Pre-Service Performance Assessment For Practicum/Practicum Equivalent Professional Standards For Teachers: See 603 CMR 7.08

Candidates Name: Brittany Gage
Pre-service Performance Assessment for Practicum/Practicum Equivalent

Professional Standards for Teachers: See 603 CMR 7.08
Please use this assessment in conjunction with the Pre-service Performance Assessment for Teachers guidelines:
the rating scale; evaluation questions relating to the standards; and the license-specific questions per standard
(b)2c. Candidates must complete the Evidence column for evaluation by the program supervisor and supervising
practitioner.
Standard A - Plans Curriculum and Instruction

Indicators
Evidence
1.
Draws on content standards of the relevant

curriculum frameworks to plan sequential units of
study, individual lessons, and learning activities that
make learning cumulative and advance students
level of content knowledge. (Specify Curriculum
Framework title, learning standards, and concept
and skills used [attach list if necessary]). (SHAPE,
S1.H3.L1,S2.H1.L1, S3.H7.L3 S4.H2.L1,SHAPE
S4.H3.L1,S4.H5.L1, )
2.
Draws on results of formal and informal assessments as

well as knowledge of human development to identify
teaching strategies and learning activities appropriate to
the specific discipline, age, level of English language
proficiency, and range of cognitive levels being taught.
3.
Identifies appropriate reading materials, other

resources, and writing activities for promoting further
learning by the full range of students within the
classroom.
4.
Identifies prerequisite skills, concepts, and vocabulary

needed for the learning activities and design lessons that
strengthen student reading and writing skills.
MA CF Physical Health Strand & SHAPE

standards cited in all LPs (Lesson Plan
Section)
Unit plan consisting of unit outcomes,
national & state standards, content
knowledge, assessments, and unit
evaluation system of a unit. (unit plan
section)
SP observation 10/31 Assed skill and

st
knowledge 1 lesson (observation
section)
Peer Assessment on forearm passed
used during volleyball unit (assessment
section)
section)
Summative Assessment on Volleyball
skills given at the end of the unit
(assessment section)
Volleyball Unit plan addressing different
vocabulary each day for the lesson. (unit
plan section)
section)
5.
Plans lessons with clear objectives and relevant

measurable outcomes.
6.
Draws on resources from colleagues, families, and the

community to enhance learning.
7.
Incorporates appropriate technology and media in lesson

planning.
8.
Uses information in Individualized Education Programs

(IEPs) to plan strategies for integrating students with
disabilities into general education classrooms.
9.
All LPs have measureable objectives in

all 3 domains, including criteria,
condition, content and behavior. (lesson
plan section)
SP midterm evaluation Each lesson is
planned with clear objectives and
measurable outcomes (observation
section)
Attended professional development on
11/4 with other faculty members from
the school. (journal section)
Attended parent teacher phone
conference on a student in class to
discuss issues that the student was facing
(journal section)
All Resources cited on all LPS (lesson plan
section
Uses instructional planning, materials, and student

engagement approaches that support students of
diverse cultural and linguistic backgrounds, strengths,
and challenges.
Rating:
Special/Safety Considertations sections

on all LPs based on the IEPs (lesson plan
section)
CS observation on 11/2 Gives Individual
attention (observation section)
SP midterm evaluation has had to
search out students with IEPs and most
do not reflect challenges in movement
(observation section)
CS observation on 11/2 Gives Individual
attention (observation section)
SP observation on 11/7 Using effective
communication skills (oral) with specific
cues for success demo with explanation
SP observation on 11/7 Modifies, gives
extra more attention to students having
difficulties and breaks (tries) skill down
further (observation section)
Explanation of Rating for Standard A - Plans Curriculum and Instruction:

Ms. Gage lesson plans and pre-planning is excellent. Her lessons are in
compliance with all State Standards. She makes excellent use of
appropriate assessment tools. Feedback is given to the class and
individuals on a continual basis.
Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; NA=Not Applicable.
Candidates Name: BRITTANY GAGE
License:
Program Supervisor (initial):
Date:
Supervising Practitioner (initial):
Date:

Standard B Delivers Effective Instruction
Indicators
Evidence
1. Communicates high standards and expectations when
beginning the lesson.

a.
Makes learning objectives clear to students.
b.
Communicates clearly in writing, speaking and through

the use of appropriately designed visual and
contextual aids.
c.
Uses engaging ways to begin a new unit of study or

lesson.
d.
Builds on students prior knowledge and experience.
carrying out the lesson.

a.
Uses a balanced approach to teaching skills and

concepts of elementary reading and writing.

