HEART Afterschool Program
Staff Observation Form
Site Name: _________________________________ Site Supervisor: _____________________
Leader Name: ______________________________
Date: ______________
Setting: ___Homework __ Field Trip ____Nutrition ed. Phys. Fitness_______
__ Club
__ Snack
Start Time_______
End Time: ___________
__ Event
__ Academic:_______________
1. Did staff appear to have the activity prepared ahead of time?
2. Did staff regularly move throughout the area he/she was supervising?
3. Was the staff enthusiastic and positive while facilitating the activity?
4. Did staff frequently scan the area he/she was supervising? (every 15-30 seconds)
5. Did staff positively interact with ALL of the students in the area?
6. Did the staff have a completed Lesson Plan for the day?
7. Did the observed activity appear well organized and facilitated by staff?
8. Did it appear that students were aware of the staff’s expectations and rules?
9. Were the students engaged in the observed activity? (most=90% or 2 out of 20)
10. Did staff handle most minor rule violations quickly and quietly?
11. Was there an overall feeling of structure and organization in the club?
12. Was there minimal downtime for students during the observation?
Overall Staff Performance:
(85% - 100%) “Yes” = Stellar- Keep up the GREAT work!!!
(75% - 84%) “Yes” = Solid- Overall good, but still has a few things to work out
(60% - 74%) “Yes” = Fair- Needs support
(- 59%) “Yes”= Poor- Needs intensive support
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
Percentage
Score:
_________
#
1
2
3
4
5
6
7
8
9
10
11
12
Other:
Please provide feedback based on your observations