COMPONENTS OF PROFESSIONAL PRACTICE POST OBSERVATION APPRAISAL FORM
Type of Observation:
Present Level:
Entry
Formal
1
Informal
2
3
Associate Instructor
Senior Instructor
Name
Date of Observation
Observer
Title
Building
Subject
Grade
This form must be completed and returned to the staff member before any subsequent evaluations take place.
The appraisal rubric must be used to interpret the ratings.
Key: U = Unsatisfactory and G= Growth Needed (both require a comment with at least two suggested interventions)
M=Meets Expectations; E = Exceeds Expectations; N/O = Not Observed; N/A = Not Applicable; C = Comment Reference
DOMAIN I PLANNING AND PREPARATION
1a: Demonstrating Knowledge of Content and Pedagogy
Knowledge of Content
U
G
M
E
N/O
N/A
C
Knowledge of Prerequisite Relationships
U
G
M
E
N/O
N/A
C
Knowledge of Characteristics of Age Group
U
G
M
E
N/O
N/A
C
Knowledge of Students’ Varied Approaches to Learning
U
G
M
E
N/O
N/A
C
Knowledge of Students’ Skills and Knowledge
U
G
M
E
N/O
N/A
C
Value
U
G
M
E
N/O
N/A
C
Clarity
U
G
M
E
N/O
N/A
C
Instructional Resources for Teaching
U
G
M
E
N/O
N/A
C
Instructional Resources for Students
U
G
M
E
N/O
N/A
C
Learning Activities
U
G
M
E
N/O
N/A
C
Lesson and/or Unit Structure
U
G
M
E
N/O
N/A
C
1b: Demonstrating Knowledge of Students
1c: Selecting Instructional Goals for the Lesson
1d: Demonstrating Knowledge of Resources
1e: Designing Coherent Instruction
Revised 3/09
Post Observation Form, 1 of 6
1f: Assessing Student Learning
Congruence with Instructional Goals
U
G
M
E
N/O
N/A
C
Criteria and Standards
U
G
M
E
N/O
N/A
C
Use for Planning
U
G
M
E
N/O
N/A
C
Comments for Domain I:
Revised 3/09
Post Observation Form, 2 of 6
DOMAIN II THE CLASSROOM ENVIRONMENT
2a: Creating an Environment of Respect and Rapport
Teacher Interaction with Students
U
G
M
E
N/O
N/A
C
Importance of the Content
U
G
M
E
N/O
N/A
C
Expectations for Learning and Achievement
U
G
M
E
N/O
N/A
C
Management of Instructional Groups
U
G
M
E
N/O
N/A
C
Management of Transitions and
Non-Instructional Duties
U
G
M
E
N/O
N/A
C
Management of Materials and Supplies
U
G
M
E
N/O
N/A
C
Expectations
U
G
M
E
N/O
N/A
C
Response to Student Misbehavior
U
G
M
E
N/O
N/A
C
U
G
M
E
N/O
N/A
C
2b: Establishing a Culture for Learning
2c: Managing Classroom Procedures
2d: Managing Student Behavior
2e: Organizing Physical Space
Accessibility to Learning and
Use of Physical Resources
Comments for Domain II:
Revised 3/09
Post Observation Form, 3 of 6
DOMAIN III INSTRUCTION
3a: Communicating Clearly and Accurately
Directions and Procedures
U
G
M
E
N/O
N/A
C
Oral and Written Language
U
G
M
E
N/O
N/A
C
Quality of Questions
U
G
M
E
N/O
N/A
C
Discussion Techniques/Student Participation
U
G
M
E
N/O
N/A
C
Delivery of Content
U
G
M
E
N/O
N/A
C
Activities and Assignments
U
G
M
E
N/O
N/A
C
Instructional Materials and Resources
U
G
M
E
N/O
N/A
C
Structure and Pacing
U
G
M
E
N/O
N/A
C
Quality
U
G
M
E
N/O
N/A
C
Timeliness
U
G
M
E
N/O
N/A
C
Lesson Adjustment
U
G
M
E
N/O
N/A
C
Persistence
U
G
M
E
N/O
N/A
C
3b: Using Questioning and Discussion Techniques
3c: Engaging Students in Learning
3d: Providing Feedback to Students
3e: Demonstrating Flexibility and Responsiveness
Comments for Domain III:
Revised 3/09
Post Observation Form, 4 of 6
DOMAIN IV PROFESSIONAL RESPONSIBILITIES
4a: Reflecting on Teaching
Accuracy
U
G
M
E
N/O
N/A
C
Use in Future Teaching
U
G
M
E
N/O
N/A
C
Student Progress in Learning
U
G
M
E
N/O
N/A
C
Non-instructional Records
U
G
M
E
N/O
N/A
C
Information about the Instructional Program
U
G
M
E
N/O
N/A
C
Information about Individual Students
U
G
M
E
N/O
N/A
C
Enhancement of Content Knowledge &
Pedagogical Skills
U
G
M
E
N/O
N/A
C
Service to the Profession
U
G
M
E
N/O
N/A
C
U
G
M
E
N/O
N/A
C
4b: Maintaining Accurate Records
4c: Communication with Families
4d: Contributing to the School District
4e: Showing Professionalism
Service to Students
Comments for Domain IV:
Revised 3/09
Post Observation Form, 5 of 6
Observer’s Statement:
Teacher’s Statement:
The teacher’s signature below does not signify agreement. The teacher has the opportunity to write a rebuttal or hold
further discussions with the observer which may or may not result in changes to this evaluation.
Teacher’s Signature
Date
Observer’s Signature
Date
Observer’s Title
Revised 3/09
Post Observation Form, 6 of 6