Utica University Field Site Evaluation
In order to evaluate the pre-service teacher's fieldwork as part of their overall course performance, please complete this form. Consider the responsibilities that were agreed to at the beginning of the fieldwork experience and recorded on the fieldwork schedule contract. Your responses on this form will be considered when assigning the grade. We encourage teachers to discuss evaluations with the student conducting fieldwork; they are permitted to see the evaluation.  

TIP: An easy way to share the evaluation with the student conducting fieldwork is to forward them the email receipt that you will receive after submitting this form.

For questions or comments, please call 315-792-3235 or email Kyle Riecker at kyriecke@utica.edu.


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Email *
Mentor Name (your name) *
Name of the host teacher supervising the fieldwork
Student Conducting Fieldwork (Student's name) *
First and last name of the Utica University student who you are evaluating.
Corresponding Utica Course *
The course that the student is enrolled which requires fieldwork.  This information will be listed on the fieldwork contract. If this section is missing, please select "not sure."  If the fieldwork is required for more than one course, please check all that apply.
Required
Semester *
What semester did the fieldwork take place in? (Fall or Spring and of what year?)
School *
Name of the school at which the student completed their fieldwork.
School District *
Name of the school district at which the student completed their fieldwork.
Grade level and subject *
Site Attribute *
Please select which best describes the site's attributes.
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