Pre-conference Form for Interns/Clinical Teachers Updated on: September 5, 2017 Please provide the following: ATP Intern/Clinical Teacher Name First Last Email Lesson type: synchronous Virtual - live Virtual- recorded Traditional Classroom - face to face - live Traditional Classroom - face to face - recorded Other Please explain Other Lesson Type and provide additional links. Please contact your supervisor.Description of the lesson/contextObjectivesStandards addressedAssessment of student learning (how will you know the students have mastered the objective(s))Adaptations/Accommodations you are making for studentsPossible Problems (What are some possible problems you might encounter as you teach this lesson and what might you do “in the moment”?)Activity Extension (What will you have ready in case the activity concludes sooner than expected…Does not go as expected…or a student finishes earlier than others?)Please indicate if there is something you would like your field supervisor to track and/or pay special attention to – i.e. a management concern, adapting for a particular student, etc.