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grade level School_________________

K-2 Coach _________________


3-4
5-6 Date___________________
7-8 PANORAMIC VIEW
9-12 Site Visit Protocol

Observable= O Non Observable= NO

O NO EVIDENCE O NO EVIDENCE
Physical Plant Physical Setting
NOTES/OTHER OBSERVATIONS:
Pick up drop off area good signage Classroom organization
Appropriate space allocation
Parking area conditions Heating and cooling adequate
Furniture appropriate for student
Landscaping maintained needs
Educational bulletin board
Trash picked up
Freshly Painted Data Room/Data Location grade level
Logs of access data by grade level
Standards based data K-2
Front Office
Signage appropriate and clear Visual displays of current data 3-4
Greeting/Reception 5-6
Clean and orderly 7-8
Workroom/Lounge/climate 9-12
Mission and Vision posted Climate of mutual respect
Seating available Appropriate behavior maintained
(student/teacher)
Principal’s Office Collegial Conversations
Clean and orderly Congenially conversations
Professional focus Magazines/Journals/Prof Materials
Furnishings match environment
Professional Reading Materials
Mission and Vision posted
Hallways
Student work displayed
Standards posted
Teachers available during passing time INITIAL CLASSROOM
Classroom visibility via windows
Well kept and maintained
SNAPSHOT
School_________________
Rm_________
Check if observed: Coach _________________
Environment supports Learning
Strong observable evidence Date___________________
Minimal observable evidence
No observable evidence

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Focus of Instruction Aligned to grade level standards/performance
Objectives

Strong observable evidence


Minimal observable evidence
No observable evidence

Use of Quality Instructional Practices


Strong observable evidence
Minimal observable evidence
No observable evidence

High Degree of student engagement


Strong observable evidence
Minimal observable evidence
No observable evidence

TargetTeach Implementation
Strong observable evidence
Minimal observable evidence
No observable evidence

NOTES:

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Coaching Debriefing Form
School: ________________________ Grades: _________

Consultant: _____________________ Date: ___________

Classroom Visits
Did you
Teacher Subject Time Debrief?

Principal Debriefing
Was the principal available to debrief at the end of the day? __________________

Questions, concerns, comments, or action items for future visits:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

School Representative Signature: ______________________________________


Title: _____________________________________________________________

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IMPORTANT INFORMATION
FOR NEXT VISIT!
(Are there any teachers that have not been observed yet? Does the principal want a
specific focus? Does the principal need you to meet with grade level teams? ETC…)

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