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,tAFtIN UNIVERSITY
SCHOOL OF EDUCATION
Cooperating Teaclq5:
School:
Grade/Subject:
Completedby:
CooperatingTeacher
lnitial
University Supervisor
Mid-term y'
rinat
Directions: This lorm is to he used as a lormotive and summotive dssessment of the candidate's progress throughout the clinical prdctice. lhe candidate should
be assessed three (3) times: ofter 4 weeks, I weeks ond at the end of the placement. Rate the condidate on each of the key elements under each standord os
follows: Scale: (7) llnacceptable/Developing; (2) Acceptable,/Meets; (3] Target/Exceeds. Then give an overall rating in the box beside the ADEPT Performonce
Standard. An explanation of these rotings is given on the reverse side of this form.
NAEYC
ACEI
1a
1.0
5c
3.1
18. Establishes
1C.1 ldentifies
1C.2 ldentifies
1C.3 ldentifies
1C.4 ldentifies
1C.5 ldentifies
1C.6 ldentifies
1C.7 ldentifies
RATINGS
,f .'f
5a
2.r
5a
2.2
5a
2.3
2.4
2.5
2.6
2.7
5c
4.0
5c
3.4
5b
1.0
"Z-
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i
L
;L
4
.;,
3.1
5c
4.4
3c
4.0
3c
4.0
3b
4.0
1c
3.4
1c
3.4
48.
n)
34.
:.
for Participation
.*
!-l
4c
4b
3.2
4c
58.
5c
5c
lii
4.0
3b
4.0
3c
4.0
1c
3.4
1c
3.4
88.
1c
3.4
1c
3.4
APS
1c
1c
3.4
Candidate's Signature
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3b
APS
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98. Maximum
Use
of lnstructional Time
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