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Middle Level/Secondary Education
 Teacher Work Sample Scoring Form


Professor's LAST  Name:
Professor's Email Address:
Candidate's First Name: 
Candidate's Last Name: 
Campus Identification: 
Contextual Factors:   /25pts.
Assessment Plan:   /25pts.
Learning Objectives:   /20pts.
Design for Instruction:   /30pts.
Classroom Environment:   /25pts.
Instructional Decision Making:   /20pts.
Analysis of Student Learning:   /20pts.
Reflection & Self-Evaluation:   /25pts.
Overall Score:   /190pts.
Overall Rating:

Exemplary = 190-177
More than Satisfactory = 176-162
Satisfactory = 161-146 (Satisfactory must be earned with no indicators at the Unsatisfactory level.)
Unsatisfactory - below 146 (Resubmission is required for indicators at the Unsatisfactory level.)