Record for Early Field Experiences

Paris Junior College

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Mentor T,,"chor/Principal Mrs P-ams-ey
School DistriCt::fYaJnk:Lnd IZ; D
Student's Name:

Student ID #: __.:....lIoC:::....,-;--....-,,--.,..-::

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Directions: Rate the student's perfonnance during their Early Field Experience by circling: 3= Acceptable; 2= Needs Improvement;
1= Unacceptable. Acceptable means that in your judgment the student possesses the social skill level necessary for admission to
internship and the Teacher Education Program. This infonnation will be used in conjunction with other requirements when the
student is being considered for admission. If you have not had an opportunity to observe an item, circle NA as not applicable. A
principal or other teachers may complete this fonn as an (additional) observer ofthe student's professional behavior while on campus
completing hislher EFE.
2

N/A

GJ

N/A

G)

N/A

Physical fitness: Demonstrates effort to maintain fitness.

'"
Gl

N/A

Effective Communication: Uses standard English in oral and written communication.

(J)

N/A

Role Model: Projects a professional image and positive attitude toward students.

(!>

N/A

Punctuality: Reliable and responsible in meeting commitments.

Q)

N/A

Receptiveness to Coaching: Seeks and accepts guidance and demonstrates application.

(J

N/A

Initiative and Willingness: Demonstrates eagerness to participate.

CJ)

N/A

:Interest and Enthusiasm: Displays a positive interest toward competence in teaching.

(1)

N/A

Cooperation: Works smoothly within social guidelines and with professional personnel.

N/A

N/A

Appearance: Dresses as the setting dictates and is well groomed.

Social Maturity: Interacts with staff and students appropriately.
Emotional Maturity: Exhibits personal self-control using mature judgment.

Ethical Standards: Is responsible for ethical conduct towards students, professional colleagues,
~arents,

and the community.

Motivation: Maintains appropriate level of concern to support student effort and success.
*Modified from TWU, Field Perfonnance, Experimental Version, Spring 1996
Comments: (Use back ifneeded.)

Mentor Teacher/ Signature: _____Jhs:::z.J~. .(J;U?1"'-=~

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Principal Signature: _~--LI ....c..~_......,,=,-_ _ _ _ _ _ _ __

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Early Field Experience Record Sheet

Turn in your original log sheet to your instructor on the date prescribed in your course syllabus.

Name:

Lo.xs~ \}Jil.\e_

Student ID #

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School DiStrict:if

Primary Mentor Te..he<:;haKb'O

Observation Dates: Fa.. Date

School

campus:.-II~~~UojO~S:~SO=.!..Wl~_ _ _ __

~ aill $~

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({Ill -00 lL 70

Last Date

Total Hours comPleted:lLe.

Lll

Instructions: You may use this fonn to log in your field experience hours for Education 1301 or 2301. Make
copies for your files. Use the space below to report on dates, time, & activities. Additional pages may be used if
needed.

DATE

HOURS

TOTAL
HOURS

M....r Teacber', SIgnatur"

DESCRIPTION OF ACTIVITIES

Irrlma,rv Mentor Teacher: Your signature verifies the

lcol'ltlJl'eu()1I ofthe total field experience hours indicated to the

Jh/lM?] ~

Phone:

903~ qqS' 50D2

Principal's Signature:

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