SP Midterm evaluation Communicated
high standards and expectations in all
lessons (observation section)
All journal conversations with CS (journal
section)
SP observation 11/7 Interrupts-voice
tone, first name, reminds follow
directions/Knows all students names
st
1 lesson of volleyball unit used to assess
skill and knowledge of students to build
further lessons. (lesson plan section)
Students get free time to shoot before
every basketball lesson. (lesson plan
section)
Sequencing in unit-builds on complexity
each day. (unit plan section)
1st lesson of volleyball unit used to
assess skill and knowledge of students to
build further lessons. (lesson plan
section)
section)
section)
b.
c.
Employs a variety of content-based and contentoriented teaching techniques from more teacherdirected strategies such as direct instruction, practice,
and Socratic dialogue, to less teacher-directed
approaches such as discussion, problem solving,
cooperative learning, and research projects (among
others).
1st lesson of volleyball unit used to

assess skill and knowledge of students to
build further lessons. (lesson plan
section)
Cooperative learning lesson plan where
students had to problem solve 10/28
(lesson plan section)
Demonstrates an adequate knowledge of and

approach to the academic content of lessons. (See
attached documentation that demonstrates license-specific
questions were used to evaluate candidate knowledge)
Physical Education license-specific questions:

1. Demonstrates an adequate knowledge of the
principles of health-related fitness and nutrition.
2. Uses knowledge of motor development (growth and

development) when developing and modifying
lessons.
3. Demonstrates an adequate knowledge of the

history and foundations of physical
education/kinesiology (e.g., exercise physiology,
biomechanics, psycho-social aspects of play and
sport, history of physical education).
4. Demonstrates an adequate knowledge of

movement concepts, skill themes, and sports
concepts.
5. Demonstrates an adequate knowledge of a range of

appropriate play and sports for PreK-12 and the
relevant motor skills.
6. Demonstrates knowledge of appropriate physical

and safety limitations, legal standards, tort liability,
first aid and Cardiac Pulmonary Resuscitation (CPR)
when conducting a lesson.
7. Demonstrates an adequate knowledge of

adaptations for students with disabilities.
LP 10/24 worked on flexibility ones of

the five components of fitness (lesson
plan section)
LP Fitness 1 had the students name the
five components of fitness and named
which one we were working on for the
day. (lesson plan section)
All LPs have extensions used for
modifying lessons to students abilities
CS observation on 11/2 perfect for age
group. (observation section)
CS observation on 11/2 SelfAssessment of Heart Rate done
SP midterm evaluation evaluates each
student with a daily grade based on
participation, preparedness, effort and
sportsmanship(observation section)
All LPs during unit-broke down individual
skills using simple skill cues (lesson plan
section)
Progression thorough the unit. (unit plan
section)
All LPs during all units-safety is
discussed.(lesson plan section)
Special considerations section under all

LPs (lesson plan section)
8. Refers to appropriate learning standards in the

Comprehensive Health Curriculum Framework in
developing a lesson.
d.
Employs a variety of reading and writing strategies for

addressing learning objectives.
State frameworks cited on all LPs (lesson

plan section)

section)
section)
CS observation on 11/2 Nice
culminating questions and review
SP observation on 11/7 Observation
assessment, guided questions
e.
f.
Uses questioning to stimulate thinking and encourages

all students to respond.
All Resources cited on all LPS (lesson plan

section
Demonstrations used for each volleyball

skill. (lesson plan section)
Uses instructional technology appropriately.
g.
Uses effective strategies and techniques for making

content accessible for English language learners.
h.
Demonstrates knowledge of the difference between

social and academic language and the importance of
this difference in planning, differentiating and
delivering effective instruction for English language
learners at various levels of English language
proficiency and literacy.
extending and completing the lesson.

a.
Assigns homework or practice that furthers student

learning and checks it.
Special considerations section on LP

Volleyball 1 repeat directions (lesson
plan section)
All assessments given during unit (unit
plan section)
section)
b.
Provides regular and frequent feedback to students on

their progress.
c.
Provides many and varied opportunities for students

to achieve competence.

evaluating student learning.
a.
Accurately measures student achievement of, and

progress toward, the learning objectives with a variety
of formal and informal assessments, and uses results
to plan further instruction.
b.
Translates evaluations of student work into records

that accurately convey the level of student
achievement to students, parents or guardians, and
school personnel.
Rating:
CS observation on 10/2 received E in

gives specific skill and behavior feedback
well done- specific info given.
SP observation on 11/7 Very specific
feedback (positive and moves around
class to observe all) (observation
section)
All LPs provide extensions (lesson plan
section)
Accommodations on LP volleyball 1
using bigger volleyball for students that
are struggling (lesson plan section)
LP Volleyball 1 pre-assessment of
students skill and knowledge of
volleyball used to plan further lessons in
volleyball. (Lesson plan section)
discuss issues that the student was facing
(journal section)
Emails sent to parents of students that
did not change for class more than three
times (journal section)
Explanation of Rating for Standard B Delivers Effective Instruction:

