Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 1
1
2
3
Partner Survey 7g
MTEL Data
GPA Data
Stakeholder Survey(s)*
4
Rating Rationale:

-
?
+
Rating Rationale:

INS Criterion 1:
Areas for follow-up onsite:
Completers have the
content knowledge
(SMK) to be effective in
the licensure role.
ONSITE
Program Supervisor Focus Group
Supervising Practitioner Focus Group
Faculty Focus Group(s)
Candidate/Completer Focus Group(s)
Partners Focus Group
1
2
3
4
Rating Rationale:

Criterion Overall Rating
Commendation
Criteria Met
Finding
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 1
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 2
1
2
3
Partner Survey 7a-f, 7h
Partner Survey 6b
Educator Evaluation Data
CAP/PAL Data*
Stakeholder Survey(s)*
4
Rating Rationale:

-
?
+
Rating Rationale:
INS Criterion 2:
Areas for follow-up onsite:
Completers have the
pedagogical skills
(PST/PSI) to be effective
in the licensure role.
ONSITE
Program Supervisor Focus Group
Supervising Practitioner Focus Group
Partner Focus Group
Candidate/Completer Focus Group(s)
1
2
3
4
Rating Rationale:

Criterion Overall Rating
Commendation
Criteria Met
Finding
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 2
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 3
1
2
3
4
Rating Rationale:

INS Criterion 3:
Completers have a
positive impact on
outcomes for PK-12
students.
Partner Survey 6c
Evaluation Rating Data
CAP/PAL Data*
Student Impact Rating*
Stakeholder Survey(s)*
?
+
Rating Rationale:
Areas for follow-up onsite:
ONSITE
Program Supervisor Focus Group
Supervising Practitioner Focus Group
Partner Focus Group
Candidate/Completer Focus Group(s)
1
2
3
4
Rating Rationale:
Criterion Overall Rating
Commendation
Criteria Met
Finding
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 3
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 4
1
2
3
Stakeholder Survey(s)*
4
Rating Rationale:

-
?
+
Rating Rationale:

INS Criterion a:
Program(s) of Study is
sequenced to support
the increased depth of
skills and knowledge
acquired and applied
over time.
Areas for follow-up onsite:
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 4
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 5
1
2
3
Stakeholder Survey(s)*
4
Rating Rationale:

-
?
+
Rating Rationale:
INS Criterion b:
Program design results
in a coherent program
of study such that
connections among and
between courses are
evident.
Areas for follow-up onsite:
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 5
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 6
1
2
3
Stakeholder Survey(s)*
4
Rating Rationale:

-
?
+
Rating Rationale:
INS Criterion c:
Areas for follow-up onsite:
Content is
differentiated by
subject area and level of
licensure being sought.
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 6
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 7
1
2
3
4
Rating Rationale:

-
?
+
Rating Rationale:
INS Criterion d:
Content delivery is
calibrated for
consistency within
programs (e.g. different
instructors of same
course, in satellites,
online, etc.).
Areas for follow-up onsite:
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 7
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 8
1
2
3
Stakeholder Survey(s)*
4
Rating Rationale:
-
?
+
Rating Rationale:
INS Criterion e:
Faculty/instructors
model effective
pedagogical and
content practices of
discipline (including
strategies to meet the
needs of diverse
learners).
Areas for follow-up onsite:
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 8
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 9
1
2
3
Stakeholder Survey(s)*
4
Rating Rationale:

INS Criterion f:
Faculty/instructors use
formative and
summative assessment
data to target areas of
candidate need.
-
?
+
Rating Rationale:
Areas for follow-up onsite:
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 9
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
OFFSITE
Offsite Submission
Outputs
Instruction Worksheet Prompt 10
1
2
3
Stakeholder Survey(s)*
4
Rating Rationale:

-
?
+
Rating Rationale:
INS Criterion g:
Candidates receive
targeted feedback from
faculty/instructors in
coursework that
improves their practice.
Areas for follow-up onsite:
ONSITE
Candidate/Completer Focus Group(s)
Faculty Focus Group(s)
Criterion Overall Rating
Commendation
Criteria Met
Finding
1
2
Rating Rationale:

3
4
Criteria Overall Rating Statement:
Professional Suggestion:
Massachusetts Department of Elementary and Secondary Education 10
Eval Tool 2016-2017
Domain: Instruction (INS) Initial
Program Type:
Sponsoring Organization:
Reviewer:
Overall Domain Summary
Criterion
Offsite Output Onsite Commendation
Criterion
Finding
Met
Outcome Criteria:
1. Completers have the content knowledge (SMK) to
be effective in the licensure role.
2. Completers have the pedagogical skills (PST/PSI)
to be effective in the licensure role.
3. Completers have a positive impact on outcomes
for PK-12 students.
Supporting (Input) Criteria:
a) Program of Study is sequenced to support
the increased depth of skills and
knowledge acquired and applied over
time.
b) Program design results in a coherent
program of study such that connections
among and between courses are evident.
c) Content is differentiated by subject area
and level of licensure being sought.
d) Content delivery is calibrated for
consistency within programs (e.g.
different instructors of same course, in
satellites, online, etc.).
e) Faculty/instructors model effective
pedagogical and content practices of
discipline (including strategies to meet
the needs of diverse learners).
f)
Faculty/instructors use formative and
summative assessment data to target
areas of candidate need.
g) Candidates receive targeted feedback
from faculty/instructors in coursework
that improves their practice.
Domain Summary
Overall Domain Recommendation
Exemplary
Proficient
Needs Improvement
Unsatisfactory
Massachusetts Department of Elementary and Secondary Education 11