Activities

CLINICAL FACULTY INITIALS or N/A

(1) Correct papers as instructed. ____________________

(2) Aid in preparation of bulletin board, room displays, etc. ____________________

(3) Check roll, report absences, other routine paperwork. ____________________

(4) Individual tutoring under direction of the clinical faculty. ____________________

(5) Work with small groups of students (i.e. remedial or ____________________

accelerated groups).

(6) Assist with make-up work. ____________________

(7) Assist with extra-curricular activities. ____________________

(8) Assist the clinical faculty with duties: lunch, hall, bus, ____________________

playground.

(9) Develop, prepare and teach three lesson plans. ____________________

Optional: Other activities (list) ______________________________________________ _____________

Other activities (list) ______________________________________________ _____________

LESSONS TAUGHT (Minimum of 3 lessons)

Title/Subject Date taught CF INITIALS

Lesson one: _______________________________________________________________________________

Lesson two: _______________________________________________________________________________

Lesson three: ______________________________________________________________________________

Signature of Clinical Faculty ___________________________________ Date__________________

Signature of Pre II Candidate ____________________________________Date__________________

p

Example only

EDUC 4032 PRE-II INTERNSHIP

PROFESSIONAL HABITS INVENTORY

This evaluation needs to be completed in Chalk and Wire by the Clinical Faculty

PROFESSIONAL HABITS INVENTORY page 2

This evaluation needs to be completed in Chalk and Wire by the Clinical Faculty

Northeastern State University – College of Education

PRE-INTERNSHIP II

Final evaluation form

Please address the following areas in your comments below: attitude / initiative, verbal and or written communication, and interaction with students and colleagues.

Area(s) of particular strength:

Area(s) for further growth:

Extra-Curricular Activities

(Please check the appropriate choice)

____I recommend this student be permitted to continue in the NSU Teacher Education Program.

____I recommend this student be counseled about concerns stated above before being permitted to continue in the NSU Teacher Education Program.

Pre-Intern (Print first and last name) Clinical Faculty (Print first and last name)

_____________________________________ _____________________________________

Pre-Intern Signature Date Clinical Faculty Signature Date

_____________________________________

Education 3313 Instructor Date

Pre-Intern Comments:

PRE-II ASSIGNMENT CHECK-IN

Semester:___Fall___Spring Year ________

Teacher Candidate:______________________________________

Candidate Phone #:______________________ E-Mail:____________________________

Major:_____________________

Pre-II City/District/School_______________________________________________________

Grade/Subject/Clinical Faculty_______________________________________________________

The intern requirements:

_____ Ten (10) days one day per week (nine in host school, one in peer classroom) recorded on Field Experience Activity Report (Due at Assignment check in Seminar #4) with signature of Clinical Faculty and peer Clinical Faculty.

_____ Attendance at all required Pre-Internship II Seminars (Seminar #1, #2, #3, #4)

_____ One Lesson Plan (of the 3 taught) including completed lesson plan reflection, (using lesson format assigned in NSU methods course). Lesson plan must show evidence of a grade, or approval to be taught, by your NSU methods instructor AND evidence of approval to be taught by the Clinical Faculty. NOTE: Interns who previously completed professional education methods course will submit three (3) lesson plans which were taught during Pre-Internship II with evidence of approval to be taught by their Clinical Faculty and three (3) reflections of the lesson plan.

_____ Clinical Faculty Observation of the Lesson: results printed from Chalk and Wire which the Clinical Faculty completed for the Intern.

_____ Peer Observation of the Lesson: results printed from Chalk and Wire which a peer completed for the Intern AND the lesson plan attached ( can be same as above)

_____ Peer Observation of the Lesson: a copy of the results printed from Chalk and Wire which the Intern completed for a Peer AND the peer’s lesson plan attached

_____ Professional Habits Inventory: Completed by the Clinical Faculty and the results printed from Chalk and Wire

_____ Final Evaluation Form: signed by Clinical Faculty & the Intern

_____ Pre-Intern II Responsibilities: signed by Clinical Faculty

_____ ePortfolio Competencies 1, 2, 3, 4, 5, 6, 9, 10, 11, 12, 13 & 14

_____________________________________________________________________________

Pre Internship II Instructor Signature Date