PERFORMANCE IMPROVEMENT PLAN Teacher _____________________________ School ____________________________ Grade/Subject _______________________ School Year________________________ Performance Performance deficiencies Resources/Assistance Provided Target Dates Standard within the Standard to be Activities to be Completed by the Employee Number Corrected The signature denotes receipt of the teacher’s form, and acknowledgment that the evaluator has notified the employee of unacceptable performance. _________________________________ __________________________________ Signature/Date Initiated Signature/Date Initiated Evaluator’s Teacher’s Results of Performance Improvement Plan1: Performance Performance Deficiencies Comments Review Standard within the Standard to be Dates2 Number Corrected Final recommendation based on outcome of Improvement Plan: The performance deficiencies have been satisfactorily corrected: The teacher is no longer on aPerformance Improvement Plan. The deficiencies were not corrected: teacher is recommended for non-renewal/dismissal. ______________________ ___________________ Signature/Date Reviewed Signature/Date Reviewed Evaluator’s Teacher’s Signature denotes the review occurred, not necessarily agreement with the final recommendation. ENDNOTES
PERFORMANCE IMPROVEMENT PLAN Teacher _____________________________ School ____________________________ Grade/Subject _______________________ School Year________________________ Performance Standard Number Performance deficiencies within the Standard to be Corrected Resources/Assistance Provided Activities to be Completed by the Employee Target Dates The teacher’s signature denotes receipt of the form, and acknowledgment that the evaluator has notified the employee of unacceptable performance. _________________________________ __________________________________ Evaluator’s Signature/Date Initiated Teacher’s Signature/Date Initiated Results of Performance Improvement Plan1: Performance Standard Number Performance Deficiencies within the Standard to be Corrected Comments Review Dates2 Final recommendation based on outcome of Improvement Plan: The performance deficiencies have been satisfactorily corrected: The teacher is no longer on aPerformance Improvement Plan. The deficiencies were not corrected: teacher is recommended for non-renewal/dismissal. ______________________ Evaluator’s Signature/Date Reviewed ___________________ Teacher’s Signature/Date Reviewed Signature denotes the review occurred, not necessarily agreement with the final recommendation. ENDNOTES
English_version_of_Teacher_Performance_Evaluation_Handbook_August_25,_2011.docx