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Form for Preservice Performance Assessment

By Christina James,2014-06-18 09:51
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Form for Preservice Performance Assessment

    The Commonwealth of Massachusetts

    Department of Education

    350 Main Street, Malden, Massachusetts 02148-5023 Telephone: (781) 338-3000

    Preservice Performance Assessment for Practicum or Practicum Equivalent

    Professional Standards for Teachers: See 603 CMR 7.08.

    Part I To be completed by the applicant. Practicum:_____________Practicum Equivalent: ___________

    1. Legal Name: (print)________________________________________________________________2. SSN: ______________________________

    3. Address: _____________________________________________________________________________________________________________

    4. Sponsoring Organization: _____________________________________________________Program & Level: __________________________

    5. Practicum/Equivalent Course Number: ______________________________________________Credit Hours: _________________________

     Course Title: ________________________________________________________________________________________________________

    6. Practicum/Equivalent Site: ______________________________________________________7: Grade Levels of Students: _______________

    8. Total number of practicum hours: _________________Number of hours assumed full responsibility in the role: ______________________

    9. Other Massachusetts licenses held if any: __________________________________________________________________________________

    10. Have any components of the approved program been waived (see Regulations 7.03(1)(b)): Yes _______________No___________________

Part II To be completed by the Program Supervisor

    Name: (print)___________________________________________________________________Position/Title_____________________________

    The Applicant completed a practicum/equivalent designed by the Sponsoring organization as partial preparation for the following license:

    Applicant’s License Field: ___________________________________________________________Grade Level: __________________________

Part III To be completed by the Supervising Practitioner

    Name: (print)_____________________________________________________________________Position: _______________________________

    School System: _____________________________________________________License: Initial (# yrs. experience): ______or Professional: _____

    Massachusetts License #: ______________________________________________________Field(s): ____________________________________

Part IV Initial 1, 2, and 3.

    1. Initial meeting held at which the Professional Standards and the procedures for evaluation were explained to the Applicant.

     Date: ________Applicant: _________________ Program Supervisor: __________________ Supervising Practitioner: __________________

    2. Meeting held midway through the practicum at which the Applicant’s progress toward the Professional Standards was discussed.

     Date: ________Applicant: __________________ Program Supervisor: _________________ Supervising Practitioner: __________________

    3. Final meeting held to complete evaluation and to allow Applicant an opportunity to raise questions and make comments.

     Date: ________Applicant: __________________ Program Supervisor: _________________ Supervising Practitioner: __________________

Part V

    Candidate has successfully completed the Preservice Performance Assessment (Sections: 7.03(2)(a)(4) & 7.04(2)(b)(4)(b)) Yes: _____No: _____

Program Supervisor (sign): ____________________________________________________________________ Date: _____________________

    Supervising Practitioner (sign): _________________________________________________________________ Date: _____________________

Mediator (if necessary: see 7.04(4))(sign): _________________________________________________________ Date: ____________________

    1 of 6

    Preservice Performance Assessment for Practicum or Practicum Equivalent

    Professional Standards for Teachers: See 603 CMR 7.08

    Please use this assessment in conjunction with the Preservice Performance Assessment

    Guidelines: the rating scale is described on page 4; evaluation questions relating to the

    standards are pages 5 - 12, and license-specific questions per standard B2c are pages 13-44.

    Standard A - Plans Curriculum and Instruction

    Indicators Evidence

    1. Draws on content standards of the relevant curriculum frameworks to plan sequential units of study, individual lessons, and learning activities that make learning cumulative and advance students’ level of content knowledge. (Specify Curriculum Framework title, learning standards, and concept and skills used [attach list if necessary]). 2. Draws on results of formal and informal assessments as well as knowledge of human development to identify teaching strategies and learning activities appropriate to the specific discipline, age, level of English language proficiency, and range of cognitive levels being taught.

    3. Identifies appropriate reading materials, other resources, and writing activities for promoting further learning by the full range of students within the classroom.

    4. Identifies prerequisite skills, concepts, and vocabulary needed for the learning activities and design lessons that strengthen student reading and writing skills.

    5. Plans lessons with clear objectives and relevant measurable outcomes.

    6. Draws on resources from colleagues, families, and the community to enhance learning.

    7. Incorporates appropriate technology and media in lesson planning.

8. Uses information in Individualized Education

    Programs (IEPs) to plan strategies for integrating students

    with disabilities into general education classrooms.

Rating:

    Explanation of Rating for Standard A - Plans Curriculum and Instruction

    Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable. Candidate’s Name: _____________________________________________________License: _____________________________

Program Supervisor (initial): ______________________________________________________Date: ______________________ Page 2 of 6

    Supervising Practitioner (initial): ___________________________________________________Date: _____________________

