Pilot Teacher Evaluation
Pilot Teacher Evaluation
Assessment Forms
Usage Tips
Rubric
Domain 1
Domain 2
Domain 3
Domain 4
TierII
Survey
Human Resources
Board of Education
2155 Miramar Boulevard
University Heights, OH 44118
216-371-7171
info@chuh.org
Untitled Document

Save Word/Works documents to your computer before using.
Bold-faced documents have been updated for 2007-08
Pilot Summative Assessment Forms
Teacher
Administrator
3:1 - 3:8 Summative Evaluation Overview PDF
3:9 Agenda for Initial Conference PDF

3:10 Self Evaluation
Domains 1-2: Word | Form | PDF
Domains 3-4: Word | Form | PDF
Optional Worksheet Word | PDF

 
3:15 Agenda for Summative Assessment
Pre-Observation Conference
(Evidence of Domain 1)
Word | PDF | Mwks | Awks
3:16 Summative Assessment
Classroom Observation Record
(Evidence of Domain 2 and 3)
Word | PDF

3:17 Agenda for Summative Assessment
Post Observation Conference - Reflection/Discussion Questions
(Evidence of Domain 4) Word | PDF | Mwks | Awks

 

3:18 Administrator Evaluation
Observation 1
(Fill in grey areas of Word form)

Contract
Limited
Continuing
Teacher
Instructional Specialist


3:21 Summative Assessment Report

Report
Observation
2
Teacher
Instructional Specialist
Nurse
 
3:23 Summative Assessment Family Contact Log
PDF | Excel
 
3:24 Professional Development/School, District and Community Contributions Log
PDF | Excel
 

The integrated filemaker solution, available last year, has not been updated and should no longer be used.

The 3:10 and 3:18 forms use the Microsoft Word Form Tool. You can only change the gray shaded areas of the document. Spell checking is disabled, but you can copy and paste the text into another word document to perform a spell check of the comments section.

Formatting Tip: If you delete text at the end of a paragraph, make sure you don't select the invisible end of paragraph marker too—that could change the margin settings. If you accidently do that, use undo to restore the margins and text, then delete again without the paragraph marker.

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