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1Field Experience Activity Record – Pre-Internship II

Directions: The Intern will enter the proper codes and date for each day in the appropriate box.

Teacher Candidate ___________________________ Major __________________________

Clinical Faculty _______________________________ Grade/Subject __________________

(Print First and Last Name)

School Site __________________________________ District _________________________

Monday

Tuesday

Wednesday

Thursday

Friday

Date: _____________

Codes: ____________

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Days Present _______

Days Absent _______

MG Meet and Greet

O Observing

T Teaching

C Conference with CF

OP Observe Peer

AT Assisting Clinical Faculty

CP Conference with Parent

PR Preparation Period

OT Other


__________________________________________ __________________________________________

Clinical Faculty Signature Date Peer’s Clinical Faculty Signature Date

__________________________________________

Teacher Candidate Signature Date

EXAMPLE ONLY This evaluation needs to be completed in Chalk and Wire by the Clinical Faculty and by a Peer and a self-evaluation by the teacher candidate

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