Professional Experience Teacher Report Form Page 4

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Comments:
FINAL GRADE (TICK ONE):
SATISFIED REQUIREMENTS [R]
FAIL [F]
In order to be assessed as R (Satisfied Requirements) for the final grade, the Preservice Teacher must have been assessed
with all standards achieved.
GENERAL COMMENTS ON THE PROFESSIONAL EXPERIENCE:
SUPERVISING TEACHER’S SIGNATURE:
DATE:
_______________________________________________________
_____________________________________________
PRESERVICE TEACHER’S SIGNATURE:
DATE:
________________________________________________________
_____________________________________________
ORIGINAL - PRESERVICE TEACHER
COPY - UNIVERSITY

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