    Preservice Performance Assessment for Practicum or Practicum Equivalent

    Professional Standards for Teachers: See 603 CMR 7.08

    Standard B Delivers Effective Instruction

    Indicators Evidence 1. Communicates high standards and expectations when beginning the lesson. a) Makes learning objectives clear to students. b) Communicates clearly in writing and speaking. c) Uses engaging ways to begin a new unit of study or lesson. d) Builds on students’ prior knowledge and experience. 2. Communicates high standards and expectations when carrying out the lesson. a) Uses a balanced approach to teaching skills and concepts of elementary reading and writing. b) Employs a variety of content-based and content-oriented teaching techniques from more teacher-directed strategies such as direct instruction, practice, and Socratic dialogue, to less teacher-directed approaches such as discussion, problem solving, cooperative learning, and research projects (among others). c) Demonstrates an adequate knowledge of and approach to the academic content of lessons. (See license-specific questions in Guidelines, pp. 13-44) d) Employs a variety of reading and writing strategies for addressing learning objectives. e) Uses questioning to stimulate thinking and encourages all students to respond. f) Uses instructional technology appropriately. g) Employs appropriate sheltered English or subject matter strategies for English learners. 3. Communicates high standards and expectations when extending and completing the lesson. a) Assigns homework or practice that furthers student learning and checks it. b) Provides regular and frequent feedback to students on their progress. c) Provides many and varied opportunities for students to achieve competence. 4. Communicates high standards and expectations when evaluating student learning. a) Accurately measures student achievement of, and progress toward, the learning objectives with a variety of formal and informal assessments, and uses results to plan further instruction. b) Translates evaluations of student work into records that accurately convey the level of student achievement to Rating: students, parents or guardians, and school personnel.

    Explanation of Rating for Standard B Delivers Effective Instruction

    Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable.

    Candidate’s Name: _____________________________________________________License: __________________ Page 3 of 6 Program Supervisor (initial): ______________________________________________________Date: __________

Supervising Practitioner (initial): ___________________________________________________Date: __________

    Preservice Performance Assessment for Practicum or Practicum Equivalent

    Professional Standards for Teachers: See 603 CMR 7.08

    Standard C Manages Classroom Climate and Operation

    Indicators Evidence 1. Creates an environment that is conducive to learning.

2. Creates a physical environment appropriate to a range

    of learning activities.

3. Maintains appropriate standards of behavior, mutual

    respect, and safety.

4. Manages classroom routines and procedures without

    loss of significant instructional time.

Rating:

    Explanation of Rating for Standard C Manages Classroom Climate and Operation

    Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable.

    Standard D Promotes Equity

    Indicators Evidence 1. Encourages all students to believe that effort is a key to

    achievement.

2. Works to promote achievement by all students without

    exception.

3. Assesses the significance of student differences in

    home experiences, background knowledge, learning skills,

    learning pace, and proficiency in the English language for

    learning the curriculum at hand and uses professional

    judgment to determine if instructional adjustments are

    necessary.

4. Helps all students to understand American civic

    culture, its underlying ideals, founding political principles

    and political institutions, and to see themselves as

    members of a local, state, national, and international civic

    community.

Rating:

    Explanation of Rating for Standard D Promotes Equity

    Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable.

    Candidate’s Name: _____________________________________________________License: __________________

    Program Supervisor (initial): ______________________________________________________Date: ___________

     Page 4 of 6 Supervising Practitioner (initial): ___________________________________________________Date: __________

    Preservice Performance Assessment for Practicum or Practicum Equivalent

    Professional Standards for Teachers: See 603 CMR 7.08

    Standard E Meets Professional Responsibilities

    Indicators Evidence 1. Understands his or her legal and moral responsibilities.

2. Conveys knowledge of and enthusiasm for his/her

    academic discipline to students.

3. Maintains interest in current theory, research, and

    developments in the academic discipline and exercises

    judgment in accepting implications or findings as valid for

    application in classroom practice.

4. Collaborates with colleagues to improve instruction,

    assessment, and student achievement.

5. Works actively to involve parents in their child’s

    academic activities and performance, and communicates

    clearly with them.

6. Reflects critically upon his or her teaching experience,

    identifies areas for further professional development as

    part of a professional development plan that is linked to

    grade level, school, and district goals, and is receptive to

    suggestions for growth.

7. Understands legal and ethical issues as they apply to

    responsible and acceptable use of the Internet and other

    resources.

Rating:

    Explanation of Rating for Standard E Meets Professional Responsibilities

    Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable.

    Candidate’s Name: _____________________________________________________License: __________________

    Program Supervisor (initial): _____________________________________________________Date: ____________

Supervising Practitioner (initial): __________________________________________________Date: ___________

    Page 5 of 6

    Preservice Performance Assessment for Practicum or Practicum Equivalent

    Professional Standards for Teachers: See 603 CMR 7.08

Summary Decision for Preservice Performance Assessment

Teacher candidate’s Preservice Performance Assessment in the practicum or practicum

    equivalent meets the Professional Standards for Teachers: Yes ________ or No ________.

    Candidate (sign): _______________________________________________________License: ________________

Program Supervisor (sign): _______________________________________________________Date: __________

Supervising Practitioner (sign): ____________________________________________________Date: __________

    Standard Rating (from pp. 2-5)

    (a) Plans Curriculum

    (b) Delivers Effective Instruction

    (c) Manages Classroom Climate

    (d) Promotes Equity

    (e) Meets Professional Responsibilities

    Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable.

    Summary Comments (integrated assessment of performance):

    Page 6 of 6 The sponsoring organization should maintain this assessment record as part of its candidate’s

    permanent file. Copies do not have to be sent to the Department of Education.

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