Instructions for the Forms:

The forms from the site are all generated by Google forms. It is essential that you accurately enter the emails of the teacher candidates, supervising practitioners and program supervisors.

Once you've completed the form and hit "submit" the form will generate a PDF file which will arrive in your inbox and the inbox of anyone who needs a copy of this information. These PDF files are automatically backed up, but a copy should remain securely in your custody until required to be uploaded to your university file.


Stages 2 - 4 Evidence Collection

Announced Observation #1 SP & PS

Supervising Practitioner Observation Form

Program Supervisor Observation Form

Calibrated Feedback Form (Completed together by SP & PS)

Candidate Self Reflection Form (provided by PS and SP)

** Candidates are responsible for:

1) Lesson Plans 3+ Days before Observation

2) Candidate Self Reflection within 24hrs of Observation

Un - Announced Observation #1 SP only

Supervising Practitioner Observation Form

Calibrated Feedback Form (Completed together by SP & PS)

Candidate Self Reflection Form (provided by PS and SP)

** Candidates are responsible for:

1) Lesson Plans 1+ Day after Observation

2) Candidate Self Reflection within 24hrs of Observation

Announced Observation #2 SP & PS

Supervising Practitioner Observation Form

Program Supervisor Observation Form

Calibrated Feedback Form (Completed together by SP & PS)

Candidate Self Reflection Form (provided by PS and SP)

** Candidates are responsible for:

1) Lesson Plans 3+ Days before Observation

2) Candidate Self Reflection within 24hrs of Observation

SP and TC are Responsible for:

1) Conducting Student Surveys (DL linked form)

2) TC Reflecting on Results of Survey

Un - Announced Observation #2 SP only

Supervising Practitioner Observation Form

Calibrated Feedback Form (Completed together by SP & PS)

Candidate Self Reflection Form (provided by PS and SP)

** Candidates are responsible for:

1) Lesson Plans 1+ Day after Observation

2) Candidate Self Reflection within 24hrs of Observation

Optional - Announced or UnAnnounced Observation SP & /or PS

Supervising Practitioner Observation Form

Program Supervisor Observation Form

Calibrated Feedback Form (Completed together by SP & PS)

Candidate Self Reflection Form (provided by PS and SP)

** Candidates are responsible for:

1) Lesson Plans 3+ Days before Observation

2) Candidate Self Reflection within 24hrs of Observation

Categories of Evidence

  1. Observations (Required for Elements 1-A-1, II-A-1, II-B-2, may be used for other Essential Elements as appropriate) 

    1. Conducted throughout the Practicum

  2. Measure of Student Learning  

    1. Collected During the Candidate’s Full Responsibility

  3. Student Feedback 

    1. Collected Mid-Practicum for review during 2nd 3Way Meeting

  4. Professional Practice Goal

    1. Measured throughout the Practicum

  5. Candidate Artifacts  

    1. Artifacts may include, but are not limited to:  

      o   annotated unit or lesson plans 

      o   examples of students’ work 

      o   behavior plans or data 

      o   audio or video recordings of a lesson

      o   meeting agendas or notes

      o   samples of communication with families

      o   written reflections on adjustments to practice

** Candidate Hours Log Form - DL this paper form and record your hours for your Practicum!

Final 3Way Meeting

1) Summative Assessment

2) Final 3 Way Meeting Notes

3) Final Student Learning Goals Form

**CAP Form (Make a Copy for your files)

Must be: 1) Accurately Completed, 2) Signed by All,

3) Have Signed Hours Logs Attached

Teacher Candidate must present (electronically or by paper) a file folder containing the following:

1) All Lesson plans for every observation

2) Hours Log Signed

3) Reflection Forms for all observations

4) CAP Form Signed

5) Evidence of Student Learning Goal

6) Evidence of Professional Practice Goal

7) Student Survey Data

8) Student Survey Reflection