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Ate’s Last Name First Middle Social Security Number Subject(s) Taught Grade Level This form is to serve as a permanent record of a student teacher/candidate’s professional performance evaluation during a specific time period, based on specific criteria. This form must be used at least twice during the 12-week (minimum) student teaching experience. PERFORMANCE EVALUATION Directions: Examine all sources of evidence provided by the student teacher/candidate and bear in mind the aspects of t.

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