SELF‐ASSESSMENTWORKSHEETWITHEVIDENCE‐TEACHERS

Educator: Date: ForSchoolYear:

StandardI:Curriculum,Planning,andAssessment.Theteacherpromotesthelearningandgrowthofallstudentsbyprovidinghigh‐qualityandcoherentinstruction,designingandadministeringauthenticandmeaningfulstudentassessments,analyzingstudentperformanceandgrowthdata,usingthisdatatoimproveinstruction,providingstudentswithconstructivefeedbackonanongoingbasis,andcontinuouslyrefininglearningobjectives.
EducatorPerformanceRatingonStandard:UnsatisfactoryNeedsImprovementProficientExemplary
EvidenceProvidedtoSupportRatingby(checkifapplies) / Educator
CurriculumandPlanning:Knowsthesubjectmatterwell,hasagoodgraspofchilddevelopmentand
howstudentslearn,anddesignseffectiveandrigorousstandards‐basedunitsofinstructionconsistingofwell‐structuredlessonswithmeasurableoutcomes.
Assessment:Usesavarietyofinformalandformalmethodsofassessmentstomeasurestudentlearning,growth,andunderstandingtodevelopdifferentiatedandenhancedlearningexperiencesandimprovefutureinstruction.
Analysis:Analyzesdatafromassessments,drawsconclusions,andsharesthemappropriately.
 Unitsubjectmattercontentand/orskills
 LessonorUnitPlanGoals
 Standards‐basedunitsofinstruction
 LessonPlans
 Measureableoutcomesforstudents
 Teacher‐developedassessments
 Examplesofassessmentsused
 Scoringguides/rubrics
 Studentworksamples
 Studentdataanalysis
 Lessons/unitsamendedbasedondataanalysis
 Team‐developedinstructionalworkproducts
 Other: /  Analysisofstudentlearningneeds
 Gradelevelorsubjectteamcollaboration
 Tiered/differentiatedlessons/units
 Tiered/differentiatedassessments
 Methodsforengagingallstudents
 Postedbehavioralnorms
 Photographsofinstructionalspace
 Videotapesofstudentengagement
 Homeworkassignments
 Communicationstostudentsaboutwork
 Gradingpractices
 Other:
StandardII:TeachingAllStudents.Theteacherpromotesthelearningandgrowthofallstudentsthroughinstructionalpracticesthatestablishhigh
expectations,createasafeandeffectiveclassroomenvironment,anddemonstrateculturalproficiency.
EducatorPerformanceRatingonStandard:UnsatisfactoryNeedsImprovementProficientExemplary
EvidenceProvidedtoSupportRatingby(checkifapplies) / Educator
Instruction:Usesinstructionalpracticesthatreflecthighexpectationsregardingcontentandqualityofeffortandwork;engageallstudents;andarepersonalizedtoaccommodatediverselearningstyles,needs,interests,andlevelsofreadiness.
LearningEnvironment:Createsandmaintainsasafeandcollaborativelearningenvironmentthat
motivatesstudentstotakeacademicrisks,challengethemselves,andclaimownershipoftheirlearning.
CulturalProficiency:Activelycreatesandmaintainsanenvironmentinwhichstudents’diversebackgrounds,identities,strengths,andchallengesarerespected.
Expectations:Plansandimplementslessonsthatsetclearandhighexpectationsandalsomake
knowledgeaccessibleforallstudents.
 Unitsubjectmattercontentand/orskills
 LessonorUnitPlanGoals
 Standards‐basedunitsofinstruction
 LessonPlans
 Measureableoutcomesforstudents
 Teacher‐developedassessments
 Examplesofassessmentsused
 Scoringguides/rubrics
 Studentworksamples
 Studentdataanalysis
 Lessons/unitsamendedbasedondataanalysis
 Team‐developedinstructionalworkproducts
 Other: /  Analysisofstudentlearningneeds
 Gradelevelorsubjectteamcollaboration
 Tiered/differentiatedlessons/units
 Tiered/differentiatedassessments
 Methodsforengagingallstudents
 Postedbehavioralnorms
 Photographsofinstructionalspace
 Videotapesofstudentengagement
 Homeworkassignments
 Communicationstostudentsaboutwork
 Gradingpractices
 Other:

