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Domain I: Active, Successful Student Participation in the Learning Process

Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total
Subtotal
1. Engaged in learning
2. Successful in learning
3. Critical thinking/
problem solving
4. Self-directed
5. Connects learning
15 6 0 0 21
Total: 20 to 25 Exceeds Expectations
12 to 19 Proficient
4 to 11 Below Expectations
0 to 3 Unsatisfactory
Comments:
Strengths Areas to Address
Students are actively engaged in the lesson. Students demonstrated success with
the learning objective. They are able to explain how and why they need to trade 10
units for a single rod.
Students are very engaged in
producing a quality product.
Domain II: Learner-Centered Instruction
Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total
Subtotal
1. Goals and objectives
2. Learner-centered
3. Critical thinking and
problem solving
4. Motivational strategies
5. Alignment
15 18 0 0 33
Total: 37 to 45 Exceeds Expectations
23 to 36 Proficient
7 to 22 Below Expectations
0 to 6 Unsatisfactory
Comments:
Strengths Areas to Address
Objective is posted. We will use base 10 blocks, base 10 drawings, words, and
numbers to model addition of 2 digit numbers with regrouping. Students are taking
reasonable risks in responding and extending the lesson using the base ten
manipulatives.
6. Pacing/sequencing
7. Value and importance
8. Appropriate question-
ing and inquiry
9. Use of technology
2 0 0 4 R e v i s i o n
Name:
Beginning Time:
Appraiser: Date: Campus: Assignment/Grade:
Ending Time: P r o f e s s i o n a l D e v e l o p m e n t A n d A p p r a i s a l S y s t e m
Observation Summary
Summative Annual Appraisal
Lee Elementary 5/5/2012 Sosa, Chris 3 McCartney, Candice
Revised June 2004 1
During data talks Mrs. McCartney
identifies content or skill that need to be
re-taught or re-evaluated.
Domain III: Evaluation and Feedback on Student Progress
Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total
Subtotal
1. Monitored and
assessed
2. Assessment and in-
struction are aligned
3. Appropriate assess-
ment
4. Learning reinforced
5. Constructive feedback
15 9 0 0 24
Total: 25 to 30 Exceeds Expectations
15 to 24 Proficient
5 to 14 Below Expectations
0 to 4 Unsatisfactory
Comments:
Strengths Areas to Address
The learning is positively reinforced by Mrs. McCartney using a variety of verbal
and nonverbal strategies. Students recieve constructive feedback which moves
them towards success.
6. Relearning and
re-evaluation
Social contract is posted. Students understand and meet the expectations for desired
behavior. Mrs. McCartney's interactions with her students are courteous and respectful.
She provides opportunities for all students to participate.
Unsatis-
factory
(x 0)
Below
(x 1)
Proficient
(x 3)
Exceeds
(x 5)
1. Discipline procedures
Total
34 0 0 9 25
8. Manages time and
materials
Mrs. McCartney has created a learning
environment that is safe, positive,
supportive, and risk-free.
Domain IV: Management of Student Discipline, Instructional Strategies,
Time, and Materials
Subtotal
2. Self-discipline and
self-directed learning
3. Equitable teacher-
student interaction
4. Expectations for
behavior
5. Redirects disruptive
behavior
Total: 34 to 40 Exceeds Expectations
20 to 33 Proficient
6 to 19 Below Expectations
0 to 5 Unsatisfactory
Comments:
Strengths Areas to Address
6. Reinforces desired
behavior
7. Equitable and varied
characteristics
2 0 0 4 R e v i s i o n
Name:
Beginning Time:
Appraiser: Date: Campus: Assignment/Grade:
Ending Time: P r o f e s s i o n a l D e v e l o p m e n t A n d A p p r a i s a l S y s t e m
Observation Summary
Summative Annual Appraisal
Lee Elementary 5/5/2012 Sosa, Chris 3 McCartney, Candice
Revised June 2004 2
Domain V: Professional Communication
Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total
Subtotal
1. Written with students
2. Verbal/non-verbal with
students
3. Reluctant students
4. Written with parents,
staff, community
members, and other
professionals
5. Verbal/non-verbal with
parents, staff, com-
munity members, and
other professionals
15 9 0 0 24
Total: 25 to 30 Exceeds Expectations
15 to 24 Proficient
5 to 14 Below Expectations
0 to 4 Unsatisfactory
Comments:
Strengths Areas to Address
Mrs. McCartney uses appropriate and accurate verbal and non-verbal
communication with students, parents, and staff. Her interactions are supportive,
courteous, and respectful with students, parents, and staff.
6. Supportive, courteous
Domain VI: Professional Development
Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total
Subtotal
1. Campus/district goals
2. Student needs
3. Prior performance
appraisal
4. Improvement of
student performance
10 6 0 0 16
Total: 16 to 20 Exceeds Expectations
9 to 15 Proficient
3 to 8 Below Expectations
0 to 2 Unsatisfactory
Comments:
Strengths Areas to Address
Mrs. McCartney successfully engages in professional development activities that
positively correlate with the goals of the campus and district.
