Employee:
Date:
Employee Self-Assessment - Library/Media
As adapted from Charlotte Danielson's Book: Enhancing Professional Practice, A Framework for Teaching, 2nd Edition 402.00f-2
This self-assessment is intended to provide you with a specific focus for professional growth and development and will
enable your supervisor to provide you with appropriate professional development opportunities throughout the year.
Using the Components of Professional Practice for Teachers rubric as your guide, complete this self-assessment by
carefully reflecting on your instructional practices in the four domains listed below. Identify at least one personal goal for
improvement in each domain. Be prepared to discuss your goals with your administrator. Self-assessments are due back
to your administrator by Oct. 1st.
Key: U….Unsatisfactory
Domain 1: Planning & Preparation
B….Basic
P….Proficient
D….Distinguished
U
B
P
D
U
B
P
D
U
B
P
D
U
B
P
D
U
B
P
D
1a. Demonstrating Knowledge of Literature & Current Trends in Library/Media Practice & Information Technology
1b. Demonstrating Knowledge of the School's Program & Student Information Needs Within that Program
1c. Establishing Goals for the Library/Media Program Appropriate to the Setting & the Students Served
Demonstrating Knowledge of Resources, Both Within & Beyond the School & District, & Access to Such
1d. Resources as Interlibrary Loan
1e. Planning the Library/Media Program Integrated With the Overall School Program
1f. Developing a Plan to Evaluate the Library/Media Program
Personal Goal for Improvement:
Domain 2: The Environment
2a.
2b.
2c.
2d.
2e.
Creating an Environment of Respect and Rapport
Establishing a Culture for Investigation & Love of Literature
Establishing & Maintaining Library Procedures
Managing Student Behavior
Organizing Physical Space to Enable Smooth Flow
Personal Goal for Improvement:
Domain 3: Delivery of Service
Maintaining & Extending the Library Collection in Accordance With the School's Needs & Within Budget
3a. Limitations
3b.
3c.
3d.
3e.
Collaborating With Teachers in the Design of Instructional Units & Lessons
Engaging Students in Enjoying Literature & in Learning Information Skills
Assisting Students & Teachers in the Use of Technology in the Library/Media Center
Demonstrating Flexibility and Responsiveness
Personal Goal for Improvement:
Domain 4: Professional Responsibilities
4a.
4b.
4c.
4d.
4e.
4f.
Reflecting on Practice
Preparing & Submitting Reports & Budgets
Communicating with the Larger Community
Participating in a Professional Community
Engaging in Professional Development
Showing Professionalism
Personal Goal for Improvement:
Domain 5: Growth in Student Achievement
5a. Growth on assessments-building level (pre/post tests)
Personal Goal for Improvement:
Minidoka County Joint School District #331
Certified Self-Assessment Form
Created: March 2008
Revised: September 15, 2014