INTERN OBSERVATION GRADING FORM
Teacher Candidate _________________________________ Supervisor __________________________________
Term: Fall W inter Spring Internship: 1 2 3 District ____________________ School _____________________
ELEMENTS EVALUATED WITH CANDIDATE UNACCEPTABLE ACCEPTABLE TARGET SCORE
The Intern violates one or more
The Intern acts professionally in The Intern exemplifies
Conducts oneself as a elements of the Code. Consistently
accordance with the Code. professional behavior and sets
professional in accordance CCCT III, 1 fails to project a professional
Normally projects a professional standards for others. Always
with the Code of Proficiency (k) appearance.
appearance. projects a professional
(12 – 13) (14)
The Intern does not seek regular and The Intern engages in regular The Intern shows consistent
ongoing dialogue with colleagues in dialogue with colleagues in the efforts to seek out additional
Works collaboratively with
CCCT III, 2 the school in order to identify areas school in order to identify areas sources of expertise to identify
colleagues in the school Proficiency (k) for learning and to set goals for for learning and to set goals for areas for growth and
professional development and professional development and professional development.
(0) (5 – 6) (7)
The Intern shows ongoing
The Intern demonstrates no The Intern shows consistent
enthusiasm about his/her own
appropriate characteristics or behavioral patterns of attempting
Demonstrates dispositions learning and daily responsibilities
Proficiency experiences indicating potential for to reach all students to support
critical to self and students (i) (k) (h)
as a teacher, and shows a
working effectively with different learning.
commitment to supporting the
development of students.
(7 – 8)
The Intern’s responses to and Responses and interactions are
The Intern’s responses to and
interactions with students not only fair and appropriate, but
interactions with students are
Works to create a positive CCCT I, 1, 2, 4, 5 demonstrate fairness, acceptance expectations that students treat
minimal, negative or inappropriate for
learning environment Proficiency (h) and interest, and are age each other with respect are
the age of the students.
appropriate. clearly and communicated and
(13 – 14)
Standards appear to have been
Limited standards of behavior appear Standards are established and
established for most situations.
to have been established or consistently reinforced.
Communicates and Consequences are generally
communicated. Consequences are Consequences are applied
reinforces developmentally CCCT III, 3, 4 applied consistently and are
applied inconsistently or consistently and if necessary a
appropriate standards of Proficiency (h) appropriate. Attempts are made
inappropriately. No attempt to re- variety of strategies is used to
behavior to re-engage off-task students,
engage off-task students. attempt to re-engage off-task
but these may be inconsistent or
limited in variety.
(0) (12 – 13) (14)
Routines and transitions are, at Routines and transitions are
Handles both routines and The Intern’s handling of routines and
times, inefficient and/or disorderly always orderly and efficient and
unplanned classroom transitions are often inefficient and/or
CCCT II, 7
and may result in some time off- result in minimal time off-task.
situations in a disorderly resulting in excessive time
Proficiency (e) task. Safety issues are Potential safety issues are
developmentally appropriate off-task. Intern fails to anticipate or
addressed with good judgment if addressed proactively.
manner. address a safety concern.
(7 – 8)
Sensitivity and empathy are very
The Intern shows exceptional
evident in the Intern’s behavior
The Intern demonstrates a pattern of skills in relating to student’s
toward student’s needs.
Displays empathy and negative attitudes about students and needs in exhibiting empathy and
CCCT II, 3 Language used toward students
sensitivity toward all Proficiency (k)
a lack of empathy toward their needs. sensitivity. Language used to
is respectful and generally age-
students Sarcasm often used with students. students is respectful and shows
awareness of individual needs.
(12 – 13) (14)
The Intern communicates clearly Both written and oral
The Intern does not communicate
and audibly. Spoken and written communication are exemplary
clearly or audibly. Written language
Demonstrates good oral and CCCT I, 3 language is generally and set a standard for others to
frequently contains grammatical
written communication skills. grammatically and syntactically emulate.
and/or syntactical errors.
(6 – 7) (8)
The Intern is consistently late in
Requirements are consistently Requirements are not only
Requirements are meeting deadlines or dates as
CCCT III, 1 met and deadlines and dates are timely, but may be submitted
completed in a timely Proficiency (k) established in concert with the
adhered to. early.
(3 – 4)
The Intern has shown a pattern of Attendance has been routine and The Intern has perfect
University attendance policy CCCT III, 1 excessive absences with no there has been no evidence of attendance.
has been observed. Proficiency (k) legitimate documentation. abuse.
(0) (3 – 4) (5)