Please respond to the following questions for the class that will
be observed. Please limit your response to the space provided.
How many students are in your class?
Female students: Male students:
Approximate age range of your students:
Describe the general instructional levels represented by the students in this class. (E.g. advanced, average, below grade
level, mixed, remedial)
Approximately how many students are in each of the following language categories?
English proficient:
Limited English proficient:
Approximately how many students have been identified as
having the following special needs?
Attention Deficit Hyperactivity Disorder
Blindness or visual impairment
Deafness or hard of hearing
Developmental impairment
Emotional disability
Giftedness
Learning disability
Physical disability
Other (specify)
Approximately how many students are represented in the following ethnic groups?
American Indian or Alaskan Native
Asian or Pacific Islander
African American
Hispanic
White, not of Hispanic Origin
Other
How do you become familiar with what your students already know and are able to do?
How do you become familiar with your students' individual interests and cultural backgrounds?
How do you encourage students to take responsibility
for their own learning?
Describe how you establish and implement important classroom
routines and procedures (e.g., distribution and collection of
materials, transition between activities).
Describe how you establish and maintain standards of conduct.
Describe how you establish and maintain an atmosphere of
trust, openness, and mutual respect.
What resources (people, materials) are available to you
in planning instruction?
What resources (people, materials) are available for students
needing assistance?
How do you coordinate learning activities with other colleagues
(same grade-level, content area teachers, special education
or language acquisition teachers, etc.)?