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TxBESS ACTIVITY PROFILE
CLASS BACKGROUND INFORMATION FORM
Teacher:    
District: Campus:  
Observer:    
Grade level(s): Subject(s): Date:

Please respond to the following questions for the class that will be observed.
Please limit your response to the space provided.

1. How many students are in your class?

Female students:          Male students:

7. How do you become familiar with what your students already know and are able to do?
2. Approximate age range of your students:

 

 
3. Describe the general instructional levels represented by the students in this class. (E.g. advanced, average, below grade level, mixed, remedial)

 

 

   
4. Approximately how many students are in each of the following language categories?    
  English proficient:

Limited English proficient:

8. How do you become familiar with your students' individual interests and cultural backgrounds?

 

5. 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)

9.  

How do you encourage students to take responsibility for their own learning?

 

6.

 

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

   
10. Describe how you establish and implement important classroom routines and procedures (e.g., distribution and collection of materials, transition between activities).

 

 

13. What resources (people, materials) are available to you in planning instruction?
11. Describe how you establish and maintain standards of conduct.

 

 

 

 

14. What resources (people, materials) are available for students needing assistance?
12. Describe how you establish and maintain an atmosphere of trust, openness, and mutual respect.

 

 

 

 

15. How do you coordinate learning activities with other colleagues (same grade-level, content area teachers, special education or language acquisition teachers, etc.)?

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