TEACHING PERFORMANCE & CERTIFICATION CENTER



TEACHING PERFORMANCE CENTER

KEAN UNIVERSITY OF NEW JERSEY

COLLEGE OF EDUCATION

HENNINGS 215 - UNION, NJ 07083

Telephone (908) 737-3790 - Fax (908) 737-3795

Email: tpc@kean.edu

Special Case in Field Experiences: Action Plan for Improvement

Level of Field Experience: __ Introductory __ Preprofessional __ Professional Internship

Student Status: __ Undergraduate __ Post-Baccalaureate __ Graduate

Program: __Bilingual __Biology __Chemistry __Early Childhood __Earth Science __ Elementary

__Elem/Middle __English __Fine Arts __ Health/PE __Mathematics

__Music __Social Studies __Spanish __Teacher of Std w/Dis __Theatre

Campus: __Union __Kean@OCC

A report may be initiated by any member of the field experience triad: student, cooperating teacher or university supervisor. It is the responsibility of the university supervisor to complete and submit this form.

A. Semester: __Fall __ Spring Year:       Date: July 30, 2013

Field Experience Student:     

District & School:     

Supervisor:     

Cooperating Teacher:      

A field experience assignment may create challenges which require identification and professional management. A student may experience difficulty with the competency area of skills (i.e. classroom skills, management skills); knowledge content (i.e. knowledge of how students develop) or dispositions (i.e. enthusiasm for teaching, interpersonal skills).

B. Explanation of problem:     

C. Plan of Action for Improvement

|Identify Specific |Describe Strategies for |Indicate Person Responsible for |Establish |

|Competency (ies) in |Improvement |Implementing Strategies |Time Line |

|Need of Improvement | | |For Improvement |

| |      |      |      |

COMMENTS:     

_____________________________ ________________________________ _______________________________

Student Signature Date Supervisor Date Cooperating Teacher Date

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