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Intern
Supervisor
Mentor Teacher
Objective: This evaluation guide is designed to identify the CSE interns strengths and capacities
demonstrated in the field as well as those aspects of professional practice that pose challenges.
Guidelines: The CSE intern, the university supervisor, and the mentor teacher will each fill out this
assessment instrument individually prior to meeting at mid-term and at the end of term. These
assessments will serve as a basis for substantive dialogue.
There are three sections: Pedagogical Decision-Making, Professional and Ethical Collaboration, and
Narrative Feedback. The first two sections have a rubric to mark the CSE interns progress regarding
specific goals. Use the narrative feedback section to share comments that provide evidence of areas of
strength or concern.
For the rubric sections, please place an X to indicate your assessment of the CSE interns development
and practice as an inclusive educator. You may mark more than one benchmark if appropriate.
Mentor Teachers:
This tool is not meant to restrict or to prescribe the nature of your comments. We welcome any and all
feedback you care to offer on the students learning, strengths, and challenges in his or her placement. We
thank you on behalf of the faculty and the interns for whatever descriptive evaluation you are able to
provide.
1 CSE interns are responsible for turning in all completed evaluations during C&T 4311.
1
Problematic Opportunity
Expresses Emergent in Strong in
in practice not yet afforded knowledge of practice
practice
to demonstrate
Signature
More Goals:
Date