Educator Collection of Evidence Form

EducatorName/Title:

Wendie LeBlanc/Teacher Rebecca Phillips/Principal

Primary EvaluatorName/Title:

Supervising Evaluator, if anyName/Title/Role in evaluation: N/A School(s): Petersham Center School

1

Evidence pertains to (check all that apply) : Fulfillment of professional responsibilities and growth Evidence of outreach to and ongoing engagement with families Progress toward attaining student learning goal(s) Progress toward attaining professional practice goal(s) Other:

Summary of Evidence
Summarize the evidence compiled to be presented to evaluator with a brief analysis. Attach additional pages as needed.

The following is an example of lesson plans I created based on the Wilson Language System to teach reading to the students who were at risk for reading problems or had trouble with decoding or encoding skills. Standard II-A-3 Meeting Diverse Needs

Signature of Educator Signature of Evaluator

Wendie LeBlanc

Date Date

2/1/13

Per 603 CMR 35.07(1)(c)1, Evidence compiled and presented by the educator includ[es]: 1. Evidence of fulfillment of professional responsibilities and growth, such as: self-assessments; peer collaboration; professional development linked to goals and or educator plans; contributions to the school community and professional culture; 2. Evidence of active outreach to and ongoing engagement with families. However, educator collection of evidence is not limited to these areas.

Educator Collection of Evidence Form

January 2012

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Attachment(s) included

Educator Collection of Evidence Form

January 2012

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