Capitol Collegiate Academy

Professional Development Plan Form

Name _________________________________________ Grade/Subject ________________ School _____________________________Date ______________School Year ____________
Professional Standards Domain (check all that apply) Big Goals Investment Learning Environment Planning Executing a Lesson Assessment Professional Development Logistics and Advisory
I. Goal Setting: Which goal from the teacher standards are you focusing on this year and how does that align with your goals for this professional development plan? Be sure goals are measurable and describe the change you expect in your teaching practice.
II. Action Plan: How will you achieve your goal/s?
Activity	Support: Partner or Resources	Timeline
(1)
(2)
(3)
(4)

If more space is needed, please attach another sheet. Please turn over 

III. Documentation: What evidence will you provide to document achievement of your goal/s? If your goal/s extends beyond a one-year period, what will you provide to show progress towards completion of the goal/s?

IV. Teacher Summary and Comments:

Evaluator Comments

Principal Signature __________________________________ October Date ______________ __________________________________ May Date ______________

Teacher’s Signature __________________________________ October Date ______________

__________________________________ May Date ______________

Principal signature indicates approval of this plan.

Pre-Observation Planning Report Tool

Teacher ______________________________________________ Date of Pre-Observation Conference _______________________

School _______________________________________________ Date of Observation ____________________ Time ___________

Grade/Subject _________________________________________ Date of Post-Observation Conference ______________________

Evaluator ___________________________________________
1. What are the goals and objectives this week? (Domain – Goal Setting)

2. What specific curriculum standards will you be focusing on this week? (Domain – Planning/Instruction)
3. How will you help students make learning connections? Does this reflect new learning, review learning, or extension of learning? (Domain –Planning/Instruction)
4. What learning experiences will best help the student reach the lesson objectives (e.g., cooperative learning, graphic organizers, debates, etc.)? (Domain – Planning/Instruction)
5. How will you know if the students have met the objectives? (Domain – Assessment)
6. Is there anything special that should be known about this group of students? Are there specific things that you have been or will be doing to accommodate these students? (Domain – Learning Environment)

7. 
   Are there any specific aspects of your teaching about which you would like to receive comments? (Domain – Professional Development)
   

7. 
   How does this lesson fit into the sequence of learning in your classroom? (Domain – Instruction)
   

7. 
   How will you determine student progress in meeting the goals for this lesson? (Domain – Assessment)
   

7. 
   For the class as a whole what challenges are presented and how are you addressing them? (Domain – Instruction)
   

7. 
   Are there any characteristics of the physical space that may negatively impact student learning? If yes, please describe. (Domain – Learning Environment)
   

7. 
   Additional comments or information that you would like to share with your evaluator. (Optional)
   

Observation Form

Teacher _________________________________________ Date ________________ Standard(s) of Teacher Focus: _____________________________________________________________________ Grade/Subject _________________________________ Evaluation Category Beginning Teacher Experienced Teacher New to District Proficient Status Intensive Improvement
TIME TEACHER ACTION	STUDENT ACTION QUESTIONS

Post-Observation Planning Report

Name ______________________________Grade/Subject______________________________ School ___________________________ Date_________________School Year ____________
Reflection on the Lesson
Successful Components of the Class	Developing Components of the Class	Progress Related to Teacher Standard of Development
Reflection on the Lesson
Student Action	Teacher Action Leading to Student Action	Root Causes
(1)
(2)
(3)
(4)

Revision of Professional Development Plan (as needed)
Professional Standards Domain (check all that apply) Big Goals Investment Learning Environment Planning Executing a Lesson Assessment Professional Development Logistics and Advisory
I. Goal Setting: How will you adjust your goals based on your areas of development? What new standards might you consider the most important areas of growth?
II. Action Plan: How will you achieve your goal/s?
Activity	Support: Partner or Resources	Timeline
(1)
(2)
(3)
(4)

Observation and Evaluation Summary Report

**Administrators will use this form to generally evaluate each teacher. During the observation, evaluators should highlight teacher proficiency on each category of the rubric to be included in file.

