Intern Observation Form

Online Intern Observation Form

The following Intern Observation Form should not be completed until sometime in your second month of using Phono-Graphix, no sooner than three months from your course date and no later than six months from your course date.

Name of Intern:
Date of Observation (mm/dd/yyyy):
Name of Observer:
Location of Observation:
Observed:	Word Work Lesson Small Group Lesson One on One Remedial Lesson
Other - please explain:
Length of the Lesson:
Age of Children:
Number of Children Involved in the Lesson:
Number of Children Present in the Room:
Number of Adults Supervising:
List the activities used in this lesson in the order of occurrence. Please use the Phono-Graphix names of lessons from the Phono-Graphix manual.
Share one example of an error correction you observed.
Did you talk with the intern before the observation? Yes No
What concerns did s/he express?
Did you look at the intern's journal? Yes No
Did it demonstrate a careful record of his/her experiences using Phono-Graphix? Yes No
What recommendations did you make?
Did you talk with the intern after the observation to discuss your impressions of the lesson? Yes No
Was s/he receptive to your observations?