4164 Cambridge International Certificate in Teaching and Learning
Observer Feedback Form
Units 2 requires a candidate to teach a lesson which is observed by their mentor. This form is designed
to support the observation process.
To meet this evidence requirement we will accept a combination of completed sections of this form,
audio, images and video as long as the evidence meets the requirements stated on this form. Please
see the Help & Support page on Artefacts for guidance on how to submit different types of evidence.
Pre
Candidate name observation
discussion
date
Mentor name Job title of
mentor
1. Pre-observation discussion*
Pre – observation
discussion date
Intended outcomes of
the observation
What the candidate
wants to develop in their
pratice as a result of
teaching this lesson- a
minimum of three and a
maximum of five
outcomes should be
agreed between the
candidate and their
mentor.
Agreed focus for the
observation – must be
based on learning
outcomes E, F and G
from the syllabus.
* Section 1 is to be completed jointly by the candidate their mentor. The mentor should not be the Programme
Leader for the professional development programme.
4164 Observer Feedback Form for assessment 2018 - 2022 v3
4164 Cambridge International Certificate in Teaching and Learning
2. Observation Record*
Date of lesson Lesson topic
Location of lesson Age of learners
Number in class Support assistants? Yes / No
Teaching Learning
The feedback must be analytical, not descriptive. The The feedback must be analytical, not descriptive. The
teaching methods used should be identified and mentor needs to determine the effectiveness of the
evaluated. The mentor should focus on the areas noted learning taking place. The mentor should focus on the
in the pre- observation discussion areas noted in the pre- observation discussion
Key strengths
Of the candidates
teaching and the
students learning.
Key areas for
improvement
Of the candidates
teaching and the
students learning.
Signature of mentor
* Section 2 is to be completed by the mentor. It can be written by hand and scanned into this document.
4164 Unit 2Observer Feedback Form for assessment 2018 - 2022 v3
4164 Cambridge International Certificate in Teaching and Learning
3. Post-observation discussion*
Post-observation Location of
discussion date discussion
Key outcomes from
the discussion
There must be clear
links to the pre
observation discussion
in section 1 and to the
lesson feedback in
section 2
Signature of mentor Date
Signature of candidate Date
* Section 3 is to be completed jointly by the candidate and the mentor
4164 Unit 2Observer Feedback Form for assessment 2018 - 2022 v3