Cooperating Teacher Evaluation Form  By Preservice Teacher
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Semester
Clear selection
Year
Date
MM
/
DD
/
YYYY
Cooperating Teacher
Evaluator
School
Area/Grade Level Supervised
Instructions
Rating Scale:

0 – No chance to observe designed
1 – Never
2 – Seldom
3 – Often
4 – Usually
5 – Always

Directions: The following instrument is designed to obtain feedback on your perception of your Cooperating Teacher during preservice teaching. Please rate each item using the scale above.

During the preservice teaching experience, this Cooperating Teacher:
(1)  showed respect for me as a preservice teacher.
No chance to observe
Always
Clear selection
(2)  solicited and accepted my ideas or opinions.
No chance to observe
Always
Clear selection
(3)  listened to me.
No chance to observe
Always
Clear selection
(4)  deserved and earned my respect.
No chance to observe
Always
Clear selection
(5)  was willing to spend extra time with me, as needed.
No chance to observe
Always
Clear selection
(6)  showed genuine interest in my progress.
No chance to observe
Always
Clear selection
(7)  attempted to keep personal bias from entering into dealings with me.
No chance to observe
Always
Clear selection
(8)  had realistic expectations for me as a preservice teacher.
No chance to observe
Always
Clear selection
(9)  seemed to enjoy supervising me as a preservice teacher.
No chance to observe
Always
Clear selection
(10)  allowed me sufficient teaching experiences.
No chance to observe
Always
Clear selection
(11)  collected sufficient information to adequately evaluate my performance.
No chance to observe
Always
Clear selection
(12)  gave me constructive suggestions.
No chance to observe
Always
Clear selection
(13)  pointed out strengths, and things I did well.
No chance to observe
Always
Clear selection
(14)  outlined clear objectives for improvement of my teaching.
No chance to observe
Always
Clear selection
(15)  was fair and objective in evaluating my performance.
No chance to observe
Always
Clear selection
(16)  maintained adequate documentation showing status and performance.
No chance to observe
Always
Clear selection
(17)  treated me in a fair manner.
No chance to observe
Always
Clear selection
(18)  kept information confidential when necessary.
No chance to observe
Always
Clear selection
(19)  demonstrated appropriate/positive classroom management.
No chance to observe
Always
Clear selection
(20)  communicated with skill and effectiveness.
No chance to observe
Always
Clear selection
(21)  demonstrated a professional attitude.
No chance to observe
Always
Clear selection
What were your Cooperating Teacher’s major strengths?
How could your Cooperating Teacher improve?
Would you recommend this Cooperating Teacher for future preservice teachers
Clear selection
Why or why not?
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