Internship Final Appraisal Form


This instrument serves as both the summative evaluation of the intern and the clinical educator's letter of reference. It should provide a clear assessment of the intern's level of performance for each of the folllowing indicators using the following rubric, bearing in mind that most interns will perform at the basic and proficient levels; the distinguished level should be reserved for performance that is above and beyond the basic requirements of the internship.

Distinguished: The intern has demonstrated an exemplary ability to model the identified indicator in the classroom setting.
Proficient: The intern is able to demonstrate the identified performance indicator on a consistent and effective basis.
Basic: The intern is able to demonstrate the identified performace indicator well enough to meet minimal expectations.
Unsatisfactory: The intern is unable to demonstrate the identified performance indicator.

InTASC 1: Learner Development

InTASC 2: Learning Differences

InTASC 3: Learning Environment

InTASC 4: Content Knowledge

InTASC 5: Application of Content

InTASC 6: Assessment

InTASC 7: Planning for Instruction

InTASC 8: Instructional Strategies

InTASC 9: Professional Learning & Ethical Practice

InTASC 10: Leadership & Collaboration

Please take a moment to review the email addresses entered; if email addresses are entered incorrectly, the form will not function properly.

Also, check that the correct name is selected for the Intern Name.