Administrative Evaluation Summary Report

Appendix 12

Tier I	Tier II	Tier III

Teacher	School
Administrator	Evaluation Date

Standards for the Teaching Profession:

Engaging and Supporting All Students in Learning

Creating and Maintaining Effective Environments for Student Learning

Understanding and Organizing Subject Matter for Student Learning

Planning Instruction and Designing Learning Experiences

Assessing Student Learning

Developing as a Professional Educator

Individual Development Plan review date(s):
Individual Development Plan Goals:	Met	Partially Met	Not Addressed
1.
2.
3.
4.

Activities completed:

Indicators of progress:

Teacher’s comments:

Teacher request for Assistance Plan (Plan must be written.)

Administrator’s comments:

The progress of pupils towards established standards (Ed. Code 44662(b)).

The instructional techniques and strategies used by the employee (Ed. Code 44662(b)).

The employee’s adherence to curricular objectives (Ed. Code 44662(b)).

The establishment and maintenance of a suitable learning environment, within the scope of the employee’s responsibilities (Ed. Code 44662(b)).

Future considerations:

ADMINISTRATOR’S YEAR END EVALUATION:

Satisfactory

Needs Improvement (to be placed on administrator-directed assistance plan. Plan must be written.)

Unsatisfactory (if Tier II refer to Tier III/PAR)

I have read the above evaluation, discussed it with my supervisor, and have received a copy. My signature does not necessarily indicate agreement. I will will not attach a written response.

Teacher signature	Date
Administrator’s signature	Date

Evaluation and Classroom Observation forms to be placed in employee’s personnel file.