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Grade:". L
The USA student under my superwision . . .
Ltdtuae ana Atdong {i- Ercepdoi* r - prof,cientr 2 - Basic' 1- unacceptable
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1' rs consistent, dopgndable, and accruato in carrying respousibilities to
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a successfirl.oorl*ioo.
focused onptofessionalresponsibilities without interference
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frompensonal
3t Drsplayspolitiveattitudestowardcolleagues,students,andparents.
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4. Actively p,rsues opportooities for professionar deveropment


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5' shows the hpe of grooming which reflects neatness, attentiveness,
6. Communicates effectively orally.
and appropriateness of attire.
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7. Communicates effectively in writing.


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8. Maintains poise, understanding, and tact in various situations.
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9. Shows initiative in performing classroom tasks.
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feedback
10. Applies corstmctivo
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rr. Displaysent&usiasm,warmth"andfriendlinese.
11. sspreysErurustasrtrrwaEllrandlrleadliness. a,-,Y
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Classroom ilIanrgement S./ - .,^
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Effectivelyuanages class truuo.
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13. Consistent$maihiains appropriate student behavior.
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thatstimulatstbsmaxi'umgronahofindividuatstudents.
l5.Showssinceieinterestinchildreaadi'th.sorutioatotheirproblerus i : :
Teaching Responsibillff es
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lE. Is an offeotive teacher aad helps shrdots learo and improvo.
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re. usestecbaorogyeffectivery. 6hq I
20. Workseffectivelywithdiversestudentpopulations
21. Is skilled in evaluating student performasce. EE ; I
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alhieve desired student outco
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EvALU.{TIO}i OF USr\ STUDENT'S CLINICAI EXPIRIENCE I]1'CI-ASSROOXI TEACIIEIi

EXPERIENCE: ('tr'ier 2 7r Tier 3 Tier 4 Seconrlan' I'aluatiotr: ]iidtcrm r 66D'


Student: Discipline: ,o,"_oj4a5
Cooperating Teacher: school: DiKSn o*u*,
The USA Student under mv supen ision. ..

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*[xceptional 3- Proficieut 2 -Basic 1 -Unacceptable
Professional dttimde and Actions
1. Is consistent, dependable anci accurate Lr: carryi::g responsibilities to a successful conclusion O ,Q , I
2. Remai:rslocusedonptolessionalresporsibiiitiesrvithoutinterferencefrompersonalobl.igations. O (! I
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1. Displays positive attitudes torvard coileagues, students aad parents. + (: 1 Z
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4. Actively pursues opportunities lorprofessronal deveiopment. O 1

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Personal Qualities
5. Sbo$Ethetypegrosebgshiotreffectsaeatn*s,atrentiven$c6d ofattire. nQ, I
6. Camsmicatesefiecti:re.Iyorelly. O (rJ , 1

7, Comsuahate$effectivelyiowritieg- S/n 4 3 ? 1

8. Mafutairs poise, unilerstacdiag aad acr in rmious situatioas . 40 t ,


g. SLows initiative irperforaring classrosmtasks- n "t

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i0. Appliescaasmrtive feedbar.k U (A , t
11. Displays enthusinsn, rvaanth md *iendlices*. O , 1
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1?. Eseetivelymarages class d*.. N /A 4 3 ? I
13. Cansistently uraintains appropriate snrde*r behavio.. + Q : 1

I :1. l\{aintains a iearm-,rg enr-irounent that stimulates the maximuin grc*th cl !-n,Cividlial
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i5. Shou,ssiricereinterstinchiidrenarrdxii:esolutiontotiieirproblems- + , ,
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Teaching Responsibilities
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Demonstrates in-depth knorvledge of the subject 4 -.. \
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17. Demonsirates a high le',,ei of pedagosical skills. 4 : I
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18. Isaneftectiveteacherandiielpssrurdentslearaandinprove. O I
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19. Uses technoiogl, efiectii el1. t{ 1 -\ : I
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20. Work efiecrivell, n.itlr diverse student populations. , .
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11. ls skilied in evaiuating student performRnce. + : i
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