Special Education Teacher Evaluation Summary

Special Education Teacher Evaluation Summary

Educator Name:
Subject(s): / Grade Level(s):
Administrator Name:
Formal Observation Date(s) / Informal Observation Date(s) (10 minutes per observation)
Self-Reflection Observation: / Date Observed:
Pre-Observation: / Date Observed:
Observation (30 minutes): / Date Observed:
Post-Observation:
(Note: CC = Cultural Component)
Domain 1: Planning and Preparation
CC. Incorporating knowledge of the cultural background of students in designing instruction. / UNSAT / BASIC / PROF / EEXPL
☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 1b: Demonstrating Knowledge of Students / UNSAT / BASIC / PROF / EEXPL
Elements: / ☐ / ☐ / ☐ / ☐
Knowledge of child and adolescent development / ☐ / ☐ / ☐ / ☐
Knowledge of the learning process / ☐ / ☐ / ☐ / ☐
Knowledge of student skills, knowledge and language proficiency / ☐ / ☐ / ☐ / ☐
Knowledge of students’ interests and cultural heritage / ☐ / ☐ / ☐ / ☐
Knowledge of students’ special needs / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 1e: Designing Coherent Instruction / UNSAT / BASIC / PROF / EEXPL
Elements: / ☐ / ☐ / ☐ / ☐
Learning activities / ☐ / ☐ / ☐ / ☐
Instructional materials and resources / ☐ / ☐ / ☐ / ☐
Instructional groups / ☐ / ☐ / ☐ / ☐
Lesson and unit structure / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Domain 2: The Classroom Environment
CC. Reflecting high expectations for all students and cultural mores in classroom management. / UNSAT / BASIC / PROF / EEXPL
☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 2b: Establishing a Culture for Learning / UNSAT / BASIC / PROF / EXPL
Elements: / ☐ / ☐ / ☐ / ☐
Importance of the content / ☐ / ☐ / ☐ / ☐
Expectations for learning and achievement / ☐ / ☐ / ☐ / ☐
Student pride in work / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 2c: Managing Classroom Procedures / UNSAT / BASIC / PROF / EXPL
Elements: / ☐ / ☐ / ☐ / ☐
Management of instructional groups / ☐ / ☐ / ☐ / ☐
Management of transitions / ☐ / ☐ / ☐ / ☐
Management of materials and supplies / ☐ / ☐ / ☐ / ☐
Performance of non-instructional duties / ☐ / ☐ / ☐ / ☐
Supervision of volunteers and paraprofessionals / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Domain 3: Instruction
CC. Incorporating local history, language and culture into activities, assignments and assessments. / UNSAT / BASIC / PROF / EEXPL
☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 3c: Engaging Students in Learning / UNSAT / BASIC / PROF / EEXPL
Elements / ☐ / ☐ / ☐ / ☐
Activities and assignments / ☐ / ☐ / ☐ / ☐
Grouping of Students / ☐ / ☐ / ☐ / ☐
Instructional materials and resources / ☐ / ☐ / ☐ / ☐
Structure and pacing / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 3d: Using Assessment in Instruction / UNSAT / BASIC / PROF / EEXPL
Elements: / ☐ / ☐ / ☐ / ☐
Assessment criteria / ☐ / ☐ / ☐ / ☐
Monitoring of student learning / ☐ / ☐ / ☐ / ☐
Feedback to students / ☐ / ☐ / ☐ / ☐
Student self-assessment and monitoring of progress / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Domain 4: Professional Responsibilities
CC. Consider students’ traditions and values in carrying out professional responsibilities / UNSAT / BASIC / PROF / EEXPL
☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 4a: Maintaining Accurate Records / UNSAT / BASIC / PROF / EEXPL
Elements: / ☐ / ☐ / ☐ / ☐
Sequence Tracking Forms/Procedures / ☐ / ☐ / ☐ / ☐
Meeting Facilitation / ☐ / ☐ / ☐ / ☐
Timelines / ☐ / ☐ / ☐ / ☐
Quality / ☐ / ☐ / ☐ / ☐
Accuracy / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 4c: Communicating with Families / UNSAT / BASIC / PROF / EXPL
Elements: / ☐ / ☐ / ☐ / ☐
Information about instructional program / ☐ / ☐ / ☐ / ☐
Information about individual students / ☐ / ☐ / ☐ / ☐
Engagement of families in the instructional program / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Component 4d: Participating in a Professional Community / UNSAT / BASIC / PROF / EXPL
Elements: / ☐ / ☐ / ☐ / ☐
Relationships with colleagues / ☐ / ☐ / ☐ / ☐
Involvement in a culture of professional inquiry / ☐ / ☐ / ☐ / ☐
Service to the school / ☐ / ☐ / ☐ / ☐
Participation in school and district projects / ☐ / ☐ / ☐ / ☐
Evidence for Component:
Notes:
Statement: A formal conference was held on ______with my evaluator. I understand that I have five workdays to study and prepare a response, which will be attached to this evaluation prior to being sent to Human Resources. My response will become a part of this evaluation. I also understand that my signature below does not necessarily mean that I agree with the evaluation.
Administrator’s signature: / Date:
Educator’s signature: / Date: