Coqmonweal-th of Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St.

, Harrisburg,PA 17126-0333
dr-f {

Pennsylvania Statewide Evaluation Form for Student Professional Knowledge and Practice

Werkheiser Ted
Student/Candidate' s Last Name First Middle Social Security Number

American Government 9
Subject(s) Taught Gradelevel
This form is to serve as a permanent record of a student teacher/candidate's professional performance evaluhtion during a
specilic time period, based on specific criteria. This form must be used at least twice during the l2-week (minimum) student
teaching experience.
PERFORMANCE EVALUATION

Directions: Examine all sources of evidence provided by the student teacher/candidate and bear in mind the aspects of
teaching for each of the four categories used in this form. Check the appropriate aspects of student teaching, and indicate the
sources ofevidence used to determine the evaluation ofthe results in each category. Assign an evaluation for each ofthe four
categories and then assign an overall evaluation of performance. Sign the form and gain the signature of the student teacher.

Category I: Planning and Preparation - Student teacher/candidate demonstrates thorough knowledge of content and pedagogical skills in planning and
preparation. Student teacher makes plans and sets goals based on the content to be taught/learned, knowledge of assigned students, and the instructional
context
Alisnment: 354.33.(l)(i)(A), (B), (C), (G), (H)
Student Teacher/Candidate's performance appropriately demonstrates:
o Knowledge ofcontent
o Knowledge ofpedagogy
o Knowledge of Perursylvania's K-12 Academic Standards
o Knowledge of students and how to use this knowledge to impart instruction
o Use ofresources, materials, or technology available through the school or district
o Instructional goals that show a recognizable sequence with adaptations for individual student needs
o Assessments of student learning aligned to the instructional goals and adapted as required for student needs
o Use ofeducational psychological principles/theories in the construction oflesson plans and setting insfuctional goals

Sources of Evidence (Check all that apply and include dates, types/titles and number)
I tesson/Unit Plans See Attached 430-A X Stodent Teacher Interviews See Attached 430-A
X Re sourceslMaterials/Technology See Attached 430-A X Ctassroom Observations See Affached 430-A
X Assessment Materials See Affached 430-,4. f nesource Documents See Attached 430-4
I Information About Students See Attached 430-A X Other See Attached 430-4
(Including IEP's)
Category Exemplary 3 Points Superior 2 Points Satisfactory I Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never afid
and thoroughly e xte n s iv e ly demonstrates indicators a de quately demonstrate s inappr opr iate ly or superfi cially
demonstrates indicators of of performance. indicators of perforrnance. demonstrates indicators of
performance. performanoe.
Rating tr x tr tr
(Indicate r/)
Justification for Evaluation :

Mr. Werkheiser planned a variety of activities for his students to engage in during his student teaching
experience at Hamburg High School. His daily lessons plans were created in a timely manner and delivered to
his cooperating teacher. Ted's lesson plans demonstrated basic knowledge in pedagogy and content. His
planning and preparation reflected the goals set forth in the PA History standards. Ted is extremely well-
organized. His lessons were very appropriate for the cognitive, social and emotional abilities of ninth graders.
Improvement should occur in both skill and affective domains.

PDE-430 1
Commonwealth of Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Harisburg,PA 17126-0333

Werkheiser Ted
Student/Candidate' s Last Name First Middle Social Security Number

Category II:Classroom Environment - Student teacher/candidate establishes and maintains a purposeful and equitable environment for learning, in
which students feel safe, valued, and respected, by instituting routines and setting clear expectations for sfudent behavior.
Alisnment: 354.33. (1)/r)(E), (B)
Student Teacher/Candidate's performance appropriately demonstrates:

o Expectations for student achievement with value placed on the quality of student work
o Attention to equitable learning opportunities for students
. Appropriate interactions between teacher and students and among students
o Effective classroom routines and procedures resulting in little or no loss of instructional time
o Clear standards ofconduct and effective management ofstudent behavror
. Appropriate attention given to safety in the classroom to the extent that it is under the control ofthe student teacher
o Ability to establish and maintain rapport with students

Sources ofEvidence (Check all that apply and include dates, types/titles, and number)
[l Classroom Observations See Attached 430-A
I InformA Observations/Visits See Attached 430-A X Visual Technology See Attached 430-A
X Student Teacher/Candidate See Attached 430-A I Resources/IVlaterials/Technology/Space See Attached 430-A
Interviews X Other See Attached 430-A