2 0 0 4 R e v i s i o n
Name:
Beginning Time:
Appraiser: Date: Campus: Assignment/Grade:
Ending Time: P r o f e s s i o n a l D e v e l o p m e n t A n d A p p r a i s a l S y s t e m
Observation Summary
Summative Annual Appraisal
Lee Elementary 5/5/2012 Sosa, Chris 3 McCartney, Candice
Revised June 2004 3
Domain VII: Compliance With Policies, Operating Procedures,
and Requirements
Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total
Subtotal
1. Policies, procedures,
and legal require-
ments
2. Verbal/written
directives
3. Environment
15 0 0 0 15
Total: 13 to 15 Exceeds Expectations
9 to 12 Proficient
3 to 8 Below Expectations
0 to 2 Unsatisfactory
2 0 0 4 R e v i s i o n
Name:
Beginning Time:
Appraiser: Date: Campus: Assignment/Grade:
Ending Time: P r o f e s s i o n a l D e v e l o p m e n t A n d A p p r a i s a l S y s t e m
Observation Summary
Summative Annual Appraisal
Lee Elementary 5/5/2012 Sosa, Chris 3 McCartney, Candice
Comments:
Strengths Areas to Address
Mrs. McCartney complies with all of the policies, operating procedures and lega
requirements including verbal and written directives.
Revised June 2004 4
Domain VIII: Improvement of Academic Performance Of All Students
on the Campus
Exceeds
(x 5)
Proficient
(x 3)
Below
(x 1)
Unsatis-
factory
(x 0)
Total 1-9
Subtotal 1-9
1. Aligns instruction
2. Analyzes TAKS data
3. Appropriate sequence
20 15 0 0 35
Total: 37 to 45 Exceeds Expectations
23 to 36 Proficient
7 to 22 Below Expectations
0 to 6 Unsatisfactory
4. Appropriate materials
5. Monitors student
performance
6. Monitors attendance
7. Students in at-risk
situations
8. Appropriate plans for
intervention
9. Modifies and adapts
40 to 50
24 to 39
8 to 23
0 to 7
**Teachers's 1st
Year on Campus
Teacher's Subsequent
Years on Campus
**Campus performance rating or AYP not scored as per Commissioner's Rules, Ch. 150.1002(f)
PLUS 10. Campus Performance Rating of:
A. Exemplary
Recognized
Academically Acceptable
Academically Unacceptable
B. Meets AYP
*Needs Improvement
*If needs improvement, list in the spaces below Indicators from page 6.
=
=
=
=
=
=
4
2
1
0
1
0 Total A+B ________
Graduation Rate/Attend
Participation Performance
Participation & Performance (Sum of 1-10)
Final Total Domain VIII
35
_______
_______
_______
_______
_______
_______
2 0 0 4 R e v i s i o n
Name:
Beginning Time:
Appraiser: Date: Campus: Assignment/Grade:
Ending Time: P r o f e s s i o n a l D e v e l o p m e n t A n d A p p r a i s a l S y s t e m
Observation Summary
Summative Annual Appraisal
Lee Elementary 5/5/2012 Sosa, Chris 3 McCartney, Candice
Comments:
Strengths Areas to Address
Instructional planning shows evidence of addressing whole class and individual
student needs.
Signature of Appraiser:
My appraiser has given me a copy of this Observation Summary Report.
Signature of Teacher:
Date:
Date:
Observation Summary
Signature of Appraiser:
My appraiser and I have discussed this Summative Annual Appraisal Report.
Signature of Teacher:
Date:
Date:
Summative Annual Appraisal
Signed: 77160
Signed: 74623
6/11/2012
5/8/2012
Revised June 2004 5
2 0 0 4 R e v i s i o n
Name:
Beginning Time:
Appraiser: Date: Campus: Assignment/Grade:
Ending Time: P r o f e s s i o n a l D e v e l o p m e n t A n d A p p r a i s a l S y s t e m
Observation Summary
Summative Annual Appraisal
Lee Elementary 5/5/2012 Sosa, Chris 3 McCartney, Candice
AYP Needs Improvement Indicators
Reading Performance and/or Participation 1.
Performance Only 1a.
Participation Only 1b.
Performance and Participation 1c.
Mathematics Performance and/or Participation 2.
Performance Only 2a.
Participation Only 2b.
Performance and Participation 2c.
Graduation Rate 3.
Attendance 4.
Reading and Mathematics 5.
Reading Performance Only and Math Performance Only 5a.
Reading Performance Only and Math Participation Only 5b.
Reading Performance Only and Math Performance and Participation 5c.
Reading Participation Only and Math Participation Only 5d.
Reading Participation Only and Math Performance and Participation 5e.
Reading Performance Only and Graduation Rate 6.
Reading, Mathematics, and Graduation Rate 7.
Reading/Performance, Math/Performance and Graduation Rate 7a.
Reading/Performance, Math/Participation and Graduation Rate 7b.
Reading/Performance, Math/Performance/Participation and Graduation Rate 7c.
Mathematics and Graduation Rate 8.
Mathematics/Performance and Graduation Rate 8a.
Mathematics/Participation and Graduation Rate 8b.
Mathematics Performance/Participation and Graduation Rate 8c.
Revised June 2004 6

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