University Supervisors
This page provides the various documents used by University Supervisors during different field experiences.
Block/Methods Evaluation Forms:
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Special Education Block Information (PDF)
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Secondary Education Methods Evaluation Form (PDF)
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Elementary Education Block Evaluation Form (Word)
University Supervisor Guide: Click here to view the University Supervisor's Guide to work with Student Teachers.
Lesson Plan Formats - There are two suggested formats that may be used at the beginning of the placements. To review them, click on the side panel.
Student Teaching Forms:
Visitation Reports:
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Elementary Education Form (PDF)
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Early Childhood Education Form (PDF)
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Library Science Form (PDF)
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Modern Language Education Form (PDF)
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Music Education Form (PDF)
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Secondary Education Form (PDF)
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Special Education Form (PDF)
Attendance and Grade Form: Student Teacher Attendance and Grade Form (PDF): This is the form to be used for the final grade report at the end of the student teacher's placement.
Student Teaching Performance Profile (STTP): These evaluation forms, one for each major, are used to define student teacher's progress throughout the placement. It is often helpful to print one out and use it periodically to show the student teacher strengths and weaknesses and to document progress or the lack of progress if necessary. This is the final evaluation form
Student Teaching Performance Profiles (STPP)
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Early Childhood (PDF)
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Elementary Education (PDF)
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Library Science (PDF)
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Mathematics (PDF)
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Modern Language (PDF)
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Music (PDF)
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Secondary Science (PDF)
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Secondary English (PDF)
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Social Studies/Citizenship Education (PDF)
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Special Education (PDF)
Teacher Candidate Work Sample (PDF) This Work Sample is only required for the following majors - elementary, early childhood, library science, modern language, music, and social studies education. It is required as one of the NCATE accreditation assessments.
This form is to be completed at the end of each placement and given to the University Supervisor. The form is used to review one of the student teacher's lesson plans to determine the plan's effectiveness. If applicable, good, fair, and poor examples of pupil work should be attached to show the results of the lesson. This is an exercise for the student teacher to become more aware of their lessons and their involvement with their pupils.
General Information:
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Pennsylvania Department of Education link to Title 22 and Chapter 235, "Code of Professional Practice and Conduct for Educators". Please review this information prior to and throughout the field experience to further develop your own professionalism.
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PDE 430 and PDE 430A Evaluation Forms (HTML): Please use the electronic links on this PDE webpage. They are - PDE-430 (MS Word Electronic Form) and PDE-430A (MS Word Electronic Form for additional information). These forms are required to be completed twice during the student teaching semester, once for each placement. Once completed electronically, the forms are to be printed, reviewed with the student teacher, signed, and submitted to the Office of Field Services. A copy of the completed and signed form is to be given to the student teacher for their records.
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Incident/Accident Form (PDF) - This form is to be used whenever a student teacher is injured during the placement when the injury has resulted from any activity related to the student teaching assignment. Please contact the Associate Dean/Director of Field Services immediately when this form is required.
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Travel Information (HTML) - This page is the Travel Information in the Accounts Payable web on the University website.
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Travel Log Form (PDF) - Although you are not required to use this form, the travel log form has been developed to help you with detail regarding your student teacher supervision travel. This form may be submitted with your travel voucher request form for mileage reimbursement.
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Video Instructional Points (VIP) Seminar (PDF) - This information may be used to help structure video lessons if this is desired to help the student teacher.
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Block/Student Teacher Parking Permit (PDF) - Residence Hall students on block or who are student teaching face a unique problem regarding parking on campus. To help alleviate these problems and to promote the academic mission of the University, Public Safety is introducing "Student Teacher" permits beginning this fall. For details regarding this permit, please click on the file format above. For questions or to inquire about a student teacher permit, contact Public Safety by calling 393-2111.
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Professional Sharing Documents - This section lists various forms and related documentation that University Supervisors have used successfully. You are NOT REQUIRED to use any of this information. However, you may find something here that you may want to investigate further.
