Observation+Confirmation+Form

**OBSERVATION CONFIRMATION FORM**
I have completed the four step observation process including providing written feedback with Kim Hutson on Jan. 5th, 2010.
 * MENTOR TEACHER**

__( RE's name ) (date)__

(mentor’s signature)

My mentor has completed the four step observation process with me including: • pre-observation conference • classroom observation • post-observation conference • written feedback
 * RESIDENT EDUCATOR**

(Resident Educator’s signature) (date)