Evaluation Internship

STUDENT INTERNSHIP PROGRAM OF THE PHILIPPINE (SIPP)
FEEDBACK FORM
CRITIC TEACHER
This form is provided to support and document the feedback process between the student teacher and the
cooperating teacher. The performance dimensions reflect the outcomes that the CHED and the University has
identified as important for the student teacher relative to the degree/ program the student is enrolled in. At the
completion of the practice teaching we ask that you:
1. Rate the student on each of the performance dimensions and provide comments that will clarify you
rating.
2. Discuss your comments and ratings with the student.
3. Have the student sign where indicated.
Name: _________________________________________ Time: ________________________
Class: __________________________________________ Subject: ______________________
School: _________________________________________ Date: _________________________
Type of Lesson:
______Presentation of new Lesson _______Demonstration/Experimentation
______Lecture _______Discussion
______Review _______Others (Specify)
AREA RATING Equivalent

5 4 3 2 1 Grade
Student Teacher
1. Personality and self-control
2. Voice
3. Enthusiasm and vitality
4. Good classroom management
5. Command of the language
Learners/Pupils
1. Interest and attention
2. Class participation
3. Discipline
4. Courtesy
5. Honesty
Teaching Process
1. Evidence and preparation of planning
2. Mastery of the subject matter
3. Motivation/ sustained self-interest
4. Clear and accurate explanation
5. Emphasis on essential
6. Techniques of questioning
7. Relevance of the subject matter
8. Use of instructional materials
9. Rapport between teacher and student
10. Development of attitudes
Total
Rating:
5 Excellent- (96-100) 2 Fair- (80-84)
4 Very Satisfactory- (90-95) 1 Needs Improvement- (75-79)
3 Satisfactory- (85-89)
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________
______________________________ ______________________________
Student Signature Critic Teacher
Date: _________________________ Date: _________________________
STUDENT INTERNSHIP PROGRAM OF THE PHILIPPINE (SIPP)
FEEDBACK FORM
SUPERVISING INSTRUCTOR
This form is provided to support and document the feedback process between the student teacher and the
cooperating teacher. The performance dimensions reflect the outcomes that the CHED and the University has
identified as important for the student teacher relative to the degree/ program the student is enrolled in. At the
completion of the practice teaching we ask that you:
1. Rate the student on each of the performance dimensions and provide comments that will clarify you
rating.
2. Discuss your comments and ratings with the student.
3. Have the student sign where indicated.
Name: _________________________________________ Time: ________________________
Class: __________________________________________ Subject: ______________________
School: _________________________________________ Date: _________________________
Type of Lesson:
______Presentation of new Lesson _______Demonstration/Experimentation
______Lecture _______Discussion
______Review _______Others (Specify)
AREA RATING Equivalent

5 4 3 2 1 Grade
Student Teacher
1. Personality and self-control
2. Voice
3. Enthusiasm and vitality
4. Good classroom management
5. Command of the language
Learners/Pupils
1. Interest and attention
2. Class participation
3. Discipline
4. Courtesy
5. Honesty
Teaching Process
1. Evidence and preparation of planning
2. Mastery of the subject matter
3. Motivation/ sustained self-interest
4. Clear and accurate explanation
5. Emphasis on essential
6. Techniques of questioning
7. Relevance of the subject matter
8. Use of instructional materials
9. Rapport between teacher and student
10. Development of attitudes
Total
Rating:
5 Excellent- (96-100) 2 Fair- (80-84)
4 Very Satisfactory- (90-95) 1 Needs Improvement- (75-79)
3 Satisfactory- (85-89)
Remarks:
__________________________________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________
______________________________ VERONICA B. MADAGSEN

Student Signature Supervising Instructor
Date: _________________________ Date: _________________________

Evaluation Internship

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STUDENT INTERNSHIP PROGRAM OF THE PHILIPPINE (SIPP)

AREA RATING Equivalent

AREA RATING Equivalent

______________________________ VERONICA B. MADAGSEN

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