San Juan BOCES
Itinerant Teacher of Deaf/HH Performance Rating Scale ________
Self______Peer______BOCES Employee Date
A. Assessment Skills – Collaborate and work with educational teams in assessing deaf/hh students and
incorporating the results into the IEP
1 / 2 / 3 / 4Unsatisfactory Improvement Needed Proficient Exceptional
1. Collaborate and work w/ educ. team in assessing 1 1 1 1
students in the areas of academic achievement,
language, communications, & social emotional
development
2. As a member of the educ. team, review all 1 1 1 1
assessments and incorporate results into the
Individual Education Plan, IEP
Comments:
B. Instructional/Advocacy Skills – Ensure the inclusion of deaf/hh students in their IEP program
placement, and adapt, implement, monitor, and provide feedback regarding educational programs.
1 / 2 / 3 / 4Unsatisfactory Improvement Needed Proficient Exceptional
1. Utilize evidence-based practices and assess- 1 1 1 1
ment to provide direct instruction, prescript-
tive programming, resources, and visual aids,
as needed
2. Monitor student performance 1 1 1 1
3. Provide specific and meaningful feedback to 1 1 1 1
students in a timely manner
4. Provide instruction to deaf and hard-of-hearing 1 1 1 1
regarding their hearing loss, Deaf culture,
assistive devices, and various communication
methods used by deaf/hh individuals
5. Ensure the inclusion of deaf/hh students in 1 1 1 1
activities
6. Facilitate opportunities for deaf/hh students 1 1 1 1
to interact socially w/ other deaf/hh students
and w/ deaf/hh role models
Comments:
p. 2 TOD Perf. Rt
C. Program Management Skills – Maintain records and coordinate required services for deaf/hh
students
1 / 2 / 3 / 4Unsatisfactory Improvement Needed Proficient Exceptional
1. Maintain record/data collection necessary 1 1 1 1
for placement and ongoing programming
2. Utilize the computerized IEP and records 1 1 1 1
3. Coordinate required services for students 1 1 1 1
(to include educational interpreters & other
special service providers)
Comments:
D. Communicative/Consultative/Effective Team Member – Collaborate and consult with students’
educational teams
1 / 2 / 3 / 4Unsatisfactory Improvement Needed Proficient Exceptional
1. Participate directly or consultatively as a 1 1 1 1
member of the building level and child study
teams, when needed
2. Participate as an IEP member and coordinate 1 1 1 1
or facilitate meetings as appropriate
3. Make recommendations for IEP goals and 1 1 1 1
objectives for academic, language, communi-
cations, and social/emotional development.
4. Assist in appropriate placement of students 1 1 1 1
5. Provide training for general ed. staff & students 1 1 1 1
regarding the specific communication & educ.
needs of deaf/hh students in various situations
and group settings
6. Coordinate w/ team members to adapt curriculum 1 1 1 1
to make subject matter accessible to deaf/hh
students
7. Work w/ audiologist regarding appropriate environ-
mental conditions, individual hearing aids, cochlear
implants, and assistive listening devices
Comments:
p.3 TOD Perf Rt
E. Professional Conduct – Follow school & district guidelines and policies for professional behavior
and conduct, and keep current on knowledge of the field to maintain high professional standards
1 / 2 / 3 / 4Unsatisfactory Improvement Needed Proficient Exceptional
1. Follow school & district guidelines and 1 1 1 1
policies for professional behavior and conduct
2. Have knowledge of and the ability to com- 1 1 1 1
municate with individuals who are deaf/hh
(to include oral, ASL, and English sign)
3. Keep current on knowledge of federal and 1 1 1 1
state laws and regulations pertaining to educa-
tion, resources, and provision of services for
individuals who are deaf/hh
Comments:
Evaluator Signature ______Date______
(Peer/Self)