Cooperating Teacher Feedback #1

Cooperating teachers are asked to complete this feedback form at the end of the second week of practicum. The comments are sent to and reviewed by your candidate's EIU supervisor.

We encourage you to share this process and your feedback with your practicum candidate.

Name of EIU Teaching Candidate Name of EIU Teaching Candidate * First Last
Name of Cooperating Teacher: Name of Cooperating Teacher: * First Last
Email *
Name of School: *
Would you like to receive an EIU tuition waiver (3 semester hours) after practicum in appreciation of serving as a cooperating teacher for the EIU teaching candidate? *

Would you like to receive an EIU tuition waiver (3 semester hours) after practicum in appreciation of serving as a cooperating teacher for the EIU teaching candidate? Yes No
1. Has the EIU candidate been punctual? *

1. Has the EIU candidate been punctual? Yes No
Any comments regarding late arrivals, early departures or absences?
2. Is the EIU candidate approaching you weekly to sign his/her clinical experience record? *

2. Is the EIU candidate approaching you weekly to sign his/her clinical experience record? Yes No
Any comments regarding clinical records?
3. Reliability--have there been any missed days or failure to complete a given task? *

3. Reliability--have there been any missed days or failure to complete a given task? Yes No
Any comments regarding reliability?
4. How is the EIU Candidate's interaction with students in the classroom? *
5. What teaching activities has the EIU Candidate engaged in and how would you judge the quality of their work? *
6. While it has only been two weeks, how do you feel about the EIU Candidate's level of content knowledge that you have had the opportunity to observe? *
7. Do you have any concerns at this point about the EIU Candidate's suitability for the teaching profession? *
8. Would you like to discuss any concerns about the EIU Candidate's performance with his/her EIU practicum supervisor or instructors? *

8. Would you like to discuss any concerns about the EIU Candidate's performance with his/her EIU practicum supervisor or instructors? Yes No
If yes, please share a phone number and the best time(s) to reach you or an email address.