Spring 2023 Prac Form Assess

PRACTICUM - Formative Assessment

Complete this form as an assessment of one lesson taught. Please refer to the paper copy of the DETAILED RUBRIC as you complete the assessment. Thanks!

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* 1. Please choose a student teacher from the drop down menu

	Practicum Teachers
Practicum Teachers	Practicum Teachers Practicum Teachers menu

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* 2. Student's major at O.C.

	Major
Majors	Majors Major menu

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* 3. Student's Race/Ethnicity

	Race/Ethnicity
Race/Ethnicity	Race/Ethnicity Race/Ethnicity menu

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* 4. Please complete the following:

Subject

Grade Level

Site

Evaluator

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* 5. Response date

Date

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* 6. For each item, please input 0, 1, 2, 3, or 4.
Note: If a particular item is not applicable, please indicate it as 'NA.'
0 = Insufficient evidence for rating (not attempted)
1 = Basic (initial state of development, needs improvement
2 = Emerging (progressing beyond basic)
3 = Proficient (meets standard, competent) Target for teacher candidates
4 = Exemplary (performance comparable to that of experienced effective teachers)
NA = Not applicable
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1. TEACHER MANAGEMENT

	0	1	2	3	4	NA
1.Lesson Plans – writes lesson plan to achieve objectives	1.Lesson Plans – writes lesson plan to achieve objectives 0	1.Lesson Plans – writes lesson plan to achieve objectives 1	1.Lesson Plans – writes lesson plan to achieve objectives 2	1.Lesson Plans – writes lesson plan to achieve objectives 3	1.Lesson Plans – writes lesson plan to achieve objectives 4	1.Lesson Plans – writes lesson plan to achieve objectives NA
2.Preparation - plans for delivery of lesson relative to objectives	2.Preparation - plans for delivery of lesson relative to objectives 0	2.Preparation - plans for delivery of lesson relative to objectives 1	2.Preparation - plans for delivery of lesson relative to objectives 2	2.Preparation - plans for delivery of lesson relative to objectives 3	2.Preparation - plans for delivery of lesson relative to objectives 4	2.Preparation - plans for delivery of lesson relative to objectives NA
3.Routine – uses minimum class time for non-instructional routines	3.Routine – uses minimum class time for non-instructional routines 0	3.Routine – uses minimum class time for non-instructional routines 1	3.Routine – uses minimum class time for non-instructional routines 2	3.Routine – uses minimum class time for non-instructional routines 3	3.Routine – uses minimum class time for non-instructional routines 4	3.Routine – uses minimum class time for non-instructional routines NA
4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior	4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior 0	4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior 1	4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior 2	4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior 3	4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior 4	4.Discipline – clearly establishes expected behavior, encourages positive behavior, and effectively stops inappropriate behavior NA
5.Community of Learners – provides pleasant, safe, and orderly climate and rapport	5.Community of Learners – provides pleasant, safe, and orderly climate and rapport 0	5.Community of Learners – provides pleasant, safe, and orderly climate and rapport 1	5.Community of Learners – provides pleasant, safe, and orderly climate and rapport 2	5.Community of Learners – provides pleasant, safe, and orderly climate and rapport 3	5.Community of Learners – provides pleasant, safe, and orderly climate and rapport 4	5.Community of Learners – provides pleasant, safe, and orderly climate and rapport NA

Comments, if any:

