CSN Education Department Field Observation TIME LOG
CSN Student: ‘Mena Ochoa, Josue, A
CSN Instructor: Robert Shkorupa
CCSD School Assignment: Carroll M Johnston Middle Schoo!
CCSD Cooperating Teacher:
Louis J. Markouzis
(702)799-7001,
Phone t fax
Time Out am @)| Hours Verification Initial
[B.C
TOTAL HRS
Cooperating Teacher's FIELD OBSERVATION STUDENT EVALUATION
Please complete the following evaluation (with the student) after the observation, using
Indicator Ratings. Our constructive comments are very valuable to the student. If you wish
completed document, you may do so by sending it to the teacher's attention: Fax 702.651.4908 or CSN Ed. Dept.
13200 E. Cheyenne Ave. SORT CODE S2A, Las Vegas, NV 89030-4228
Check the appropriately box 4=exemplary/3=consistent level/2=not consistent/I-lacking 4 3
1. Professional appearance, adherence to CCSD dress code
2. Reliability, punctuality
3. Communicates effectively with teacher and staff
4. Demonstrates manners, graciousness
5. Reflects upon observation by using appropriate language and critical thinking
6. Demonstrates enthusiasm and curiosity
7. Models respectful behavior
8. Uses appropriate language
9. Exhibits pre-service educator qualities
MAK Reed)
Ms. ii: rick ate 3110/2029
Cooperating Teacher's Signature
Comments,