Candidate and Site Information
Redo?
   
Candidate ID:  
Candidate Name: (first) (last)
  Context of Fieldwork: Enter Information Below
 
District:
School:
 
Teacher: (first) (last)
 
Level you observed (you may choose more than one):
Content Area (you may choose more than one):
** To choose multiple selections for 'level you observed' or 'content area' use your 'Control' key if you are using a PC or the 'Apple' key if you are using a MAC.
 
Number of boys in class: (e.g., 12) Number of girls in class: (e.g., 19)

Level of language proficiency
(Please answer this question using information from your UA):
Choose One:

Apparent Ethnic/Cultural Diversity:

Percentage (%)
(e.g., 25)
Mostly English Speakers
African American
%
Small Majority of English Speakers
Asian
%
Evenly Divided between English Speakers & English Learners
Hispanic
%
Small Majority of English Learners
Caucasian
%
Mostly English Learners
Other
%
Instructions
 
•
 Observe a classroom lesson and take field notes on aspects of the teaching and learning process that you think are important and/or interesting.  Use the box below to type your field notes.