Practicum Observation Form

LONGWOOD
U N I V E R S I T Y

Summative Evaluation Form for Practicum I & II

Semester

Student Name [Help]

Longwood ID:

Program Area

Major:

School District & School

Grade/Subject

Cooperating Teacher

Date:

Supervisor Name

Choose one:

Practicum I

Practicum II

Practicum Observations

Communication Skills	1-Unacceptable	2-Acceptable
Verbal
Written

Comments/Examples

Journal Quality	1-Unacceptable	2-Acceptable
General Journal
Specific Journal

Comments/Examples

Diversity	1-Unacceptable	2-Acceptable
Respects diversity in the school and in the classroom.

Comments/Examples

Professional Responsibility	1-Unacceptable	2-Acceptable
Attends required meetings and conferences.
Completes tasks assigned by cooperating teacher and the university supervisor.
Dresses appropriately.
Exhibits an appropriate disposition needed for the teaching profession. Document 1-Unacceptable dispositions in space below.

Comments/Examples

Overall Evaluation

1-Unacceptable

2-Acceptable