University Supervisor Evaluation Form

Curriculum & Instruction

Disclaimer: This form can in no way be connected to your IP address.

*Supervisor's Name (complete for each supervisor): (*required)

Student Teaching/Internship term:

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Full Semester

Yes/No Statements:

1. The university supervisor observed me at least two times this quarter.	Yes	No
2. The university supervisor provided written and oral feedback immediately after each observation.	Yes	No
3. During a post-observation conference or through other means, my supervisor and I determined what strengths had been observed during my lessons.	Yes	No
4. During a post-observation conference or through other means, my supervisor and I determined what improvements might be necessary in my teaching.	Yes	No
5. The university supervisor provided enough positive information to recognize and acknowledge my strengths and capabilities.	Yes	No

6. Overall, I would rate this supervisor as:
Excellent	Good	Satisfactory	Fair	Poor


7. I prefer this electronic evaluation method to paper version.	Yes	No

8. Comments that may be helpful to the supervisor:

COEHS • Brewer Hall 153 • University of Wisconsin-Eau Claire • Eau Claire WI 54702-4004

Phone: 715-836-3671
Updated: February 27, 2009