EVALUATION SHEET FOR STUDENT-INTERN

Skills Indicator: (5) - Excellent

(4) - Very Good
(3) – Good
(2) - Fair
(1) - Poor Performance

Competency Task/Output Performance Rating

5 4 3 2 1
Applying skills Daily Time Record
learned and Daily Task Record or
proper values Daily Diary/ Journal
acquired in Photos, illustrations of
school. performed hands-on
skills Work
Performance (includes
knowledge and quality
of work)
Personal Traits 1
(based on pleasing
appearance, courtesy,
conduct,
industriousness, and
reliability)
Personal Trait 2 (based
on sociability, drive
and leadership, mental
maturity and stress
tolerance)
Lesson Planning
Preparation of
Assessment Tools
(Quiz, performance
tasks, others)
Actual Teaching
Classroom
Management
Participation in School
Activities
Classroom/School
Assistantship
Other related tasks
(Based on the given
tasks)
Score: Total Raw Score
What went well?
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What needs to be improved?

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Feedback of Cooperating Teacher:

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Name and Signature of Cooperating Teacher

Noted:

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Name and Signature of Head Teacher

Approved:

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Name and Signature of Principal