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Interns Name
Date
Observers Name
This observation form is to be used by the mentor teacher for daily lessons and observations. It may also be used
by the college supervisor for visits to the interns classes. All the criteria are applicable to diploma students and to
students in the Special Education program in both classroom and resource room settings.
Please check the most appropriate box:
Mark Freq Obs (Frequently Observed) if the behavior was incorporated throughout the lesson.
Mark Obs (Observed) if you specifically saw the behavior.
Mark Not Obs (Not Observed) if you did not see the behavior at all during the lesson.
Pre-observation Planning
Yes
No
Obs
Not Obs
Lesson plans are submitted to mentor and supervisor with enough time for
feedback.
Freq Obs
1 of 3
2 of 3
Test (if present) matches standards, instruction, and lesson plan/IEP objectives.
Observer comments:
Interns Name
Observers Signature
3 of 3