Instructional Activity Mentor Feedback Form

Intern ___Jenn Wong___________________________ Date ____12/9/15__Mentor _____Teddy Welzant

As I implement my instructional activity, please provide feedback so that I can build upon my strengths and address areas that need improvement. Please rate each area using the scale below.

Highly Effective Effective Developing Effective Ineffective 10 9 8 7 6 5 4 3 2 1

Planning and Preparation1. Lesson plan – Did my plan contain all required elements for my teaching segment?

Rating _8_ Comments:

2. Alignment – Were the key elements of my lesson aligned (standard, objective, activities, assessment)?

Rating_10__ Comments:

3. Materials – Were materials selected appropriate to the objective and students’ ability levels? Rating 10___ Comments:

Classroom Environment 4. Management – Were students on-task? Was noise level controlled? Did I move around the room, make eye contact? Rating _8___

Comments: You did a nice job with this group, especially mod 8. I know this is a challenging group. When you come back in the spring we will begin assigning lunch detentions for the students that misbehave.

5. Student Rapport and Respect – Did I make an attempt to relate to students? Did I provide appropriate and respectful feedback?

Rating _8___ Comments:

Instruction 6. Engagement – Were students actively engaged in my lesson segment? Rating __9__ Comments: I think you did a nice job with my engaging all students.

7. Assessment – Did the assessment I used accurately measure student learning? Rating __9__ Comments:

8. Pacing – Was adequate time spent on each part of my teaching segment? Rating __9__ Comments:

9. Teacher Presence – Did I demonstrate the ability to be in control of the classroom? Rating __9__

Comments: This can without a doubt be the most challenging piece. We will focus on this more in the spring.