Category Exemplary 3 Points Superior 2 Points Satisfactory I Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usuolly and The candidate sometimes afid The candidate rarely or never afid
and thoroughly ns iv e ly demonstrates indicators
e xte a de quately demonstrate s inappr opriate ly or superfi cially
demonstrates indicators of of performance. indicators of perforrnance. demonstrates indicators of
Derformance. Derformance.
Rating x tr tr tr
(Indicate r/)
Justification for Evaluation:

Mr. Werkheiser established a good rapport with his students. Ted was friendly, but in charge of the activities
presented to his students. The students liked him and participated in his lessons. Mr. Werkheiser's expectations
for student work were communicated both orally and in writing. Clear standards of conduct were established.
Ted focused student off-task by circulating around the classroom and speaking to each student individually. A11
students were given an opportunity to excel in his classroom. Continue to get to know students and develop
rapport.

PDE-430 2
Commonwealth of Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Hanisburg,PA 17126-0333

Werkheiser Ted
Student/Candidate' s Last Name First Middle Social Security Number

Category III - Instructional Delivery - Student teacher/candidate, through knowledge of content, pedagogy and skill in delivTedg instruction, engages
students in learning by using a variety of instructional strategies.
Alisnment: 354.33. (ll0 A),G),(c)
Student Teacher/candidate's performance appropriately demonstrates:

o Use ofknowledge of content and pedagogical theory tlrough his/trer instructional delivery
r Instnrctional goals reflecting Pennsylvania K-12 standards
r Communication ofprocedures and clear explanations ofcontent
o Use ofinstructional goals that show a recognizable sequence, clear student expectations, and adaptations for individual student needs
o Use ofquestioning and discussion strategies that encourage many students to participate
o Engagement of students in leaming and adequate pacing of instruction
r Feedback to students on their leaming
o Use of informal and formal assessments to meet learning goals and to monitor student leaming
r Flexibility and responsiveness in meeting the leaming needs of students
r Integration of disciplines within the educational curriculum

Sources of Evidence (Check all that apply and include dates, types/titles, or number)
I Classroom Observations See Attached 430-A X Student Assignment Sheets See Attached 430-A
X lnformat Observations/Visits See Attached 430-A X Student Work See Attached 430-A
X Assessment Materials See Affach ed 430-A I Instructional Resources/ See Attached 430-A
X Stodent TeacherlCandidate See Attached 430-A Materials/Technology
Interviews X other See Attached 430-A

Category Exemplary 3 Points Superior 2 Points Satisfactory I Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usuolly and The candidate sometimes and The candidate rarely or never and
and thoroughly e xtens iv e Iy demonstrates indi cators ade quate ly demonstrate s inappr opr iate ly or supe rfi cial ly
demonstrates indicators of of performance. indicators of performance. demonstrates indicators of
performance. Derformance.
Rating tr X tr tr
(Inclicate r/)
Justification for Evaluation:

A variety of instructional strategies were included in his lessons. Ted implemented student-centered, teacher-
centered, and interactive methodologies to engage his students. Lessons involved appropriate curricular content
as well as current events. Improvement was suggested, for the purpose of clari$ring directions and providing
grading procedures to create tasksheets to structure activities a little better, Mr. Werkheiser accepted the
criticism well and created avarrety of different worksheets to accompany his future activities. Students freely
participated lessons and appemed to enjoy his activities very much. Mr. Werkheiser demonstrated his
knowledge of social studies by effectively synthesizing important information and presenting it in interesting
ways to his students. Students enjoyed Mr. Werkheiser's lessons because they were both educational and
engaging.

