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EducatorCollectionofEvidenceForm

EducatorName/Title WendieLeBlancTeacher
:

Primary
ChristopherDodgePrincipal
EvaluatorName/Title:

SupervisingEvaluator,ifanyName/Title/Roleinevaluation:
N/A

School(s): PetershamCenterSchool

Evidencepertainsto(checkallthatapply)
:
Fulfillmentofprofessionalresponsibilitiesandgrowth
XEvidenceofoutreachtoandongoingengagementwithfamilies
Progresstowardattainingstudentlearninggoal(s)
Progresstowardattainingprofessionalpracticegoal(s)
Other:

SummaryofEvidence
Summarizetheevidencecompiledtobepresentedtoevaluatorwithabriefanalysis.
Attachadditionalpagesasneeded.

Ifrequentlysendnewslettersouttoparentsregardingcurriculum,givethemreminders,or
informationonupcomingeventsinclassortheschool.

ThisisanexampleofStandardIIIFamilyandCommunityEngagement
EngagementIndicatorA1ParentandFamilyEngagement
CollaborationIndicatorB1LearningExpectations
CollaborationIndicatorB2CurriculumSupport


Signatureof
Educator

Signatureof
Evaluator

Dat
e

Dat
e

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