PDTC Evaluation for Classroom Work in Another Teacher’s Class

Teaching the Building Blocks of Class Meetings

Start Date ______End Date ______Evaluation Date ______

Directions: To be filled out by the collaborating teacher.

[Enter a brief thank you to the teacher for providing the opportunity for you.]

Teacher______Grade Level_____ Number of students ______

School ______Location ______

PD Associate in Training: ___[your name here]______

Agree / Disagree
  1. [Your name] approached me with the idea of working in my classroom in a respectful manner.
/ 1 / 2 / 3 / 4
  1. Building administration was appropriately notified and consented to this collaboration.
/ 1 / 2 / 3 / 4
  1. [Your name] was able to engage the class and get “buy in” to work with them in a successful manner.
/ 1 / 2 / 3 / 4
  1. [Your name] worked well with me and worked with my schedule to facilitate the process of teaching class meetings.
/ 1 / 2 / 3 / 4
  1. My class learned about being helpful not hurtful.l
/ 1 / 2 / 3 / 4
  1. My class learned how to get in and out of a circle and is able todo that now with minimal supervision.
/ 1 / 2 / 3 / 4
  1. My class learned how to give compliments.
/ 1 / 2 / 3 / 4
  1. My class learned how to use the agenda.
/ 1 / 2 / 3 / 4
  1. My class learned about separate realities.
/ 1 / 2 / 3 / 4
  1. My class learned about focusing on solutions.
/ 1 / 2 / 3 / 4
  1. My class now has class meetings regularly ( ___ times a week).
/ 1 / 2 / 3 / 4

Other comments or suggestions for the associate (feel free to use back of paper):

CPDTC Evaluation for Classroom Work in Your Own Classroom

Teaching the Building Blocks of Class Meetings

Date ______

Directions: To be completed by a school administrator or supervisor.

Teacher (associate in training)______Grade level___ # of students ____

Agree / Disagree
1. I was notified enough in advance that I was able to observe several of the Positive Discipline lessons. / 1 / 2 / 3 / 4
2. Building administration was appropriately notified. / 1 / 2 / 3 / 4
3. [Your name] was able to engage the class and get “buy in” to work with them in a successful manner. / 1 / 2 / 3 / 4
4. The class developed a place for self calming or a “positive time out area.” / 1 / 2 / 3 / 4
5. The class learned about being helpful not hurtful. / 1 / 2 / 3 / 4
6. The class learned how to get in and out of a circle and is able to do that now with minimal supervision. / 1 / 2 / 3 / 4
7. The class learned how to give compliments. / 1 / 2 / 3 / 4
8. The class learned how to use the agenda. / 1 / 2 / 3 / 4
9. The class learned about separate realities. / 1 / 2 / 3 / 4
10. The class learned about focusing on solutions. / 1 / 2 / 3 / 4
11. The class now has class meetings ___ times a week. / 1 / 2 / 3 / 4

Other comments or suggestions for the associate (feel free to use back of paper):

Printed Name: ______Signature: ______

Position: ______Date: ______

School: ______Location: ______

FACILITATOR TRAINING MANUAL

Section 1.5. 1 - 866 - POS - DISC

Last revised: June 2010

Permission to copy with credits granted