Clinical Supervision Template

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    EDAD 516 INSTRUCTIONAL AND CURRICULUM LEADERSHIP

    CLINICAL SUPERVISION TEMPLATE

    Observation #: Date: Observer:First Name of Teacher Observed: Subject: Grade Level:

    #1 Context for Observt!on

    #" PreConferen$e2a. Focus ofre!

    conference

    "hichcriteria mabe evidentdurin$ theobservation%

    &o' can theinstructionalframe'or(be used to

    suort thisteacher%

    Standard

    Learnin$Tar$et

    Students)'or(samles that

    sho' currents(ill level andteachere*lanationof ro$ressto be madeto'ardstar$et.+videncethat 'illsho' ifstudents met

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    learnin$tar$et.2b.Suervisor,ehaviorsdurin$ re!conference-ndicatenumber oftimes used/

    Listening Clarifying Encouraging Reflecting Presenting

    Problem Solving Negotiating Directing Standardizing Reinforcing

    2c. nsi$htsfrom 0re!conference

    #% Env!ron&ent for Observt!on

    1a. Tools

    selected foruse durin$observation

    -attachobservationtool/

    '()!tt!ve '(nt!tt!ve

    1b. +videnceof studentslearnin$ -ornot learnin$/:

    Student 'or(sho's evidence ofunderstandin$ not

    just recall.

    +vidence%

    Students areen$a$ed inactivities todevelounderstandin$ andcreate ersonalmeanin$ throu$hre3ection.+vidence%

    Students al(no'led$e in real!'orld conte*ts.+vidence%

    Students areen$a$ed in activearticiatione*loration andresearch.+vidence%

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    Teachers utili4e thediverse e*eriencesof students to builde5ective learnin$e*eriences.+vidence%

    6ssessment tas(sallo' students to

    e*hibit hi$her!orderthin(in$.+vidence%

    Students areresented 'ith achallen$in$curriculumdesi$ned todevelo deth ofunderstandin$.+vidence%

    1c. Describethe learnin$environmentof theclassroom

    Diverse learners'ereaccommodated%+vidence:

    Students 'or(edindeendentl orcollaborativel%+vidence:

    7lassroom 'as

    ositive 8'arm9safe and conduciveto learnin$%+vidence:

    Teacher usedvariet ofuestionin$strate$ies%+vidence

    Teacher e*ectedhi$h erformance

    from all students%+vidence:1d. nsi$htsfromObservation

    Did the lesson ali$n'ith the Standard andsuort state $oals-s(ills (no'led$e

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    thin(in$ andalications/% ;es

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