Excellent use of Teaching Cues. Communication both verbal and non-verbal
is ongoing and effective. Her students react most positively to her
demeanor because she is consistent and an excellent role model
Candidates Name: BRITTANY GAGE
License:
Date:
Date:

Standard C Manages Classroom Climate and Operation
Indicators
Evidence
1.
Creates and maintains a safe and collaborative learning

environment that values diversity and motivates students
to meet high standards of conduct, effort and
performance.
2.
Creates a physical environment appropriate to a range of

learning activities.
3.
Maintains appropriate standards of behavior, mutual

respect, and safety.
4.
Manages classroom routines and procedures without loss

of significant instructional time.
Rating:
SP observation 10/31 interrupts

dangerous and unsafe conditions
SP observation 10/31 has ability to
interrupt unsafe behaviors and lack of
following direction (observation
section)
All activities have extensions to adjust
to students needs. (lesson plan
section)
SP observation on 11/7 Modifies,
gives extra more attention to students
having difficulties and breaks (tries)
skill down further (observation
section)
SP observation 10/31 has ability to
interrupt unsafe behaviors and lack of
following direction(observation
section)
SP observation 10/31 uses her 43
minutes and very organized
SP observation 11/7 Transition- very,
very good regroups them and calls
students towards her (observation
section)
Explanation of Rating for Standard C - Manages Classroom Climate and

Operation:
Ms. Gage has excellent class management skills reflective of a seasoned
teacher. She maintains a positive safe atmosphere and is well aware of
individual differences throughout her classes. She has the ability to adjust
her lessons to accommodate individual needs.
Candidates Name:
BRITTANY GAGE
License:
Date:
Date:

Standard D Promotes Equity
Indicators
Evidence
1.
Encourages all students to believe that effort is a key to

achievement.
2.
Works to promote achievement by all students without

exception.
3.
Assesses the significance of student differences in home

experiences, background knowledge, learning skills,
learning pace, and proficiency in the English language for
learning the curriculum at hand and uses professional
judgment to determine if instructional adjustments are
necessary.
4.
Helps all students to understand American civic culture,

its underlying ideals, founding political principles and
political institutions, and to see themselves as members
of a local, state, national, and international civic
community.
10
SP midterm evaluation Has always

demonstrated the belief that everyone
will be successful and improve if the
effort is given (observation section)
SP midterm evaluation provides the
ability to help foster all levels of
achievement (observation section)
section)
SP midterm evaluation Gives
(willingly) any extra time to those who
may need it and also challenges the
advanced students with more complex
skills (observation section)
Special considerations section on all
LPs (lesson plan section)
Accommodations on LP volleyball 1
using bigger volleyball for students
that are struggling (lesson plan
section)
section)
SP midterm evaluation has learned
and gained knowledge about many
different cultures (observation
section)
5.
Collaborates with families, recognizing the significance of

native language and culture to create and implement
strategies for supporting student learning and
development both at home and at school.
Rating:
Course expectation sheet sent home

with student for parent to sign and
return. (miscellaneous section)
Emails sent to parents of students that
did not change for class more than
three times (journal section)
Explanation of Rating for Standard D- Promotes Equity:

Ms. Gages lessons are designed to promote success for all students of all
levels of ability. She adapts her lessons to ensure success. Ms. Gage
emphasizes equality and makes sure there is no stereotyping or bias in her
groupings.
Rating Scale: 1=Does Not Meet the Standard; 2=Meets the Standard, 3=Exceeds the Standard; 4=NA/Not Applicable.
Candidates Name:
BRITTANY GAGE
License:
Date:
Date:

Standard E Meets Professional Responsibilities
Indicators
Evidence
1.
Understands his or her legal and moral responsibilities.
11
MA CF Physical Health Strand, SHAPE

standards, and safety considerations
cited in all LPS (Lesson Plan Section)
2.
Conveys knowledge of and enthusiasm for his/her

academic discipline to students.
3.
Maintains interest in current theory, research, and

developments in the academic discipline and exercises
judgment in accepting implications or findings as valid
for application in classroom practice.
4.
Collaborates with colleagues to improve instruction,

assessment, and student achievement.
5.
Works actively to involve parents in their childs

academic activities and performance, and
communicates clearly with them.
6.
7.
Reflects critically upon his or her teaching experience,

identifies areas for further professional development
as part of a professional development plan that is
linked to grade level, school, and district goals, and is
receptive to suggestions for growth.
Understands legal and ethical issues as they apply to

responsible and acceptable use of the Internet and
other resources.
12
SP midterm evaluation Tremendously

enthusiastic about her teaching
SP midterm evaluation She helps out
even before being asked and takes a
lot of initiative (observation section
Use a variety of resources on all LPS
Attended Professional development on
11/4 (miscellaneous section)
All journal entries/ conservations with

