4/17/22, 12:10 PM PLC Walkthrough Form

PLC Walkthrough Form

* Required

1. Administrator Giving Feedback *

Mark only one oval.

Futrell

Gibson

2. Classroom Teacher

Mark only one oval.

tiffeny_morgan@dpsnc.net

aaron_ashe@dpsnc.net

osmin_betancourt@dpsnc.net

Connor_gibbons@dpsnc.net

Ianna_Harrison@dpsnc.net

jean_sciacca@dpsnc.net

mario_little@dpsnc.net

brianna_haro@dpsnc.net

tyler_pulis@dpsnc.net

Paula_jennings@dpsnc.net

joshua_gibson@dpsnc.net

Christopher_forbes@dpsnc.net

stephanie_messina@dpsnc.net

Jonathan_adams@dpsnc.net

Other:

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4/17/22, 12:10 PM PLC Walkthrough Form

3. Subject Area:

Mark only one oval.

Math

Science

English

Social Studies

Health/PE

CTE

Spanish

EC

ESL

Barbering

Cosmetology

4. Date

Example: January 7, 2019

5. Curriculum Standards: Instruction is Standards-Based?

Mark only one oval.

Yes

No

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4/17/22, 12:10 PM PLC Walkthrough Form

6. Student Engagement *
Check all that apply.

High Student Engagement---For example: interacting with the teacher, interacting with other
students about coursework, students actively on coursework
Passive Compliance Student Engagement---For example: students not progressing through
coursework, students look like they are working, students are not disruptive-just sitting and not
working-not, students are not participating in discussion
Low/No Student Engagement---For example: students are on their phones, students are
working on classwork for another course, students are interactions are not about coursework,
students are disruptive of the environment

7. Student Engagement Comments

8. Bloom's Level Observed: student-teacher, student-curriculum, student-student

Check all that apply.

Remember
Understand
Apply
Analyze
Evaluate
Create

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9. Student-Teacher Talk: interactions within the classroom

Check all that apply.

One-to-One Teacher-Student
Teacher to Small Group
Student Small Group Response
Student Collaborative Group Talk
Student Written/Tech Responses
Student Silent Reading
Student Drawing/Creative
Teacher to Whole Group
Student Whole Group Response
Other:

10. How is the Modern Classroom Implemented: Content, Application, Mastery,

Remediation
Check all that apply.

Activating Prior Knowledge-Content

Facilitating Whole Group Instruction-Content
Facilitating Small Group/one on one Instruction-Content
Modeling-Content
Facilitating Problem Solving-Application
Facilitating Application of Learning- Application
Administering an Assessment- Mastery
Gathering Data- Mastery
Progress Monitoring-Remediation
Providing Individualized Feedback/data to Students- Remediation

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4/17/22, 12:10 PM PLC Walkthrough Form

11. General Notes from the Walkthrough - A narrative of what is observed with
suggestions for improvement.

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 Forms

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