Classroom Observation Form
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2SCHOOL OF ARTS AND SCIENCES
DEPARTMENT OF EDUCATION
CLASSROOM OBSERVATION FORM
Observer’s Name______________________________________
Date_______________
Grade Level:
_____Early Childhood Pre-K
_____Elementary K-5
_____Middle School 6-8
_____Secondary 9-12
Content Area: _____Art Education
_____Career Education/Work
_____Computer Technology
_____English
_____Family/Consumer Science
_____Health/Safety Education
_____Library/Media
_____Mathematics
_____Music Education
_____Physical Education
_____Reading/Language Arts
_____Science
_____Social Studies/History
_____Technology Education
_____World Languages
Content Level: _____General Education
_____Special Education
_____Advanced Placement
_____Honors/Scholars
_____Other ________________________________
Location:
School District
_____Public _____Private _____Charter
_____Urban _____Suburban _____Rural
School Building or Observation Site ___________________________________
Principal’s Name _____________________________________________
School Address _________________________________________________
City_________________________________ State_______ Zip Code _______
School Telephone Number ____________________________
Name of Teacher Observed__________________________________________
Specific Content Area _______________________ Grade Level ____________
Verification:
I verify that the above named student from Point Park University observed in the
above named location and classroom on Date_______________________ for a
total number of _____ hours at 60 minutes per hour.
Name_____________________________________ Title _________________________
Signature__________________________________Date________________________
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