CS (journal section)
All observations with feedback from CS
and SP (observation section)
Attended PE/ Health faculty meeting
(miscellaneous section)
Course expectation sheet sent home
with student for parent to sign and
return. (miscellaneous section)
Postural screening letter sent home to
all freshman parents (miscellaneous
section)
discuss issues that the student was
facing (journal section)
Reflection column/ notes on all LPs
All journal entries reflect critically upon
teaching for the day. (journal section)
SP midterm evaluation Always
looking to make learning/teaching
better and more effective
Cites all internet and book resources
on all LPs (lesson plan section)
Rating:
Explanation of Rating for Standard E Meets Professional Responsibilities:

Ms. Gage has met her responsibilities by attending all Faculty,
Departmental, and Professional Development meetings. In addition, Ms.
Gage has attended Open House and supervised extra-curricular activities.
Ms. Gage has also shown the ability to reach out to other
disciplines/teachers to brainstorm as to how to service her students better.
Candidates Name:
BRITTANY GAGE
License:
Date:
Date:
13

Summary Decision for Pre-service Performance Assessment

To be completed and agreed upon by both the supervising practitioner and the program supervisor
Teacher candidates Pre-service Performance Assessment in the practicum/practicum

equivalent meets the Professional Standards for Teachers:
Yes
No
Candidate (sign):
MEPID:
Program Supervisor (sign):
Date:
Supervising Practitioner (sign):
Date:
or License #:
Teaching Ability (on the floor) Grade_________
Final Practicum Grade ____________
(Supervising Practitioner & College Supervisor collaborate)
(Includes all written assignments. CS determines final grade)
Standard
Standard A- Plans Curriculum and Instruction
Standard B- Delivers Effective Instruction
Standard C- Manages Classroom Climate and Operation
Standard D- Promotes Equity
Standard E- Meets Professional Responsibilities
Rating
3
3
3
3
3
Summary Assessment of Performance (include phrases that could be used in a letter of recommendation):
Ms. Gage has demonstrated the abilities and skills of a Physical Education Teacher who is
prepared for the next level,. Her pre-planning and lessons plans are exempletory. She has a
fantastic demeanor and her students are extremely responsive. Be it verbal or written, her use
of assessment is evident in all of her lessons. In my opinion and based on the preceding
evaluation(s), I believe that Ms. Gage would be a positive addition to any staff or school system.
Areas of strength:
Organizational, Class Management and Professionalism skills are highly refined.
Communication and demeanor with Students and Staff is outstanding.
Always trying to improve her skills.
14
Areas in need of improvement:

No Issues noted.
Only additional practical experience is needed to be an outstanding educator.
15

Standard (b)2c
Demonstrates adequate knowledge of and approach to the academic content of lessons.
Physical Education (PreK-8)(5-12)

Evidence
Found
Evidence Not
Found
License-Specific Evaluation Questions
Does the candidate demonstrate an adequate knowledge of the

principles of health-related fitness and nutrition?
Does the candidate use knowledge of motor development (growth

and development) when developing and modifying lessons?
Does the candidate demonstrate an adequate knowledge of the

history and foundations of physical education/kinesiology (e.g.,
exercise physiology, biomechanics, psycho-social aspects of play and
sport, history of physical education)?
Does the candidate demonstrate an adequate knowledge of

movement concepts, skill themes, and sports concepts?
Does the candidate demonstrate an adequate knowledge of a range

of appropriate play and sports for PreK-12 and the relevant motor
skills?
Does the candidate demonstrate knowledge of appropriate physical

and safety limitations, legal standards, tort liability, first aid and
Cardiac Pulmonary Resuscitation (CPR) when conducting a lesson?
Does the candidate demonstrate an adequate knowledge of

adaptations for students with disabilities?
Does the candidate refer to appropriate learning standards in the

Comprehensive Health Curriculum Framework in developing a
lesson?
Candidates Name:
BRITTANY GAGE
License:
Date:
Date:
16

Pre-Service Performance Assessment For Practicum/Practicum Equivalent Professional Standards For Teachers: See 603 CMR 7.08

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Candidates Name: Brittany Gage