PARK Ka SCHOOL DISTRICT

PROFESSIONAL STUDIES
Coimcams classroom Wm* with profasionotuprriencer.

Education Services 2020

Internship Evaluation Form

Student Name: f\fro\

Host Teacher: Mr . Host School:
Grade Level/Content Area: MaUi , Dates of Internship: 9/N - (i/z cr,

Time In Time Out Date Day Time In Time Out

Date Day

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For the following attributes, rate the student according to the following scale:

4= Superior, outstanding The teacher becomes a mediator of

knowledge, a promoter of dignity,
3= Strong, above average
responsibility and self-worth, and a
2= Average coordinator of learning by developing
professionally. The student will have access
1= Below average
to this information.
0= Inadequate
A B C D F
Professional Development:
4 3 2 1 0

A. Enthusiasm — working with students and

K
engaged in lessons
B. Laptop and Cell Phone Put Away (unless
X
for an assignment)
C. Responsibility- Completion of tasks and
willingness to get involved X
D. Rapport- ability to relate to students X
E. Appearance — clean, dressed like a
teacher )C
 4.2
.1 PAW HILL SCHOOL DISTRIC1
PROFESSIONAL STUDIES
• Conncahit classroom learn* with proftssivnal mammas.

F. Courtesy and tact - uses appropriate

"teacher language"
X
G. Self-confidence -jumps in and takes
initiative without being asked X
H. Attendance - punctual and communicates
with host teacher when needed X
Comments:
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+ (Strengths) , Delta (Opportunity for Improvement)

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Verified by

12-1"
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Host Teacher Date

PHPS Instructor Dafe

C
?A/CIA/- in
Student Date