Welcome to Arkansas State University!

Teaching Internship Forms

Teaching Internship Forms

Evaluation Forms

Formative Form Interactive (PDF format) - Use this version when completing the form electronically
Formative Form (PDF format) - Use this version when printing the form to complete on paper
Summative Form (PDF format)
Post Observation Reflection (PDF format) - Use this version when completing the form electronically
Post Observation Reflection (PDF format) - Use this version when printing the form to complete on paper

Forms for Clinical Supervisors (Classroom Teachers)

List of Teachers Completing Supervision Class (PDF format)
Clinical Supervisor Introduction Video

Forms for Teacher Interns

Name Tag Order Form (PDF format)
Teacher Intern Attendance Form (PDF format)
Teacher Intern Make-up Form (PDF format)
Educator Disposition Assessment Policy (EDA) Policy (PDF format)

Forms for University Supervisors

Personal Vehicle Mileage Log (PDF format)

Improvement Plan

Improvement Plan (Word Document)

Background Check Forms

Online Background Check Instructions (PDF format)

Syllabi for Teaching Internship Courses 

MLED 4116 - Teaching Internship II (Spring 2021) (PDF format)

Supplemental Information

Code of Ethics (Video)