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* 7. TEACHER INSTRUCTION

	0	1	2	3	4	NA
6.Inclusion – works with students having physical, mental and emotional disabilities	6.Inclusion – works with students having physical, mental and emotional disabilities 0	6.Inclusion – works with students having physical, mental and emotional disabilities 1	6.Inclusion – works with students having physical, mental and emotional disabilities 2	6.Inclusion – works with students having physical, mental and emotional disabilities 3	6.Inclusion – works with students having physical, mental and emotional disabilities 4	6.Inclusion – works with students having physical, mental and emotional disabilities NA
7.Cultural Awareness – provides for differences among students	7.Cultural Awareness – provides for differences among students 0	7.Cultural Awareness – provides for differences among students 1	7.Cultural Awareness – provides for differences among students 2	7.Cultural Awareness – provides for differences among students 3	7.Cultural Awareness – provides for differences among students 4	7.Cultural Awareness – provides for differences among students NA
8. Establishes Objectives – communicates the instructional objectives	8. Establishes Objectives – communicates the instructional objectives 0	8. Establishes Objectives – communicates the instructional objectives 1	8. Establishes Objectives – communicates the instructional objectives 2	8. Establishes Objectives – communicates the instructional objectives 3	8. Establishes Objectives – communicates the instructional objectives 4	8. Establishes Objectives – communicates the instructional objectives NA
9. Stresses Sequence – relates present topic to previous and future topics	9. Stresses Sequence – relates present topic to previous and future topics 0	9. Stresses Sequence – relates present topic to previous and future topics 1	9. Stresses Sequence – relates present topic to previous and future topics 2	9. Stresses Sequence – relates present topic to previous and future topics 3	9. Stresses Sequence – relates present topic to previous and future topics 4	9. Stresses Sequence – relates present topic to previous and future topics NA
10. Relates Objectives – relates subject to existing student experiences	10. Relates Objectives – relates subject to existing student experiences 0	10. Relates Objectives – relates subject to existing student experiences 1	10. Relates Objectives – relates subject to existing student experiences 2	10. Relates Objectives – relates subject to existing student experiences 3	10. Relates Objectives – relates subject to existing student experiences 4	10. Relates Objectives – relates subject to existing student experiences NA
11. Involves All Learners – uses signaled responses, questioning techniques	11. Involves All Learners – uses signaled responses, questioning techniques 0	11. Involves All Learners – uses signaled responses, questioning techniques 1	11. Involves All Learners – uses signaled responses, questioning techniques 2	11. Involves All Learners – uses signaled responses, questioning techniques 3	11. Involves All Learners – uses signaled responses, questioning techniques 4	11. Involves All Learners – uses signaled responses, questioning techniques NA
12. Explains Content – teaches the objectives through a variety of appropriate methods	12. Explains Content – teaches the objectives through a variety of appropriate methods 0	12. Explains Content – teaches the objectives through a variety of appropriate methods 1	12. Explains Content – teaches the objectives through a variety of appropriate methods 2	12. Explains Content – teaches the objectives through a variety of appropriate methods 3	12. Explains Content – teaches the objectives through a variety of appropriate methods 4	12. Explains Content – teaches the objectives through a variety of appropriate methods NA
13. Explains Directions – gives directions that are clearly stated	13. Explains Directions – gives directions that are clearly stated 0	13. Explains Directions – gives directions that are clearly stated 1	13. Explains Directions – gives directions that are clearly stated 2	13. Explains Directions – gives directions that are clearly stated 3	13. Explains Directions – gives directions that are clearly stated 4	13. Explains Directions – gives directions that are clearly stated NA
14. Models – demonstrates the desired skills	14. Models – demonstrates the desired skills 0	14. Models – demonstrates the desired skills 1	14. Models – demonstrates the desired skills 2	14. Models – demonstrates the desired skills 3	14. Models – demonstrates the desired skills 4	14. Models – demonstrates the desired skills NA
15. Instructional Technology – uses appropriate print and non-print media	15. Instructional Technology – uses appropriate print and non-print media 0	15. Instructional Technology – uses appropriate print and non-print media 1	15. Instructional Technology – uses appropriate print and non-print media 2	15. Instructional Technology – uses appropriate print and non-print media 3	15. Instructional Technology – uses appropriate print and non-print media 4	15. Instructional Technology – uses appropriate print and non-print media NA
16. Reading Skills – embeds the components of literacy into all instructional content	16. Reading Skills – embeds the components of literacy into all instructional content 0	16. Reading Skills – embeds the components of literacy into all instructional content 1	16. Reading Skills – embeds the components of literacy into all instructional content 2	16. Reading Skills – embeds the components of literacy into all instructional content 3	16. Reading Skills – embeds the components of literacy into all instructional content 4	16. Reading Skills – embeds the components of literacy into all instructional content NA
17. Monitors – checks to determine if students are progressing; evidence of assessment	17. Monitors – checks to determine if students are progressing; evidence of assessment 0	17. Monitors – checks to determine if students are progressing; evidence of assessment 1	17. Monitors – checks to determine if students are progressing; evidence of assessment 2	17. Monitors – checks to determine if students are progressing; evidence of assessment 3	17. Monitors – checks to determine if students are progressing; evidence of assessment 4	17. Monitors – checks to determine if students are progressing; evidence of assessment NA
18. Adjusts – changes instruction based on monitoring	18. Adjusts – changes instruction based on monitoring 0	18. Adjusts – changes instruction based on monitoring 1	18. Adjusts – changes instruction based on monitoring 2	18. Adjusts – changes instruction based on monitoring 3	18. Adjusts – changes instruction based on monitoring 4	18. Adjusts – changes instruction based on monitoring NA
19. Guides Practice – requires practice while under direct supervision	19. Guides Practice – requires practice while under direct supervision 0	19. Guides Practice – requires practice while under direct supervision 1	19. Guides Practice – requires practice while under direct supervision 2	19. Guides Practice – requires practice while under direct supervision 3	19. Guides Practice – requires practice while under direct supervision 4	19. Guides Practice – requires practice while under direct supervision NA
20. Provides Independent Practice – requires practice without supervision	20. Provides Independent Practice – requires practice without supervision 0	20. Provides Independent Practice – requires practice without supervision 1	20. Provides Independent Practice – requires practice without supervision 2	20. Provides Independent Practice – requires practice without supervision 3	20. Provides Independent Practice – requires practice without supervision 4	20. Provides Independent Practice – requires practice without supervision NA
21. Establishes Closure – summarizes and fits into content what has been taught	21. Establishes Closure – summarizes and fits into content what has been taught 0	21. Establishes Closure – summarizes and fits into content what has been taught 1	21. Establishes Closure – summarizes and fits into content what has been taught 2	21. Establishes Closure – summarizes and fits into content what has been taught 3	21. Establishes Closure – summarizes and fits into content what has been taught 4	21. Establishes Closure – summarizes and fits into content what has been taught NA

Comments, if any:

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* 8. PROFESSIONAL AND PERSONAL ADEQUACY

	0	1	2	3	4	NA
22. Appropriate dress/grooming	22. Appropriate dress/grooming 0	22. Appropriate dress/grooming 1	22. Appropriate dress/grooming 2	22. Appropriate dress/grooming 3	22. Appropriate dress/grooming 4	22. Appropriate dress/grooming NA
23. Speaks clearly, audibly, effectively	23. Speaks clearly, audibly, effectively 0	23. Speaks clearly, audibly, effectively 1	23. Speaks clearly, audibly, effectively 2	23. Speaks clearly, audibly, effectively 3	23. Speaks clearly, audibly, effectively 4	23. Speaks clearly, audibly, effectively NA
24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students)	24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students) 0	24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students) 1	24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students) 2	24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students) 3	24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students) 4	24. Relates well with students by showing interest, enthusiasm, and respect (engaging, uses eye contact, shows an understanding of students) NA

Comments, if any:

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