PDE-430 3
Werkheiser Ted
Student/Candidate' s Last Name First Middle Social Security Number

tudent teacher/candidate demonstrstes qualities that characterize a professional person in aspects that occur in and

ance appropriately demonstrates:

o Knowledge of school and district procedures and regulations related to attendance, punctuality and the like
o Knowledge of school or district requirements for maintaining accurate records and communicating with families
o Knowledge of school andor district events
o Knowledge of district or college's professional growth and development opportunities
o Integritl and ethical behavior, professional conduct as stated in Pennsvlvania Code ofProfessional Practice and Conduct for
Educators; and local, state, and federal, laws and regulations
o Effective communication, both oral and written with students, colleagues, paraprofessionals, related service personnel, and
administrators
o Ability to cultivate professional relationships with school colleagues
o Knowledge of Commonwealth requirements for continuing professional development and licensure

Sources ofEvidence (Check all that apply and include dates, types/titles, or number)
-
X classroom observations see Attached 430-A- [ student Assignment Sheets See Attached 430-4
X tnformal Observations/Visits See Attached 430-A I Student Work See Attached 430-4
X Assessment Materials See Attached 430-4 [i Instructional Resources/lVlaterials/ See Attached 430-4.
X Student Teacher Interviews See Attached 430-A Technology
X Written Documentation See Attached 430-A X Other See Affached 430-4

Category Exemplary 3 Points Superior 2 Points Satisfactory 1 Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rorely or never and
and thoroughly nsive Iy demonstrates indicators
e xte ade quate ly demonstrate s inappropriotely or supedicially
demonstrates indicators of of performance. indicators of perforrnance. demonstrates indicators of
performance. performance.
Rating
(Indicate r/ )
x tr tr tr
Justification for Evaluation :

Ted worked hard and actively solicited the advise of his cooperating teacher and university supervisor. His
materials were typed and grammatically correct. Mr. Werkh"is". gol along with faculty and staff very well. His
classroom management procedures were consistent with the rules and regulations of the Hamburg School
District. He is well aware of trends in the field of social studies and the need for continuing professional
development. I was very impressed that Teddy attended the Pennsylvania Council of the Social Studies
conference in Harrisburg,Pa at his own expensive in the Fall and is a member of that organization.

PDE-430 4
 Overall Rating
Category Exemplary (Minimum of Superior (Minimum of 8 Points) Satisfactory (Minimum of Unsatisfactory (0 Points)
12 points) 4 Points)
Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never and
and thoroughly ns ive ly demonstrates indicators
e xte ly demonstrate s
a de q u a te inappropriately or supedicially
demonstrates indicators of of performance. indicators of performance. demonstrates indicators of
perform ance. performance.
Rating 10
(Indicate number)

Note: This assessment instrument must be used a minimum of two times. A satisfactory rating (1) in each of the 4 categories,
resulting in a minimum total of at least (4) points, must be achieved on the final summative ratine to favorably complete this
assessment.

Justification for Overall R.ating:

Ted Werkheiser is a hard-working, very positive and personable individual. I highly recommend him for a
secondary school social studies position.

Werkheiser Theodore
Student Teacher/Candidate's Last Name First Middle Social Security Number

Hamburg School District Hamburg High School 3t17nt

DistrictilU School InterviedConference Date

School Year: 2016-2017 Term: lst HaIf of the Assignment

Required Signatures:
Su perviso r/Evalu ato r :
Date: 5ll2/17

StudentlTeacher
Candidate:
Date:5ll2ll7

(Confidential Document)

KU 10-t4-03

PDE-430
Commonwealth o f Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Harrisburg,PA 17126-0333

Cateeory
L o I: Plannine and Prenarati
anntng an arauon
Lesson [Jnit Plans:
A full unit plan has been completed, along with task sheets and assessment.

Resources I Materials / Technology:

Transparencies and PowerPoint have been used in the classroom.

Assessment Materials:
The students have received multiple quiz:zes, tests, and writing assignments throughout the eight
weeks.

Information About Students (Including IEP's):

The student teacher is well-aware of the creation and implementation of individualized educational
plans for special students,

Student Teacher Interviews :

The student teacher accepted advice and demonstrated improvement.

Classroom Observations :

Observed the student teacher three times.

Resource Documents:
With the help of the librarian, several different document resources were used on a regular basis.

Other:
Distribution of stan dardized tests was administered by the student teacher.

PDE-430 I
Cateeorry
a o II Classroom
room Envi
Envrronmen
Classroom Observations :
Videotapes were used to observe progress in the classroom.

Informal Observations/Visits :

Cooperating teacher met several times during the field experience.

Student Teacher/Candid ate Interviews :

Observed other classrooms to learn about good classroom management.

Visual Technology:
Powerpoint presentations were utilized.

Re source s/M ateial s/Te chno I o gylSp ace :

The student teacher demonstrated competency in computer use.

