LEA/IHE Certification of Teaching Capacity

This form is to be initiated and filled out by the University Supervisor in collaboration with the Mentor Teacher and Student Teacher at the end of the clinical practice/ student teaching experience. This form is signed by all parties, including the principal or their designee and submitted to DPI.  Students must have “mets” for all criteria to be licensed by DPI.  Please discuss your intern’s progress toward meeting all standards at the midterm point.   

Though this form is only due at the end of the clinical practice internship in the spring, please review this form at midterm and discuss as a clinical practice team if there are concerns about a student not projected to meet the criteria.  

This form can also be filled out if a difficulty arises during any point in the clinical practice internship semester. 

Downloadable Versions of Certification of Teaching Capacity

Google Doc Version:

You must download you own copy of this document. You can make changes to the document but it is not set up like a text document.

Digital Edit Version: (WCU Example to Review)

This version is a PDF that allows you to fill it out like a text document that can be edited digitally and downloaded.