Teacher ___________________________________________ Pre-Conference Date ______________________ School ____________________________________________ Date of Evaluation ______________ Time _______________ Grade/Subject ______________________________________ Evaluator ______________________ Position _____________ Evaluation Category Beginning Teacher Experienced Teacher New to District Proficient Status Intensive Improvement
	Exceeds Standard	Meets Standard	Below Standard	Not Observed
SETTING BIG GOALS ()
1.1 Developing standards-aligned, measurable, meaningful, and feasible goals
1.2 Connecting students’ prior knowledge, life experience, and interests with learning goals
Supporting Evidence/Comments

Note: The teacher may request copies of the documentation used by the evaluator

	Exceeds Standard	Meets Standard	Below Standard	Not Observed
INVESTING AND ENGAGING STUDENTS ()
2.1 Develop students’ rational understanding that they can achieve by working hard (“I can”)
2.2 Develop students’ rational understanding that they will benefit from achievement (“I want)
2.3 Engaging students in problem-solving, critical thinking, and other activities that make learning meaningful
2.4 Promoting social development and group responsibility
2.5 Reinforce efforts towards the Big Goal and promote self-directed, reflective learning
2.6 Employ appropriate role models
Supporting Evidence/Comments
	Exceeds Standard	Meets Standard	Below Standard	Not Observed
LEARNING ENVIRONMENT ()
3.1 Create a welcoming environment through constant reinforcement (verbal, visual cues aligned with student achievement)
3.2 Establishing behavior management plans (long and short term) to maximize instructional learning time
3.3 Designing classroom procedures to maximize instructional learning time
Supporting Evidence/Comments

Note: The teacher may request copies of the documentation used by the evaluator.

	Exceeds Standard	Meets Standard	Below Standard	Not Observed
DESIGNING LEARNING EXPERIENCE ()
4.1 Design short- and long-term plan to facilitate and promote student learning and connections to the material
4.2 Plan rigorous, objective- and data-driven lessons that will lead students to mastery of the objective and progress towards the Big Goal
4.3 Developing, sequencing, and designing instructional activities to maximize student learning and facilitating learning experiences and developing student understanding through instructional strategies
4.4 Differentiate and modify plans to accommodate more comprehensive learning and provide structure to ensure that all students maximize their learning
Supporting Evidence/Comments

Note: The teacher may request copies of the documentation used by the evaluator.

	Exceeds Standard	Meets Standard	Below Standard	Not Observed
INSTRUCTION/LESSON EXECUTION ()
5.1 Communicates high expectations for behavior and achievement
5.2 Utilizes time-saving practices and procedures to maximize learning time and work with a sense of urgency
5.3 Presents course content so that students comprehend and master key information and ideas
5.4 Facilitate and coordinate student activities and practice so students can work towards mastering the objective and checks for understanding through questioning, listening, and responding in order to check for and ensure student learning
5.5 Use resources and materials in a thoughtful way to promote student learning
Supporting Evidence/Comments
	Exceeds Standard	Meets Standard	Below Standard	Not Observed
ASSESSMENT ()
6.1 Creating standards-aligned assessments (diagnostic, formative, and summative) that determine student performance in relation to the Big Goal
6.2 Monitoring student progress towards meeting the standards and maintaining instructional records that clearly show the basis for grading
6.3 Evaluate and keep track of students’ performance on assessments to promote awareness of student progress by all stakeholders and maintain behavioral and academic investment
6.4 Communicating with students and parents about student progress
Supporting Evidence/Comments

	Exceeds Standard	Meets Standard	Below Standard	Not Observed
PROFESSIONAL DEVELOPMENT ()
7.1 Establish professional goals and pursue opportunities to grow
7.2 Content Pedagogy
7.3 Discourse about Professional Issues
7.4 Reflection of teacher on practice
7.5 Implementation of strategies to improve practice
7.6 Using communities, families, and colleagues to grow as a professional
Supporting Evidence/Comments
	Exceeds Standard	Meets Standard	Below Standard	Not Observed
LOGISTICS AND ADVISORY ()
8.1 Advisory Logistics
8.2 Advisory Communication
8.3 Advisory Students
8.4 Attendance and Professional Development
8.5 Participation and Leadership
8.6 Communication with Students and Families
Supporting Evidence/Comments

Date of Post-Observation Conference __________________________

Principal/designee Signature ___________________________________ Date _____________

Teacher Signature ___________________________________ Date ________________

Note: The teacher’s signature indicates that he/she has seen all comments on this form and does not necessarily indicate agreement with the report. The teacher may respond to this report in writing and then responses shall be attached to this report.