School and District Information/Resources (A-3)

DIRECTIONS: With your support provider, discuss and complete the information that applies to your teaching context. This information is designed to provide you with a better understanding of the students in your class. During your discussion, record pertinent information here so that it is available later in the year. The statements may prompt you to explore other topics related to the local teaching context.
1. / My Site Administrator(s):Principal- Linda XXX, Assistant Principal- Matthew XXX
2. / Explore and attach a Calendar of School Events
3. / My school is a (check those that apply):
Blue Ribbon School / California Distinguished School
Immediate Intervention-Underperforming Schools Program (IIUSP)/SAIT / Bilingual Waiver Program/ Language Immersion School - which languages?
Title I School-wide Program / Program Improvement School
Charter School – Type: / Magnet School – Type:
Professional Development School / Other:
4. / School-Wide Programs (check those that apply):
Reading Intervention / Character Counts / Drug Alcohol, Tobacco Ed. / Other: PRIDE, Girl Power, GRIP, VIP
AVID / Conflict Resolution / RTI2 / Other
5. / School Wide Discipline Plan- Describe or attach:
Attached
6. / School Accountability Report Card
API Score: 805 / API Target Score: 787 / AYP: 21
Based on your school’s API score, what is the school’s academic focus for the year?
Mathematics
7. / My School has (check all that apply): / Facilities / Committees
Academies/Houses/ Families / Computer Lab Schedule / Technology
Department Grouping/PLC / Bus/Recess / Leadership
Teaching Teams / Library Schedule / Safety
Special Day Classes / Other / Other
8. / School Enrollment:983 / Percent of English learners:56
# of Languages of students: 16 / Ethnicities represented:Vietnamese, Hispanic/Latino, White, Chinese, Korean, Black/African American, Other Asian, Cambodian, Laotian, Samoan, Asian Indian, Filipino, American Indian, Japanese, Other Pacific Islander, Tahitian
9. / Teachers in my grade level/department
Name / Room Number / Phone/email
Jennifer XXX / 22A / 555-0000/zzzz@
Mai Thu XXX / PI / 555-0000/zzzz@
Richard XXX / Roaming

School and District Information/Resources (A-3)

DIRECTIONS: With your support provider, identify the personnel and instructional resources available to help you gather information in each area listed below:

If your district/school provides this information in another format, copy and attach it.

Instructional Resources
(Information about) / Contact Person / Information
Phone # / Room # / e-mail
California Academic Content Standards and Frameworks / Linda XXX / 555-0000 / Office / zzzz@
Classroom Supplies / Cathy XXX / 555-0000 / Office / zzzz@
Duplication of Materials / Cathy XXX / 555-0000 / Office / zzzz@
Technology / Art XXX / 555-0000 / Lab / zzzz@
Instructional Materials / Mary XXX / 555-0000 / District Office / zzzz@
Library Resources / Debbie XXX / 555-0000 / Library / zzzz@
Textbooks / Mary XXX / 555-0000 / District Office / zzzz@
English Learner
Other:
Student Data Information (Information about) / Contact Person / Information
Phone # / Room # / e-mail
District/School Test Scores / Shannon XXX / 555-0000 / 14 / zzzz@
Individualized Education Plan/IEP / Keli XXX / 555-0000 / 14 / zzzz@
Standardized Tests / Shannon XXX / 555-0000 / 13 / zzzz@
Online District Data System / Shannon XXX, James XXX / 555-0000 / 13, TLX / zzzz@

Student Support Services

/

Contact Person

/ Information
Phone # / Room # / e-mail
Counselor / Kimberly XXX / 555-0000 / 1A / zzzz@
CPR Certified School Staff / Joey XXX / 555-0000 / District Office / zzzz@
Emergency Coordinator / Matthew XXX / 555-0000 / Office / zzzz@
Healthy Start Coordinator / Joey XXX / 555-0000 / District Office / zzzz@
Nurse / Katie XXX / 555-0000 / District Office / zzzz@
Crisis Counselor / Richard XXX / 555-0000 / District Office / zzzz@
Resource Specialist (RSP) / Kelli XXX / 555-0000 / 13 / zzzz@
School/District Psychologist / Carolyn XXX / 555-0000 / 1A / zzzz@
Social Worker / Kimberly XXX / 555-0000 / 1A / zzzz@
Other:

Copyright © Commission on Teacher Credentialing and the California Department of Education

Formative Assessment for California Teachers (FACT) – 2010

Context for Teaching and Learning- School & District Information/Resources (A-3)Page 1 of 2