Other:
Produced and assembled a bulletin board that coincided with the curriculum.

PDE-430 2
Commonwealth o f Pennsvlvania DEPARTMENT OF EDUCATION | 333 Market St., Harrisburg, PA 17126-0333

Catesory
I o III:: tns
Instructional
ona Deli e
Classroom Observations:
The cooperating teacher administered feedback about various secondary social studies
methodologies. Videotapes were also utilized for evaluation.

Informal Ob servations/Vi sits :

Supervisor visited the classroom three times.

Assessment Materials:
The distribution of standardized tests was administered by the student teacher.

Student Teacher I Candid ate Interviews :

Accepted constructive criticism easily.

Student Assignment Sheets :

There were task sheets included in every lesson plan.

Student Work:
The student teacher integrated a mixture of assignments throughout the eight weeks, including
worksheets, essays, assessment, as well as maps.

Instructi onal Re s ourc e s/Materi al s/Te chno I o gy :

A bulletin board was assembled for use in the classroom.

Other:
There were many different methods of instruction, including discussions, PowerPoint presentations,
group assignments, and essays.

PDE-430 3
Cateeory
a o IV Professi
ofessionalism
Classroom Observations
The classroom is neat and organized. It demonstrates a safe learning environment.

Informal observations/Visits :

Demonstrated a professional look as well as attire.

Assessment Materials:
Assessment was always organized and easy to follow. fnstruction for assessment was always clear
and unambiguous.

Student Teacher Interviews:

Multiple discussions on how to improve professionalism in the classroom.

Written Documentation:
Papers and forms handed in were always professional in appearance as well as punctual.

Student Assignments Sheets :

Students' work was required to be completed in a timely fashion.

Student Work:
The student teacher mage expectations clear to the class.

Instructional ResourcesAvlaterials/Technology:
The Powerpoint presentation was well organized and easy to follow. It improved the learning
environment of the classroom.

Other:

KU 10tr4t03

PDE-430 4
 Corumonwealth of Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Harrisburg,PA 17126-0333
d

Pennsylvania Statewide Evaluation Form for Student Professional Knowledge and Practice

Werkheiser Theodore
Student/Candidate' s Last Name First Middle Social Security Number
American Government 9
Subject(s) Taught Grade Level
This form is to serve as a permanent record of a student teacher/candidate's professional performance evaluation during a
specific time period, based on specific criteria. This form must be used at least twice during the l2-week (minimum) student
teaching experience.
ANCE EVALUATION

Directions: Examine all sources of evidence provided by the student teacher/candidate and bear in mind the aspects of
teaching for each of the four categories used in this form. Check the appropriate aspects of student teaching, and indicate the
sources of evidence used to determine the evaluation of the results in each category. Assign an evaluation for each of the four
categories and then assign an overall evaluation of performance. Sign the form and gain the signature of the student teacher.

Category I: Planning and Preparation - Student teacher/candidate demonstrrtes thorough knowledge of content and pedagogical skills in planning and
preparation. Student teacher makes plans and sets goals based on the content to be taught/learned, knowledge of assigned students, and the instructional
context.
Alignment: 354.33. (l)(i)(A), (B), (C), (G), (ID
Student Teacher/Candidate's performance appropriately demonstrates:
o Knowledge ofcontent
o Knowledge ofpedagogy
o Knowledge of Pennsylvania's K-12 Academic Standards
r Knowledge of students and how to use this knowledge to impart instruction
o Use ofresources, materials, or technology available through the school or district
o lnstructional goals that show a recognizable sequence with adaptations for individual student needs
r Assessments ofstudent leaming aligned to the instructional goals and adapTheodore as required for student needs
r Use ofeducational psychological principles/theories in the construction oflesson plans and setting instructional goals

Sources of Evidence (Check all that apply and include dates, types/titles and number)
X tesson/Unit Plans See Attach ed 430-4 X St"dent Teacher Interviews See Affached 430-A
I nesources lMaterials/Technology See Attach ed 430-A X Ctassroom Observations See Affached 430-A
I Assessment Materials See Attach ed 430-A I Resource Documents See Attached 430-A
I tnformation About Students See Attach ed 430-4 X Other See Affached 430-,4.
(Including IEP's)
Category Exemplary 3 Points Superior 2 Points Satisfactory I Point Unsatisfactory 0 Points
Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never and
and thoroughly extensive ly demonstrates indicators a de q ua te ly demonstrate s inappr opriate ly or superfi ci ally
demonstrates indicators of of performance. indicators of perfornance. demonstrates indicators of
performance. performance.
Rating x tr tr tr
(Indicate J)
Justilication for Evaluation:

