Supervision Fieldwork Forms

Department Supervisor Forms

Directed Teaching Handbook [PDF]

EDSE 217A - M/M Preliminary ST Placement

  1. University Supervisor Checklist: Intern Last Semester [PDF]
  2. University Supervisor Checklist: Traditional Student Teacher [PDF]
  3. Credential Application Checklist [PDF]
  4. Disposition Form [PDF]
  5. Directed Teaching Form [PDF]
  6. Transition Form [PDF]
  7. Support Provider/Master Teacher Application [PDF]
  8. Focus Group Questions [PDF]
  9. Student Opinion of Fieldwork [PDF]- master teacher, university supervisor, support provider
  10. Rubric for Portfolio [PDF]
  11. Improvement Plan [PDF]

EDSE 154 - Mod/Severe (F/S) and ECSE (spring only)

  1. University Supervisor Checklist: Intern Last Semester [PDF]
  2. University Supervisor Checklist: Traditional Student Teacher [PDF]
  3. University Supervisor Checklist : ECSE Student Teacher/Intern checklist
  4. Credential Application Checklist [PDF]
  5. Disposition Form [PDF]
  6. Directed Teaching Form [PDF]
  7. Transition Form [PDF]
  8. Support Provider/Master Teacher Application [PDF]
  9. Focus Group Questions [PDF]
  10. Student Opinion of Fieldwork [PDF] - master teacher, university supervisor, support provider
  11. Rubric for Portfolio [PDF]
  12. Improvement Plan [PDF]
  13. Directed Teaching Portfolio [PDF] - ONLY ECSE program
  14. Final Evaluation Infant/Toddler Form [PDF] - ONLY ECSE program
  15. Midterm Evaluation Form [PDF] - ONLY ECSE Program

EDSE 217D - Clear for All Programs

  1. University Supervisor Responsibilities [PDF]
  2. Appendix A - Options A, B, C [PDF]
  3. Clear Induction Program Candidate Evaluation [PDF]
  4. Candidate Clear Program Evaluation Form [PDF]
  5. Disposition form [PDF]
  6. Professional Development Activities/Classes Form [PDF]
  7. Clear Program Portfolio List - 1st Semester [PDF]
  8. Clear Program Portfolio List - 2nd Semester [PDF]
  9. Support Provider Application [PDF]
  10. Support and Supervision Clear Record Form [PDF]
  11. Transition Plan [PDF]
  12. Clear Induction Learning Plan [PDF]
  13. Improvement Plan [PDF]
  14. Support Provider MOU

EDSE 105 Intern Forms

  1. University Supervisor Checklist: First Semester Interns [PDF]
  2. Evaluation Form [PDF]
  3. Induction Plan [PDF]
  4. Checklist for Intern Application Packet [PDF]
  5. Collaborative Intern Program Application [PDF]
  6. IRIS Modules Instructions [PDF]
  7. Intern Agreement Form [PDF]
  8. Support Provider Application [PDF]
  9. Support Provider Job Description [PDF]
  10. Support and Supervision Record Form [PDF]
  11. Improvement Plan [PDF]