting on a 100 chart to count to 100.
Center one students used Teddy Bears and put them in

sheets if
necessary)

groups of ten until they had 100.

Center two students used number cards to practice
ordering numbers from1-20.
Center three each student had a ten frame drawn in front
of them on the white board table.They used connecting
cubes to display a number.
Center four the students filled in the missing number to
100 on the white board table.
Independent practice: Chapter 8 review test. Students put
upoffice walls . Jessica read each question.This was her
formal assessment.

Suggestions

would use more songs to get thestudents attention when

going from centerto center.

If needed, please No file attached

upload your file
here:

Total Score

46

Total Mean

Grade
Total Score
Grade

46.0