Student Teaching Placement Interview Questionnaire
In order to help you prepare for student teaching and to provide information to the UMF
supervisors it is important that you take time to complete the three parts of this questionnaire.
After you complete Parts I and II you will reflect on the information and complete Part III by
creating an Action Plan based on the information from Parts I and II. You will use this Action
Plan as you begin your student teaching experience and revise it throughout student teaching.
You need to complete the three parts of the questionnaire electronically and bring hard
copies to your interview with the UMF supervisor. You will find this information at:
Part I addresses the Maine Standards for Initial Certification, to which all of your professional
courses relate. You are asked to identify for each of the ten Standards one artifact that shows
your best work in meeting each Standard and note in what class or experience the artifact was
produced and how the artifact connects to the Standard. You may use an artifact for more than
one Standard. An example:
Maine Standards Name of Artifact, class, connection
1. Applies knowledge of the central concepts, Unit plan Reduce, Reuse, Recycle for
tools of inquiry, and structures of the EDU 123. Shows my understanding of
discipline(s) to create meaningful learning ecology, environmental science.
experiences for students.
Part II addresses your Professional Characteristics /Personal Attributes. Complete the rubric
remembering Needs Improvement may be appropriate for some areas; you are not expected to be
at the Proficient level.
Part III addresses the information from Parts I and II to complete an Action Plan that you will
review and revise throughout your student teaching experience. An example:
Maine Standards that I Why I chose this What I plan to do When I will
want to work on Standard review progress
1. Applies knowledge of Need work with science Review End of Semester
the central concepts, tools content information from
of inquiry, and structures Science courses.
of the discipline(s) to Taking Science
create meaningful learning Method course this
experiences for students. semester.
6. Creates and maintains a I am not sure about what Review class Prior to student
classroom environment I should do about materials and teaching.
which supports and classroom management. resources.
Professional Why I chose this What I plan to do When I will
Characteristic/Attributes Characteristic/Attribute review progress
Organization I struggle with this and I Talk with advisor First two weeks of
know that it is important and obtain student teaching
for student teaching resources
Contact Ann Lynch with any questions: firstname.lastname@example.org 778-7171