I have read and understand the following: On the rating of each criteria: A "1" means "Unacceptable." (There is insufficient evidence presented/observed to demonstrate the knowledge and/or the skills necessary in the classroom unassisted as related to the criteria assessed.) A "2" means "Acceptable." (There is sufficient evidence presented/observed to demonstrate knowledge and/or performance that is adequate and appropriate in most classroom situations, meeting most learners' needs as related to the criteria assessed.) A "3" means "Highly Effective." (There is evidence presented/observed to demonstrate the knowledge and/or skills to perform in classroom situations in more than a sufficient manner as related to the criteria assessed; the candidate performs capably and flexibly in varied classroom situations with all learners.)

Last Name of Intern *

First Name of Intern *

T Number of Intern

Email Address of Intern *

Observer Last Name *

Observer First Name *

School *

Date Observation Took Place *

ATU Elementary Education *

What is your supervisory role? *

Which observation is this for the observer? *