Elementary Education Internship Forms
Thank you for participating in the Internship portion of this program. Below are the forms you will need to evaluate teacher candidates. Most of the forms are in Adobe PDF format, and they should be printed, completed, and mailed or faxed to us. (If you do not already Adobe Reader, you can download it at www.adobe.com.) Other forms should be completed online via the link provided. If you have problems accessing any of these forms, please contact Jackie Bruso at jbruso@regent.edu.
Cooperating Teacher Forms
- Cooperating Teacher Guide
This guide provides cooperating teachers with information to help Regent's educational students have a successful student teaching experience. - Cooperating Teacher Stipend Form
This form should be completed by the individual who is designated as the cooperating
teacher. - Cooperating Teacher Resource

The form serves as a guide for insuring that the cooperating teacher has
completed the activities necessary to assure a smooth beginning for a student teacher. - Cooperating Teacher Mid-term Evaluation-Site 1
This form is designed to allow the cooperating teacher to evaluate the teacher candidate in several areas at the mid-term point. The form is in an online survey format, which will be electronically transmitted to us. - Cooperating Teacher Mid-term Evaluation-Site 2
This form is designed to allow the cooperating teacher to evaluate the teacher candidate in several areas at the mid-term point. The form is in an online survey format, which will be electronically transmitted to us. - Cooperating Teacher Final Evaluation-Site 1
This form is designed to allow the cooperating teacher to evaluate the teacher candidate in several areas at the conclusion of the term. The form is in an online survey format, which will be electronically transmitted to us. - Cooperating Teacher Final Evaluation-Site 2
This form is designed to allow the cooperating teacher to evaluate the teacher candidate in several areas at the conclusion of the term. The form is in an online survey format, which will be electronically transmitted to us. - Cooperating Teacher Feedback
This form is designed to allow the cooperating teacher to give us feedback that will help assess and improve the teacher preparation program at Regent University. Your input is of great value and we plan to take your recommendations into thoughtful consideration as we seek ways to improve our program. The form is in an online survey format, which will be electronically transmitted to us. - Weekly Evaluation of Student Teacher by Cooperating Teacher

This form is designed to help the cooperating teacher give the teacher candidate frequent specific feedback. After checking the applicable items in each area, continue with the successive sections and provide specific information regarding strengths and areas for improvement.
School Administrator Forms
- Evaluation of Teacher Candidate by School Administrator-Site 1
This form should be completed by the individual who is designated as the school administrator. - Evaluation of Teacher Candidate by School Administrator-Site 2
This form should be completed by the individual who is designated as the school administrator.
University Supervisors Forms
- Mid-term Evaluation by University Supervisor-Site 1
This form is designed to allow the university supervisor to evaluate the teacher candidate in several areas at the mid-term point. The form is in an online survey format, which will be electronically transmitted to us. - Mid-term Evaluation by University Supervisor-Site 2
This form is designed to allow the university supervisor to evaluate the teacher candidate in several areas at the mid-term point. The form is in an online survey format, which will be electronically transmitted to us. - Final Evaluation by University Supervisor-Site 1
This form is designed to allow the university supervisor to evaluate the teacher candidate in several areas at the conclusion of the term. The form is in an online survey format, which will be electronically transmitted to us. - Final Evaluation by University Supervisor-Site 2
This form is designed to allow the university supervisor to evaluate the teacher candidate in several areas at the conclusion of the term. The form is in an online survey format, which will be electronically transmitted to us. - University Supervisor Portfolio Evaluation Rubric
This rubric is provided to assist the University Supervisor in determining the level of readiness to teach as reflected not only in the guidelines for development of the portfolio, but also, as described with the State Standards for Beginning Licensure. - Directors of Internship Portfolio Evaluation Rubric
Same as above. - Report of Observation and Conference by University Supervisor
This form is designed to allow the cooperating teacher to evaluate the teacher candidate in several areas. The form is in an online survey format, which will be electronically transmitted to us.

