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Observation Note-Taking and Summary Form:

Jan. to Mar. 2016
FILL OUT THIS FORM for EACH of the REQUIRED OBSERVATIONS:
- 10 for Preservice Teachers (3 can be video)
- 8 for Working Teachers (3 can be video)
If you observe different teachers at the school you've chosen, please list each teacher's
name.
* Required

The Basics
Your Last Name *

Your First Name *

Your email: *

Your phone:

The School and the Teacher

Name of the School

Check the box below if you are commenting on a video

Yes, this is a video

School Type *
Primary
Secondary
Post-Secondary
Other:

Name of School Director

School Director Email

School Director Phone

Name of Teacher you Observed

Grade Level *

In which Module did you observe the teacher? *

Subject *
Language Arts
Mathematics
Science
Language
Social Studies
Art
Physical Education
Other

Your Observation Reflections

A paragraph required for: (a) the way in (b) the way through (c) classroom management (d)
use of ICTs for efficiency and effectiveness, and (d) the way forward
THE WAY IN *
Preparing the students and the classroom for the lesson
Yes

No

Not Applicable

Lesson plan was clear

and students knew
what to expect
Students were
prepared to learn
The goal was
reasonable, given the
time allotted
The material and
equipment were
ready
Used appropriate
introduction
procedures
Teacher reviewed the
previous lesson to
prepare students well

THE WAY THROUGH *

The process and activities of student learning and ongoing assessment.
Yes
The teacher provided
clear and appropriate
instructions
The lesson
encouraged student
participation

No

Not Applicable

Teacher connected
the lesson to student
learning
Teacher guided
individuals and
groups
Teacher conducted
formative assessment

CLASSROOM MANAGEMENT *
Efficiency in order to maximize time, classroom climate, and democratic inclusion
Yes

No

Not Applicable

Was able to start the

lesson immediately
Organized the
classroom to be
warm, friendly, and
suited for learning
Organized the lesson
to be clear
Demonstrated
flexibility and
responsiveness
Motivated and
engaged students
actively in developing
knowledge
Students took
responsibility for their
learning without
teacher pushing them

ICTs for EFFICIENCY and EFFECTIVENESS *

Student records, ongoing assessment, research, inquiry, content...?

If the teacher did NOT use ICTs, how might s/he do so? *
Student records, ongoing assessment, research, inquiry, content...?

21st CENTURY TOPICS: WHICH ONE?

Focus on the positive!!! Look for these competencies.
Module 7
MODULE 7
Formative
Assessment
Collaborative
Learning
Multiple
Intelligences
Differentiated
Instruction

Module 8

Module 9

Not Applicable

MODULE 8
Rubrics
Social and
Emotional
Learning
Inquiry-Based
Learning
Performance
Assessment
Learning Styles
MODULE 9
Problem Based
Learning
Brain-Based
Learning
CulturallyResponsive
Teaching
Flipped
Classrooms
Home-School
Connections

THE WAY FORWARD *

How does this move students to the next step in their learning and skill development?
Yes

No

Not Applicable

The teacher showed

how the lesson meets
stated goals
The teacher
connected the lesson
to what comes next
(scaffolding)
Students can build
upon new knowledge

Verification
Verification *
Your commitment to the truth
YES, all information in this document is true

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