SELF‐ASSESSMENTWORKSHEETWITHEVIDENCE–TEACHERS

StandardIII:FamilyandCommunityEngagement.Theteacherpromotesthelearningandgrowthofallstudentsthrougheffectivepartnerships
withfamilies,caregivers,communitymembers,andorganizations.
EducatorPerformanceRatingonStandard:UnsatisfactoryNeedsImprovementProficientExemplary
EvidenceProvidedtoSupportRatingby(checkifapplies) / Educator
Engagement:Welcomesandencourageseveryfamilytobecomeactiveparticipantsintheclassroomandschoolcommunity.
Collaboration:Collaborateswithfamiliestocreateandimplementstrategiesforsupportingstudent
learninganddevelopmentbothathomeandatschool.
Communication:Engagesinregular,two‐way,andculturallyproficientcommunicationwithfamiliesaboutstudentlearningandperformance.
PossibleEvidence–checkthosethatareused.
 Outreachactivitiestofamilies
 Parent‐teacherconferenceparticipation
 RTI,IEPor504Planconferenceparticipation
 Communicationwithfamiliesviaphonecalls,emails,meetings
 Other: /  Assistancetofamiliesabouthomework
 Notificationtofamiliesaboutstudentperformance/behavior
 Feedbackfromparents/families
 College/financialaidprogramdevelopment
Other:
StandardIV:ProfessionalCulture.Theteacherpromotesthelearningandgrowthofallstudentsthroughethical,culturallyproficient,skilled,and
collaborativepractice.
EducatorPerformanceRatingonStandard:Unsatisfactory NeedsImprovementProficient Exemplary
EvidenceProvidedtoSupportRatingby(checkifapplies) / Educator
Reflection:Demonstratesthecapacitytoreflectonandimprovetheeducator’sownpractice,using
informalmeansaswellasmeetingswithteamsandworkgroupstogatherinformation,analyzedata,examineissues,setmeaningfulgoals,anddevelopnewapproachesinordertoimproveteachingandlearning.
ProfessionalGrowth:Activelypursuesprofessionaldevelopmentandlearningopportunitiestoimprove
qualityofpracticeorbuildtheexpertiseandexperiencetoassumedifferentinstructionalandleadershiproles.
Collaboration:Collaborateseffectivelywithcolleaguesonawiderangeoftasks.
Decision‐Making:Becomesinvolvedinschoolwidedecisionmaking,andtakesanactiveroleinschool
improvementplanning.
SharedResponsibility:Sharesresponsibilityfortheperformanceofallstudentswithintheschool.
ProfessionalResponsibilities:Isethicalandreliable,andmeetsroutineresponsibilitiesconsistently.
PossibleEvidence–checkthosethatareused.
 Professionaldevelopmentprogram/graduateworkcompletion
 PDprogram/courseworkproducts
 Gradeorsubjectteamparticipation
 Modellesson/counselingsessioneducator
 Curriculumdevelopmentexamples
 Parentengagementprogramdevelopment
 Schoolordistrictcommitteeservice
 Other: /  Professionalconferenceattendanceandreporttocolleagues
 Studentteachersupervisor
 Mentor/InstructionalCoach
 Professionaldevelopmentprogramleader
 InstructionalCoach‐schoolactivityadvisor/coach
 Behavioralreferrals
 Paperworkcompletion
 Attendancerate
 Other:

*TheSeekonkEducatorEvaluationCommitteeagreedthisworksheetwasoptionalforeducatorstouseasaresourceforcompletingtheSelf-AssessmentForm.Evaluatorswillnotcompletethisformnordoevaluatorsneedacopyofthisform.