This form is used for admission to student teaching (ELED 495 & SEED 495), program
exit (Student Teaching), Graduate Student Teaching, and/or to document specific behaviors. Please complete
and submit this form.
Please rate the candidate using the following scale:
4 = consistently; 3 = most of the time; 2 = occasionally; 1 = rarely; 0 = never;
N/O = not observed
Please check that the correct name is selected for Intern Name. If the form is not submitting, scroll up to see if there are any "unanswered" questions marked in RED. All questions MUST be answered before form can be submitted.
Black Hills State University, 1200 University St., Spearfish, SD 57799, (800) 255-2478 | © 2014
Sunday, December 21, 2014