FORM C Overall Professional Experience Evaluation Record

ETP310 Teaching and Learning 5 Inclusive Education

This form must be returned to the Professional Experience Office

Unit Code: ETP310

Pre-service teacher

Student no

Linnea Jane MEAD

s237572

School

State Or Territory

Cummins Area School

S.A.

Class/year

Subject/teaching area

Year 6/7

Literacy, Maths, Arts

Mentor teacher

Professional Learning Leader (where applicable)

Stephanie PHELPS

Veronika TILLER

ASSESSMENT

DETAIL

FORM A

Completed at the midpoint of the

professional experience and at the end

Inclusive Education

FORM B:

PLEASE INDICATE
Form A has been filled out and submitted
Yes

No

Presented to a panel that includes the

mentor teacher or PLL and assessment
rubric completed

Form B has been filled out and submitted

Yes

No

A Sequence of lessons, planned

taught and assessed

Sighted by the mentor teacher

Yes

No

The daily journal

Sighted by the mentor teacher

Yes

No

In-school task
Planning an Educational
Adjustment Plan

At risk process

N/A
Date initiated
Date completed

There are 20 professional experience days attached to Teaching and Learning 5

Has the pre-service teacher completed the required number of days?

Yes

No

Has there been any variation to the number of professional experience days?

Yes

No

Performance rating

Date 16 June 2015

ETP310

FORM C Overall Professional Experience Evaluation Record

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Each task must be satisfactory to gain an overall Pass for the professional experience placement and for the unit
OVERALL RATING:

Requires more professional experience to meet assessment requirements

Pass

Fail

Please suggest an amount of time

Please keep a copy of this comment to add to final portfolio
Mentor Teacher Comment: Linnea has demonstrated many qualities that will make her a successful teacher. She
is organised, has knowledge of the curriculum, able to differentiate learning and provide opportunities for assessing
student learning. She understands the importance of building relationships with students and making their learning
meaningful.
Please send a copy to the Preservice Teacher :

Date sent
16 June 2015

X
Stephanie Phelps
Mentor teacher

Mentor teachers signature

ETP310

FORM C Overall Professional Experience Evaluation Record

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