Clinical Practice/Internship Observation Form

Candidate

Jessica Smith

Supervisor

Nanare Slepian

School/District

Palmyra/Charles Street Schoo;

Content Area &

Grade Level

Kindergarten

Collaborating
Teacher:

Bettyanne Marron

Lesson Duration:

9:00-10:00

Lesson Date:

02/23/2015

Please select one:

Long Observation
Short Observation

Pre-Observation
Date & TimeL

02/23/2015 08:45 AM

Post-Observation
Date & Time:

02/23/2015 10:05 AM

Instructions: Provide formative ratings for the candidate on each of the

indicators using the Performance Definitions in the Framework for
Teaching rubric (The Danielson Group). For ratings of Distinguished (D),
Unsatisfactory (U) or Not Observed (NO), a rationale must be included. For
ratings of Unsatisfactory (U), clear recommendations for growth must be
in the SUGGESTIONS section on page 2. Write a description of the lesson
context including any extenuating circumstances. In the SUGGESTIONS
section, indicate any specific suggestions that should be addressed prior
to or during the next observation, which should include those related to
ratings of NO.

Pre-Observation
PLANNING/ PREPARATION
Criterion

Performance Rating
Distinguis Profici
hed
ent

Bas Unsatisfac Not

ic
tory
Obser
ved

Score

1a.
Knowledg
e of
Content
and
Pedagogy

1b.
Knowledg
e of
Students

1c.
3
Instructio
nal
Outcomes

1d.
3
Knowledg
e of
Resources

1e.
Designing
Coherent
Instructio
n

1f.
Designing
Student
Assessme

nt
Programspecific
(SPA)
Planning/
Prep
Indicators

Rubric
Score

11.0

Rubric
Mean

1.57142857142
85714

Rationale
(Required for D, U
or NO)
Classroom Observation
CLASSROOM ENVIRONMENT /INSTRUCTION
Criterion

Performance Rating
Distingu
ished

Profici Ba
ent
sic

Unsatisf
actory

Not
Score
Obser
ved

2a. Creating an
environment of
respect/rapport

2b. Establishing
a culture for
learning

2c. Managing
classroom
procedures

2d. Managing
student

behavior
2e. Organizing
physical space

3a.
Communicating
with students

3b. Questioning
and discussion
techniques

3c. Engaging
students in
learning

3d. Using
assessment in
instruction

3e.
3
Demonstrating
flexibility/respon
siveness

Program3
specific
Environment/Ins
truction
Indicators

Rubri
c
Score

19.0

Rubri
c
Mean

1.7272727272
727273

Post-Observation
PROFESSIONAL
Criterion

Performance Rating
Distingui
shed

Profici
ent

Bas Unsatisfa
ic
ctory

4a.
3
Reflecting
on teaching

4b.
Maintainin
g accurate
records

4c.
Communic
ating with
families

4d.
3
Participatin
g in a
profession
al
community

4e.
Growing
and
developing
profession
ally

4f. Showing 3
profession
alism

Program-

Not
Obser
ved

Score

specific
Profession
al
Indicators
Rubric 8.0
Score
Rubric 1.14285714285
Mean 71428
Rationale
(Required for D, U
or NO)
Candidate:
Date:
Basic Lesson
Context,
Extenuating
Circumstances and
Narrative (use
additional sheets
if necessary)

Jessica taught a language arts lesson on writing a friendly

letter to the principal.
Hook: She reviewed the parts of a letter that she wrote
on a big board. She also reviewed the parts of an
envelope. The students circled the different parts using a
magic marker. Each child got their own letter to write
and illustrate. She gave them a sentence starter. They
also decorated the stamp on their indiviual envelopes.
Closure: The students shared the letter they wrote with
the class.
I was very impressed that the class remembered the part
of the letter from the previous lesson.

Suggestions

Classroom management: You could use a clapping or

rhyming poem
example: 1,2, 3 look at me

If needed, please
upload your file
here:

No file attached

Total Score

38

Total Mean

1.52

Grade
Total Score
Grade

38.0