District-Paid ROP Teacher Name:
END-OF-THE-YEAR CHECK-OUT FORM
2013-2014
Directions:
1) Personally meet with your assigned Career Technician after you have completed Section A and have attached
required items from Section B. Please be complete and answer all sections and attach all items.
2) Please have your assigned Career Technician initial each section verifying items you have completed/turned in.
The Career Technician will verify completion of all requirements and submit to Lee Moua at the CAE Office.
3) Your documentation will be forwarded to your assigned ROP Administrator and incorporated into your Annual
Program Review.
Section A: Summary
1. 2 + 2 College Credit by Exam Summary
Please provide a summary of the 2+2 articulation you completed this year with the following information:
ROP Course Name
Name of College Course
Complete the information below for each student who passed the articulation. Use additional page if necessary.
Student Name
High School
2. Leadership and/or Student Organization:
Grade Received on College Exam if Known
Name of student organization:
Complete the activity list below or attach a calendar of activities describing your significant leadership activities.
Date of
Activity
Activity
Date of
Activity
Activity
3. Business/Industry/Community Integration:
Complete the activity lists below. Use additional page if necessary.
Classroom
Connections
Provided to Your
Students
(i.e.: field trips, guest
speakers)
Date of
Activity
Professional Connections
(active membership in professional
organizations, i.e., CAROCP, FFA)
D:\308858254.doc
Description of Activity
Field Trip or Guest Speaker Contact
Person & Telephone Number
Description of Professional
Connection/Memberships
How does this impact your
ROP Program?
1
Community Activities
(i.e.: public displays,
presentation @ civic
organizations)
Date of Activity
Description of Activity
How does this impact your ROP
Program?
4. Program Promotion:
Complete the activity lists below. Use additional page if necessary.
Date of
Activity
School Activity
Date of
Activity
School Activity
5. Required ROP Activities:
Check those boxes you participated in.
Fall In-service
Curriculum Meeting(s)
Advisory Committee Meeting
Award of Excellence
Career Industry Day Planning Meeting(s)
Career Industry Day
ROP Awareness Day(s)
Other
6. Employability Portfolio:
Check any boxes that you would like additional assistance or resources on
Table of Contents
Employability Skills Self-Evaluation
Cover Letter
Work Sample (including explanation)
Application Form
Career Action Plan
Resume
Additional Portfolio Pieces
Letter of Recommendation
Writing Sample
7. Other:
Please identify any area you would like additional assistance or resources on: __________________________________________
CAREER TECHNICIAN
Section B: Attachments
1.
2.
3.
4.
INITIALS
Attach Copy of your Program Safety Test
Attach sample of completed student time card (Community Classroom Teachers ONLY)
Attach copy of a Student Employability Portfolio and a Writing Sample
ROP Student Certificate of Excellence –Attach sample of 1 completed certificate
_________
_________
_________
_________
(NOTE: Career Technicians must verify teachers have completed certificates for all eligible students)
CAREER TECHNICIAN
Section C: Completion of Required Items
1.
2.
3.
4.
INITIALS
Instructional Planning Calendar (formerly the Pre-Planner) (verify through Lee Moua)
_________
Tri-Weekly Reports (Community Classroom teachers ONLY – verify through Lee Moua) _________
Completer/Leaver 2012-13/Follow Up Report 2011-12 (verify through Lee Moua)
_________
Follow-up Information Sheets 2012-13 (verify through Lee Moua)
_________
Comments: _______________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Completed By: _________________________________________
Career Technician Signature
D:\308858254.doc
________________
Date Completed
2