Mr. Werkheiser planned effective American government lessons for high school students at Hamburg High
School. Theodore created both unit and daily lesson plans. Lesson plans were handed in to his cooperating
teacher and supervisor before they were taught. His content knowledge was good. While Theodore followed the
lead of his cooperating teacher and initially borrowed many materials from him, he grew into his own teaching
style and added some of his own ideas to the established curriculum. I was most impressed that he rose to the
challenge of teaching current events in a highly emotionally charged political climate. As a history major, this
area of the social studies curriculum is out of his expertise. His hard work in this area leads me to believe that
he is capable of teaching many topics outside of history.

PDE.43O
Commonwealth of Pennsvlvania DEPARTMENT OF EDUCATION | 333 Market St., Hanisburg,PA 17126-0333

Werkheiser Theodore
Student/Candidate' s Last Name First Middle Social Security Number

Category II:
Classroom Environment -
Student teacher/candidate establishes and maintains a purposeful and equitable environment for learning, in
which studenh feel safe, valued, and respecTheodore, by instifuting routines and setting clear expectations for student behavior.
Alisnment: 354.33. (1)/r)(E), (B)
Student Teacher/Candidate's performance appropriately demonsfates:

r Expectations for student achievement with value placed on the quality of student work
o Attention to equitable leaming opportunities for students
. Appropriate interactions between teacher and students and among students
o Effective classroom routines and procedures resulting in little or no loss ofinstructional time
o Clear standards ofconduct and effective management ofstudent behavior
. Appropriate attention given to safety in the classroom to the extent that it is under the control oftle student teacher
o Ability to establish and maintain rapport with students

Sources of Evidence (Check all that apply and include dates, types/titles, and number)
X Ctassroom Observations See Attached 430-A
X mformal Observations/Visits See Attached 430-,4. X Visual Technology See Attached 430-A
X Stodent TeacherlCandidate See Affached 430-A [] Resources lMaterials/Technology/Space See Attached 430-A
Interviews X ottrer See Attached 430-A

Category Exemplary 3 Points Superior 2 Points Satisfactory I Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never and
and thoroughly extensively demonstrates indicators ade quate ly demonstrates inappr opriate ly or superfi cially
demonstrates indicators of of performance. indicators of perfonnance. demonstrates indicators of
performance. performance.
Rating x tr n tr
(Indicate r/)
Justification for Evaluation:

Mr. Werkheiser developed a comfortable stride about half way through this placement. Teddy developed a very
good rapport with his students. He balanced friendliness with an air of authority, establishing an effective
management style in this rural high school setting. Mr. Werkheiser had high expectations for his students. He
treated all students equally and frequently counseled students individually. Theodore recognized students were
the few students behaving poorly and applied different management strategies to control their off-task
behaviors. Lessons began in a timely manner and moved at an appropriate pace. I was most impressed that Mr.
Werkheiser did a great job as the lead teacher on a field trip to Philadelphia. He loaded and unloaded students
and monitored behavior. Ted is very relaxed and purposeful in his approach to teaching high school students.

PDE-430 2
Werkheiser Theodore
Student/Candid ate's Last Name First Middle Social Security Number

Category III - lnstructional Delivery - Student teacher/candidate, through knowledge of content, pedagogy and skill in delivering instruction, engtges
students in learning by using a variety of instructional strategies.
Alignment: 354.3 3. (ll(il (D).(F).(G
Student T eacher /c andidate' s p erforrnanc e appropr iately demonstrate s :

o Use ofknowledge ofcontent and pedagogical theory through his/her instructional delivery
e Instructional goals reflecting Pennsylvania K-12 standards
o Communication ofprocedures and clear explanations ofcontent
o Use ofinstructional goals tlat show a recognizable sequence, clear student expectations, and adaptations for
individual student needs
o Use of questioning and discussion strategies that encourage many students to participate
. Engagement of students in leaming and adequate pacing of instruction
o Feedback to students on their leaming
o Use of informal and formal assessments to meet learning goals and to monitor student leaming
o Flexibility and responsiveness in meeting the learning needs of students
o Integration of disciplines within the educational curriculum

