Professional Growth Goal & Plan Name:__________________________________ □ Teacher □ Counselor/SW □ Library/Media □ Ther Sp □ Instr Sp Primary Evaluator: ______________________ School Year:____________ Summative Cycle (check one) Tenured □ Year 1 of 3 yr self-directed cycle □ Year 2 of 3 yr self-directed cycle □ Year 3 of 3 yr self-directed cycle Non-Tenured □ 1 year directed cycle □ Up to 12 months improvement plan □ 1 year cycle □ Less than 1 year cycle Guiding Questions for Goal Development 1. What do I want to change about my practice that will effectively impact student learning? (The decision should be grounded in evidence. This pertains to rationale for the goal.) 2. How can I develop a plan of action to address my professional learning? (The plan should include new learning and how the professional will apply it.) 3. How will I know if I accomplished my goal? (The professional must be able to show evidence of growth to prove a change of practice has occurred.) Part A – Professional Growth Goal Professional Growth Goal Statement KY Framework—Mark the role, domain, and indicator that applies to your goal Framework for: Domain: □ Teaching □ Counselor □ Library/Media □ Speech □1 □2 Indicator: □3 □4 □A □B □C □G □H □I □D □E □F Connecting Priority Growth Needs to Professional Goal Planning - Select one or more areas that show how your goal connects with a priority area of need. Self-Reflection Student Growth goals Observations CSIP/CDIP Other ___________________________ Rationale for why this is a priority need: Student voice Framework for Teaching Part B - Action Plan a. What is my plan of action to advance my professional growth? b. What resources/support do I need to achieve my goal? c. What measures will I use to determine if I met my goal?* *Examples for “Measures of Goal Attainment”: Artifacts, SelfAssessment, On-Going SelfReflection, Certificate of Completion, Teaming with Colleague, Observation Data, etc. Expected Student Growth Impact: Reviewer should check one: _____Goal/Plan is approved _____Goal/Plan Needs Revisions Teacher Signature: Date: Administrator Signature: Date: