Evaluation Form for Probationary Staff

Staff Member School

Observer Pre-conference Date

Observation Date

Post Conf. Date

Probationary Year 1 2 3Observation # 1 2 3

Domain 1: Planning & Preparation (Suggested year in parenthesis)U D P Di*

1a. Demonstrating knowledge of content pedagogy (2)

1b. Demonstrating knowledge of students (2)

1c. Selecting Instructional goals (1)

1d. Demonstrating knowledge of resources (3)

1e. Designing coherent instruction (2)

1f. Assessing student learning (3)

Narrative:

Domain 2: The Classroom EnvironmentU D P Di*

2a. Creating an environment of respect and rapport (1)

2b. Establishing a culture for learning (3)

2c. Managing classroom procedures (2)

2d. Managing student behavior (1)

2e. Organizing physical space (2)

Narrative:

Domain 3: InstructionU D P Di*

3a. Communicating clearly and accurately (1)

3b. Using questioning and discussion techniques (3)

3c. Engaging students in learning (1)

3d. Providing feedback to students (2)

3e. Demonstrating flexibility and responsiveness (3)

Narrative:

Domain 4: Professional ResponsibilitiesU D P Di*

4a. Reflecting on teaching (2)

4b. Maintaining accurate records (1)

4c. Communicating with families (1)

4d. Contributing to the school and district (3)

4e. Growing and developing professionally (3)

4f. Showing professionalism (1)

Narrative:

Domain 5: Special Education Professional PracticeU D P Di*

5a. Due process/parent involvement (1,3)

5b. Evaluation process (2,3)

5c. IFSP/IEP(1,3)

5d. Teaming(2,3)

5e. Behavior management specific to students with special ed needs (2,3)

5f. Transition (students in grade 9) (1,2,3)

Narrative:

Short-Term Goals (To be completed at each post-observation conference after discussion and mutual agreement between principal or supervising administrator and licensed staff)

Comments by Probationary Licensed Staff

Comments by Principal or Supervising Administrator

FOR PROBATIONARY LICENSED STAFF ONLY
Signature indicates awareness of this evaluation but not necessarily agreement of the content.
______
Licensed Staff Signature Date
______
Principal Signature Date
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Supervising Administrator Signature Date

*U = Unsatisfactory D = Developing P = Proficient Di = Distinguished