Course/Section

Student's Name:                                                     Supervising Teacher's Name:
Date Submitted:                                                      Number of Report:

On _________________,  ___________________________ spent ___________________
                 (Date)                           (Student’s name)                             (Time- app. 2 hours)
working with my students.

____________________________________.
   (Signature of supervising teacher)

Name of School & District:
Type of Class/Lesson:
# of students:                     # of teachers:
 

There are 3 sections to this report. Be sure to complete all of them.

Description of Activity: (Be as specific as you can in describing the content of the lesson.)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Evaluation or Reaction:   (Relate what you observed to what you learned in class.  Did you see effective teaching techniques, evidence of student involvement and learning, classroom management strategies, feedback?)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

What did you learn as a result of this activity?  (Did you observe teaching techniques you would or would not use?  Did you learn anything about the content of the subject lesson you saw?  Did you learn anything about teaching a particular subject, particular age group, or classroom management?)