Sources of Evidence (check all that apply and include dates, tlpes/titles, or number)
X Classroom Observations See 430-A I
Attached Student Assignment Sheets See Attached 430-4
X tnforma Observations/Visits See 430-A [i
Attached Student Work See Attached 430-4
X Assessment Materials See Attached 430-A E Iott o.tio"al Resources/ See Attached 430-A
IstudentTeacher/candidate seeAttached43o-A Materials/Technology
Interviews I Ottrer See Attached 430-A

Category Exemplary 3 Points Superior 2 Points Satisfactory I Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never and
and thoroughly extensive ly demonstrates indicators ade quate ly demonstrates inappr opr iate ly or superfi ci al ly
demonstrates indicators of of performance. indicators of perfoflnance. demonstrates indicators of

Rating
(Indicate r/)
tr x tr tr
Justification for Evaluation :

I was impressed with the mix of traditional and progressive teaching strategies used during this assignment. Mr.
Werkheiser's methodology frequently included student large-group and small-group panicipation. He used
powerpoint in some of his classroom presentations, as well as debate, discussion, *d filro. Students received
feedback through both traditional test/quiz evaluations and project-oriented authentic assessments. Theodore
frequently used a sett an activity and a close to structure his lessons. He quickly accessed his students' learning
abilities and creaated lessons of substance on their ability level. It was great seeing Teddy become more
comfortable in front of the classroom and with current events content as the semester progressed. Students
enjoyed his teaching-both inside and outside of the classroom.

PDE-430 3
Comrnonwealth of Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Harrisburg, PA 17126-0333

Werkheiser Theodore
Student/Candidate' s Last Name First Middle Social Security Number

Category IV - Professionalism - Student teacher/candidate demonstrates qualities that characterize a professional person in aspects that occur in and
beyond the classroom/building.
Alisnment : 354.3 3. (1) (i) (I),(J)
Student Teacher/Candidate's performance appropriately demonstates:

r Knowledge of school and district procedures and regulations relaTheodore to attendance, punctuality and the like
o Knowledge of school or district requirements for maintaining accurate records and communicating with families
r Knowledge ofschool and/or district events
o Knowledge ofdistrict or college's professional growth and development opportunities
o Integtty and ethical behavior, professional conduct as staTheodore in Penns)rlvania Code ofProfessional Practice and Conduct for
Educators; and local, state, and federal, laws and regulations
o Effective communication, both oral and written with students, colleagues, paraprofessionals, relaTheodore service personnel, and
administrators
o Ability to cultivate professional relationships with school colleagues
o Knowledge of Commonwealth requirements for continuing professional development and licensure

Sources of Evidence (Check all that apply and include dates, types/titles, or number)
X Ctassroom Observations 430-A X Stodent Assignment Sheets
See Attach ed See Attached 430-4
I tnformal Observations/Visits 430-4 X St dent Work
See Affached See Affached 430-A
X Assessment Materials See Attach ed 430-A X Instructional ResourcesA{aterials/ See Attached 430-A
X Stodent Teacher Interviews See Attach ed 430-4. Technology
X W.iffen Documentation See Affached 430-A X Other See Attached 430-A

Category Exemplary 3 Points Superior 2 Points Satisfactory 1 Point Unsatisfactory 0 Points

Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never and
and thoroughly iv e ly demonstrates indicators
e xte n s ade quate ly demonstrates inappropriately or superficially
demonstrates indicators of of performance. indicators of perfofinance. demonstrates indicators of
Derformance. Derformance.
Rating x tr tr tr
(Indicate r/ )
Justification for Evaluation:

Mr. Werkheiser's classroom management procedures were consistent with the rules and regulations of Hamburg
School District. He was punctual and professional throughout the assignment. His enthusiasm for social studies
education is contagious!

PDE-430 4
 Overall Rating
Category Exemplary (Minimum of Superior (Minimum of 8 Points) Satisfactory (Minimum of Unsatisfactory (0 Points)
12 Points
Criteria for Rating The candidate consistently The candidate usually and The candidate sometimes and The candidate rarely or never and
and thoroughly ly demonstrates indicators
exte nsive Iy
a de q u a t e demonstrate s inappropriately or supedicially
demonstrates indicators of of performance. indicators of performance. demonstrates indicators of
offnance.
11
(ndicate number)

Note: This assessment instrument must be used a minimum of two times. A satisfactory rating (1) in each of the 4
categories,
resulting in a minimum total of at least (4) points, must be achieved on the final summative rating
to favorably complete this
assessment.

