Name of Teacher: DOMAIN 5: Student Learning Student Learning Objective #1 Student Learning Objective #2 Exemplary (4) Proficient (3) Basic (2) Unsatisfactory (1) At least 85% of At 65% but less At least 40% but Fewer than 40% of students met their than 85% of students less than 65% of students met their target. met their target. students met their target. target. Overall rating for STUDENT LEARNING STANDARD LEVEL OF SUPPORT Plan of Improvement District Support or Professional Focus Evaluation Alternative (Plan for Professional Growth) One or more standard(s) Two or more standards At least seven standards Two or more standards as unsatisfactory rated as basic and no standard rated proficient or above rated exemplary with rated as unsatisfactory & no standard rated as the remaining standards unsatisfactory rated as proficient Note: The signature of the evaluator and teacher verifies that the summative report and level of support determination has been reviewed and that the proper process has been followed. Teacher Signature: ____________________________ Evaluator Signature: Date: Date:
Name of Teacher: DOMAIN 5: Student Learning Student Learning Objective #1 Student Learning Objective #2 Exemplary (4) Proficient (3) Basic (2) Unsatisfactory (1) At least 85% of students met their target. At 65% but less than 85% of students met their target. At least 40% but less than 65% of students met their target. Fewer than 40% of students met their target. Overall rating for STUDENT LEARNING STANDARD LEVEL OF SUPPORT Plan of Improvement District Support or (Plan for Professional Growth) Professional Focus Evaluation Alternative One or more standard(s) as unsatisfactory Two or more standards rated as basic and no standard rated as unsatisfactory At least seven standards rated proficient or above & no standard rated as unsatisfactory Two or more standards rated exemplary with the remaining standards rated as proficient Note: The signature of the evaluator and teacher verifies that the summative report and level of support determination has been reviewed and that the proper process has been followed. Teacher Signature: ____________________________ Evaluator Signature: Date: Date:
TM01.docx