Forms

The Campus Saint-Jean Area Field Experience Committee and Campus Saint-Jean are happy to share information about professional development funds to support field experience programs. 

PD Funds

This form should be completed by a mentor teacher.

Evaluation Forms

Mentor Teachers and Practicum Supervisors

Formative Evaluation (midpoint)

To complete during the third or fourth week by the Mentor Teacher, with assistance of the Practicum Supervisor. It is the responsibility of the Practicum Supervisor to submit an official copy (without signatures) to the Field Experience Office (bpe@ualberta.ca). Field Experience personnel will then prepare the document for electronic signature using Adobe Sign. 

Formative Evaluation Form

The form is in Google Doc format. Please create a copy and rename appropriately. If you do not have a Google account, you may download a copy in Word format in your browser by selecting File > Download > Microsoft Word). 

Summative Evaluation (end of practicum)

To complete during the final week by the Mentor Teacher, with assistance of the Practicum Supervisor. It is the responsibility of the Practicum Supervisor to submit an official copy (without signatures) to the Field Experience Office (bpe@ualberta.ca). Field Experience personnel will then prepare the document for electronic signature using Adobe Sign. 

Summative Evaluation Form

The form is in Google Doc format. Please create a copy and rename appropriately. If you do not have a Google account, you may download a copy in Word format in your browser by selecting File > Download > Microsoft Word). 

Notification of Concern

To complete if needed, usually during the first 4 weeks of a practicum by the Mentor Teacher with support of the Practicum Supervisor. Please refer to section G in syllabus.

Notification of Concern Form

The form is in Google Doc format. Please create a copy and rename appropriately. If you do not have a Google account, you may download a copy in Word format in your browser by selecting File > Download > Microsoft Word). 

Student Teachers

Formative self-evaluation (midpoint)

To complete during the third week of the practicum by the student teacher. It must be remitted to the Mentor Teacher and the Practicum Supervisor prior to receiving the official formative evaluation. 

Formative Self-Evaluation Form

The form is in Google Doc format. Please create a copy and rename appropriately. If you do not have a Google account, you may download a copy in Word format in your browser by selecting File > Download > Microsoft Word). 

Summative self-evaluation (end of practicum)

To complete during the final week of the practicum by the student teacher. It must be remitted to the Mentor Teacher and the Practicum Supervisor prior to receiving the official summative evaluation. 

Summative Self-Evaluation Form

The form is in Google Doc format. Please create a copy and rename appropriately. If you do not have a Google account, you may download a copy in Word format in your browser by selecting File > Download > Microsoft Word). 

Notification of Concern (Annex A)

If a student teacher receives a notification of concern, they will be asked to complete Annex A and send it to the Field Experience Office (bpe@ualberta.ca) and request a meeting with Field Experience personnel. Please refer to section G in syllabus.

Annex A Form (Student)

The form is in Google Doc format. Please create a copy and rename appropriately. If you do not have a Google account, you may download a copy in Word format in your browser by selecting File > Download > Microsoft Word).