Student Teacher SelfEvaluation Form

Student Teacher: _______Brittani Bacchi_______________

Cooperating Teacher: _______Susan Coryat_______________
Site Director: __Janet Christman____ Midterm: ______ Final: __12/2__
Directions: The purpose of this form is to assist the Student Teacher in
evaluating ones growth at the midterm and fnal points of the student
teaching experience. Each candidate is asked to complete the form and share
his/her results with both the University Supervisor and the Cooperating
Teacher.

Please use the following rating scale:

Distinguished
Proficient
Basic
Unsatisfactory

D
P
B
U

Domains:

Rating:

Areas of
Strength:

Area for
Improvement:

Domain 1:
Planning &
Preparation

I always plan lessons

well in advance. My
content knowledge is
strong and growing. I
try to be as specifc
as possible when
planning, and my
lessons have been
successful.

Although I have been

working on it, I could
still do a better job of
planning higher order
thinking questions in
my lesson plans. I
could also step up
the creativity.

Domain 2:
The Classroom
Environment

I have established
expectations for
student work and
behavior. I have
improved my ability
to use all of the time
for instruction. The
students are
comfortable with
each other and me.
Discussion is
respectful.

I could still use some

work on my
transitions and really
making the most of
instructional time.

Domain 3:
Instruction

My lessons are varied I have improved my

so I can avoid boring questioning
the students and
techniques, but I still
really engage them in need to focus on this
learning. I make sure more. I need to really
that there is
ask higher order
understanding before thinking questions
moving on to another and help facilitate
topic. I use formative discussion between
assessments to check the students.
for understanding. I
am flexible and good
at adjusting plans for
the classes needs.

Domain 4:
Professional
Responsibilities

I have consistently
reflected on all of my
lessons since the
start of my student
teaching. I have

I could spend more

time deliberately
discussing techniques
with other teachers. I
will join professional

Domains:

Rating:

Areas of
Strength:

Area for
Improvement:

communicated with organizations in the

parents through
future.
email and in
conferences. I keep
track of attendance
and assignments. I
also keep record of all
student grades. I take
advice from other
teachers and try to
use it in my teaching.
I have gone to
professional
development for
argumentative
writing.
Areas within the Four Domains where I have demonstrated
improvement:
Domain 1:
I have improved my ability to plan higher order thinking questions and I have
planned some more creative lessons than I was doing before.
Domain 2:
I have improved my ability to establish a clear routine and expectations for the
students when they come to class.
Domain 3:
I have gotten a lot better at being clear about asking questions and finding
multiple ways to ask the questions so students know what I am looking for.
Domain 4:
I am a lot more confident in my ability to make the right decision and in my
relationship with parents of students. I have gotten better at keeping track of
missed assignments and scheduling times for them to be made up.

Areas within the Four Domains where I hope to demonstrate

improvement:
Domain 1:
Although I have made an effort to step up the creativity of my lessons, I still have
a lot of room for improvement. There is nothing wrong with my lessons, but they
could be more engaging and unique. This requires more research when planning.
Domain 2:
I still need to work on better transitions and really making the most of instructional
time. I want to make my transitions faster and more productive.

Domain 3:
My questioning techniques have improved, but I really hope to get even stronger
in this area. I want to ask critical thinking questions and be able to facilitate
discussion amongst the students with less talking form me.
Domain 4:
I want to work even more with other teachers to learn better techniques and ideas
for lessons. I also want to join a professional organization.

MIDTERM: (please complete at mid-term only)

Two short-term professional goals I have set for myself include (goals
you hope to accomplish in the next six weeks):

FINAL: (please complete at final only)

One or two long-term professional goals I have set for myself include
(something you want to improve within your frst year of teaching):
My long-term professional goal is to continue reflecting on lessons and to add
creativity to my lessons. I hope that within my frst year of teaching I am able
to fnd exciting and successful ways to engage students. I want to do this by
continuously reflecting and not getting stuck in a simple routine. I know it will
be easy to become used to doing things one way and I want to make sure that I
avoid this. My frst year of teaching will be a huge learning experience, but I
want to make it a goal to continue this learning even after I am a teacher with
several years experience behind me. This means keeping up with professional
development, constantly consulting with other teachers, and joining
professional organizations.

Signatures Required Below

4

Student Teacher: _______________________________

Date: ____________

University Supervisor: __________________________

Date: ____________

Cooperating Teacher: ___________________________

Date: ____________

* Please submit the signed evaluation to your course instructor.