Justification for Overall Rating:

Because of his commitment to the profession and consistent excellent performance during his
student teaching
assignment, I highly recommend Mr. Theodore Werkheiser for a se"orrd*y education ro.iul studies position.

Student Teacher/candidate's Last Name First Middle Social Security Number

Werkheiser Theodore

Hamburg School District Hamburg High School 5n2n7

Districttlu School InterviedConference Date

School Year: 2016-2017 Term: Second HaIf of Assignment

Required Signatures:
S upervis o r/Eva lu ato r :
Date: 5l12ll7
Student/Teacher
Candidate:
Date: 5ll2ll7

(Confidential Document)

KU 10-14-03

PDE.43O
Comenonwealth o f Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Harrisburg,PA 17126-0333

Catesorv
a o I: Plannins
annrng ano Prenarution
and rreDa
Lesson lJnit Plans:
A full unit plan has been completed, along with task sheets and assessment.

Resources I Materials / Technology:

Transparencies and PowerPoint have been used in the classroom.

Assessment Materials:
The students have received multiple quizzes, tests, and writing assignments throughout the eight
weeks.

Information About Students (Including IEP's):

The student teacher is well-aware of the creation and implementation of individualized educational
plans for special students,

Student Teacher Interviews :

The student teacher accepted advice and demonstrated improvement.

Classroom Observations :

Observed the student teacher three times.

Resource Documents:
With the help of the librarian, several different document resources were used on a regular basis.

Other:
Distribution of standardized tests was administered by the student teacher.

PDE-430 1
Commonwealth o f Pennsylvania DEPARTMENT OF EDUCATION | 333 Market St., Harrisburg,PA 17126-0333

Cateeorv
I o II: Classroom
assroom [nvrronmen
Environment
Classroom Observations :
Videotapes were used to observe progress in the classroom,

Informal Ob servations/Vi sits :

Cooperating teacher met several times during the field experience.

Student Teacher/Candid ate Interviews :

Observed other classrooms to learn about good classroom management.

Visual Technology:
Powerpoint presentations were utilized.

Re source s/M atertal s/Te chno 1o gylSpace :

The student teacher demonstrated competency in computer use.

Other:
Produced and assembled a bulletin board that coincided with the curriculum.

PDE-430 2
Catesory
a o I
III:: Instructional Delive
Classroom Observations :
The cooperating teacher administered feedback about various secondary social studies
methodologies. Videotapes were also utitized for evaluation.

Informal Observations/Visits :

Supervisor visited the classroom three times.

Assessment Materials:
The distribution of standardized tests was administered by the student teacher.

Student Tea cher I Candid ate Interviews :

Accepted constructive criticism easily.

Student Assignment Sheets :

There were task sheets included in every lesson plan.

Student Work:
The student teacher integrated a mixture of assignments throughout the eight weeks, including
worksheets, essays, assessment, as well as maps.

Instructi onal Re sourc e s/Materi al s/Techno 1o gy :

A bulletin board was assembled for use in the classroom.

Other:
There were many different methods of instruction, including discussions, PowerPoint presentations,
group assignments, and essays.

PDE-430 3
Cateeory
a e o IV: Professionali
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Classroom Observations
The classroom is neat and organized. It demonstrates a safe learning environment.

Informal ob servations/Vi sits :

Demonstrated a professional look as well as attire.

Assessment Materials:
Assessment was always organized and easy to follow. Instruction for assessment was always clear
and unambiguous.

Student Teacher Interviews:

Multiple discussions on how to improve professionalism in the classroom.

Written Documentation:
Papers and forms handed in were always professional in appearance as weII as punctual.

Student Assignments Sheets:

Students' work was required to be completed in a timely fashion.

Student Work:
The student teacher mage expectations clear to the class.

Instructional ResourcesAvlaterials/Technology:
The Powerpoint presentation was well organized and easy to follow. It improved the learning
environment of the classroom.

Other:

KU 101t4103

PDE-430 4