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:

Semester:

Major

Contextual Factors:

Assessment Plan:

Learning Objectives:

Design for Instruction:

Classroom Environment:

Instructional Decision Making:

Analysis of Student Learning:

Reflection & Self-Evaluation:

Overall Score:

Overall Rating:

Exemplary = 190-177

More than Satisfactory = 176-162

Satisfactory = 161-146

Unsatisfactory = below 146

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