ELJJ Clinical Experience Assessment Form
The purpose of this Assessment Form is to document the development of ELJJ teacher candidates at the end of the fall and spring semesters. The assessment is organized according to ELJJ programmatic criteria and Teacher Performance Expectations (TPE), respectively. For each criterion, students teachers, cooperating teachers, and student teaching supervisors are expected to examine evidence they have for abilities and development as demonstrated at the placement and select the level that best represents the evidence. In addition, student teachers are required to write a brief comment regarding strengths and goals for each criterion and TPE; cooperating teachers and supervisors are encouraged to do so as well.

The first two criteria represent core ELJJ values of care and anti-racist teaching. In addition to marking an appropriate score for each criterion, please enter comments about the teacher candidate's strengths, areas of growth, as well as areas of possible future growth. The final six items correspond to the TPEs.

Feedback from supervisors and CTs will be shared with the student teacher. The Professional Development Plan (Spring) is intended to serve as a guide for candidates as they embark in their careers and work with induction programs toward a clear credential.

NOTE: Please be warned that Google Forms does not save unfinished content. Therefore, we recommend that you type out written responses in a separate document and paste them in to ensure that your content saves.
Sign in to Google to save your progress. Learn more
Email *
Your name: *
Credential candidate's name: *
Placement site: *
Term/Academic Year *
Your role: *
Cooperating Teachers only: How many years have you taught?
Cooperating Teachers only: Do you hold a Clear CA teaching credential?
Clear selection
Safety, Wellbeing, and Care in Teaching
To what extent does the candidate meet these criteria? *
Are there any comments about strengths and growth goals regarding safety, wellbeing, and care in teaching that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
Culturally-sustaining, Anti-racist Teaching
To what extent does the candidate meet these criteria? *
Are there any comments about strengths and growth goals regarding culturally-sustaining, anti-racist teaching that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 1 - Engaging and Supporting all Students in Learning
To what extent does the candidate meet these criteria? *
Are there any comments about strengths and growth goals regarding engaging and supporting all students in learning that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 2: Creating and Maintaining Effective Environments for Student Learning
To what extent does the candidate meet these criteria? *
Are there any comments about strengths and growth goals regarding creating and maintaining effective environments for student learning that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 3: Understanding and Organizing Subject Matter for Student Learning
To what extent does the candidate meet these criteria? *
Are there any comments about strengths and growth goals regarding understanding and organizing subject matter for student learning that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 4: Planning Instruction and Designing Learning Experiences for All Students
To what extent does the candidate meet these criteria? *
Are there any comments about strengths and goals regarding planning instruction and designing learning experiences for all students that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 5: Assessing Student Learning
To what extent does the candidate...? *
Are there any comments about strengths and growth goals regarding assessing student learning that you'd like to add? (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 6: Developing as a Professional Educator
To what extent does the candidate...?
Clear selection
Are there any comments about strengths and growth goals regarding developing as a professional educator that you'd like to add? Please focus your comments on one TPE each for Strengths and Areas of Future Growth (Required for student teachers, strongly encouraged for CTs and Supervisors)
TPE 7: Effective Literacy Instruction for All Students
To what extent does the candidate...?
Clear selection
Are there any comments about strengths and growth goals regarding developing as a professional educator that you'd like to add? Please focus your comments on one TPE each for Strengths and Areas of Future Growth (Required for student teachers, strongly encouraged for CTs and Supervisors)
Individual Development Plan (toward Clear Credential) Reflecting on the points raised in this final Clinical Experience Assessment Form and related discussion during the triad meeting, candidates are responsible for indicating a Strength and Area of Future Growth on their respective Individual Development Plan. Candidates are solely responsible for providing this IDP to their respective induction program coach. Please indicate your understanding of this requirement by signing your name in the text box.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Northeastern University.

Does this form look suspicious? Report