Alternative Evaluation Report Form Practitioner: Teaching Assignment: Building Assignment: School Year: Check Evaluation Option: II. Timeline Date Held Option 1 Action Research Exchange Conference –– Option 2 Peer Coaching Status Meeting (Jan.) –– Option 3 Portfolio Status Meeting (Apr.) –– Option 4 National Board Status Meeting (May) –– Practitioner Comments: Please summarize your progress. Administrator Comments: This section is designed for administrative feedback/acknowledgment. Practitioner Administrator Signature Signature Date Date (Practitioner signature indicates only that this document has been discussed with the administrator. Practitioner has the right to attach his/her own statement within ten [10] workdays of the date.) Copies to: Practitioner, Principal, Personnel, Director/Supervisor Revised: July 2005
Alternative Evaluation Report Form Practitioner: Teaching Assignment: Building Assignment: School Year: Check Evaluation Option: II. Timeline Date Held Option 1 –– Action Research Exchange Conference Option 2 –– Peer Coaching Status Meeting (Jan.) Option 3 –– Portfolio Status Meeting (Apr.) Option 4 –– National Board Status Meeting (May) Practitioner Comments: Please summarize your progress. Administrator Comments: This section is designed for administrative feedback/acknowledgment. Practitioner Administrator Signature Signature Date Date (Practitioner signature indicates only that this document has been discussed with the administrator. Practitioner has the right to attach his/her own statement within ten [10] workdays of the date.) Copies to: Practitioner, Principal, Personnel, Director/Supervisor Revised: July 2005