SUMMATIVE EVALUATION FORM FOR TEACHERS
(This summarizes all the evaluation data including
formative data, products and performances, portfolio materials, professional
development activities, conferences and other documentation.)
Evaluatee__________________________________Grade/Content
Area_______________________________________
Evaluator__________________________________Position_________________________________________________
School_____________________________________________________________________________________________
Date(s) of Observations 1st__________ 2nd__________ 3rd__________ 4th__________
Date(s) of Conferences 1st__________ 2nd__________ 3rd__________ 4th__________
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Ratings |
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Teacher
Standards |
Meets |
Growth
Needed |
Does Not
Meet* |
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1.
Demonstrates Professional Leadership |
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2.
Demonstrates Knowledge of Content |
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3. Designs/Plans Instruction |
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4. Creates/Maintains Learning Environment |
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5. Implements/Manages Instruction |
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6. Assesses and Communicates Learning Results |
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7. Reflects/Evaluates Teaching/Learning |
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8. Collaborates with Colleagues/Parents/Others |
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9. Engages in Professional Development |
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10. Demonstrates Implementation of Technology |
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Additional Criteria for Special Education Teachers |
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Overall Rating |
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Individual professional
growth plan reflects a desire/need to acquire further knowledge/skills in the
standard number(s) checked below:
1._____ 2._____
3._____ 4._____ 5._____
6._____ 7._____ 8._____
9._____ 10._____ Sp. Ed._____
Evaluatee’s Comments
________________________________________________________________________________
___________________________________________________________________________________________________
Evaluator’s Comments
________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
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To be signed
after all information above has been completed and discussed. |
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Evaluatee |
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Agree with this summative
evaluation |
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Disagree with this
summative evaluation |
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Evaluatee
Signature |
Date |
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Evaluator Signature |
Date |
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Employment Recommendation to Central
Office
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Certified employees who disagree with
this summative evaluation may appeal to the District Appeals Panel within five
(5) working days after receipt of this form.
*Any rating in the “does not meet” column
requires the development of an Individual Corrective Action Plan.
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