INDUSTRIAL INDEPENDENT SCHOOL DISTRICT

PDAS Evaluation Form (sample)

 

Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________    

Beginning Time:______                                             

Ending Time:_______

                                                                                                                                                                              Observation Summary

                                                                                                 Summative Annual Appraisal

 


Domain I: Active, Successful Student Participation in the Learning Process

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x  1)

Unsatis-factory
(x 0)

 

 

1. Engaged in learning

 

2. Successful in learning

 

3. Critical thinking/
problem solving

 

4. Self-directed

 

5. Connects learning

 

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

 

 

 

 

 

 

 

 

 

 

Total

 

Subtotal

 

 

 

 

 

 

           

 

                Total:   20     to    25        Exceeds Expectations

                            12     to    19        Proficient

                              4     to    11        Below Expectations

                              0     to      3        Unsatisfactory

Comments:

 

 

 

 

 

 

 

Strengths

Areas to Address

 

 

 

 

 

 

 

 

 

 

 


Domain II:  Learner-Centered Instruction

 

 

Exceeds

(x 5)

 

Proficient

(x 3)

 

Below

(x 1)

Unsatis-factory

(x 0)

 

 

1. Goals and objectives

 

2. Learner-centered

 

3. Critical thinking and problem solving

 

4. Motivational strategies

 

5. Alignment

 

6. Pacing/sequencing

 

7. Value and importance

 

8. Appropriate questioning and inquiry

 

9. Use of technology

 

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

7.____

 

8.____

 

 

9.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

7.____

 

8.____

 

 

9.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

7.____

 

8.____

 

 

9.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

7.____

 

8.____

 

 

9.____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

Subtotal

 

 

 

 

 

 

 

                Total:   37     to    45        Exceeds Expectations

                            23     to    36        Proficient

                              7     to    22        Below Expectations

                              0     to      6        Unsatisfactory

 

             

Comments:

 

 

Strengths

Areas to Address

 

 

 



Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________    

Beginning Time:______   Professional Development and Appraisal System                                        Ending Time:_______

                                                                              Observation Summary

                                                                                                 Summative Annual Appraisal

 


Domain III:  Evaluation and Feedback on Student Progress

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x 1)

Unsatis-factory
(x 0)

 

 

 

1. Monitored and
assessed

 

2. Assessment and instruction are aligned

 

3. Appropriate assessment

 

4. Learning reinforced

 

5. Constructive feedback

 

6. Relearning and
re-evaluation

 

 

1. ____

 

 

2.____

 

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

 

1. ____

 

 

2.____

 

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

 

1. ____

 

 

2.____

 

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

 

1. ____

 

 

2.____

 

 

3.____

 

 

4.____

 

5.____

 

6.____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

Subtotal

 

 

 

 

 

 

 

                Total:   25     to    30        Exceeds Expectations

                            15     to    24        Proficient

                              5     to    14        Below Expectations

                              0     to      4        Unsatisfactory

             

Comments:

 

 

 

 

 

 

Strengths

Areas to Address

 

 

 

 

 

 

 

 


Domain IV: Management of Student Discipline, Instructional Strategies,
                   Time, and Materials

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x 1)

Unsatis-factory
(x 0)

 

 

 

1. Discipline procedures

 

2. Self-discipline and self-directed learning

 

3. Equitable teacher-student interaction

 

4. Expectations for
behavior

 

5. Redirects disruptive behavior

 

6. Reinforces desired behavior

 

7. Equitable and varied characteristics

 

8. Manages time and materials

 

 

1. ____

 

2.____

 

 

3.____

 

 

4.____

 

 

5.____

 

 

6.____

 

 

7.____

 

 

8.____

 

 

 

1. ____

 

2.____

 

 

3.____

 

 

4.____

 

 

5.____

 

 

6.____

 

 

7.____

 

 

8.____

 

 

 

1. ____

 

2.____

 

 

3.____

 

 

4.____

 

 

5.____

 

 

6.____

 

 

7.____

 

 

8.____

 

 

 

1. ____

 

2.____

 

 

3.____

 

 

4.____

 

 

5.____

 

 

6.____

 

 

7.____

 

 

8.____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

Subtotal

 

 

 

 

 

 

 

 

                Total:   34     to    40        Exceeds Expectations

                            20     to    33        Proficient

                              6     to    19        Below Expectations

                              0     to      5        Unsatisfactory

           

Comments:

 

 

 

Strengths

Areas to Address

 

 

 

 

 


 

Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________    

Beginning Time:______   Professional Development and Appraisal System                                        Ending Time:_______

                                                                              Observation Summary

                                                                                                 Summative Annual Appraisal


Domain V: Professional Communication

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x 1)

Unsatis-factory
(x 0)

 

 

 

1. Written with students

 

2. Verbal/non-verbal with students

 

3. Reluctant students

 

4. Written with parents, staff, community members, and other professionals.

 

5. Verbal/non-verbal with parents, staff, community members, and other professionals.

 

6. Supportive, courteous

 

 

1. ____

 

2.____

 

 

3.____

 

4.____

 

 

 

 

5.____

 

 

 

 

6.____

 

1. ____

 

2.____

 

 

3.____

 

4.____

 

 

 

 

5.____

 

 

 

 

6.____

 

1. ____

 

2.____

 

 

3.____

 

4.____

 

 

 

 

5.____

 

 

 

 

6.____

 

1. ____

 

2.____

 

 

3.____

 

4.____

 

 

 

 

5.____

 

 

 

 

6.____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

Subtotal

 

 

 

 

 

 

 

 

                Total:   25     to    30        Exceeds Expectations

                            15     to    24        Proficient

                              5     to    14        Below Expectations

                              0     to      4        Unsatisfactory

           

Comments:

 

 

 

 

 

Strengths

Areas to Address

 

 

 

 

 

 


Domain VI:  Professional Development

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x 1)

Unsatis-factory
(x 0)

 

 

 

1. Campus/district goals

 

2. Student needs

 

3. Prior performance appraisal

 

4. Improvement of
student performance

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

1. ____

 

2.____

 

3.____

 

 

4.____

 

 

 

 

 

 

 

 

 

Total

 

 

Subtotal

 

 

 

 

 

 

 

 

                Total:   16     to    20        Exceeds Expectations

                              9     to    15        Proficient

                              3     to      8        Below Expectations

                              0     to      2        Unsatisfactory

 

           

Comments:

 

 

 

 

 

 

 

 

 

Strengths

Areas to Address

 

 

 

 

 

 

 

 

 

 

 

 

 



Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________    

Beginning Time:______   Professional Development and Appraisal System                                        Ending Time:_______

                                                                              Observation Summary

                                                                                                 Summative Annual Appraisal


 

Domain VII:  Compliance With Policies, Operating Procedures,
                      and Requirements

 

 

Exceeds

(x 5)

 

Proficient

(x 3)

 

Below

(x 1)

Unsatis-factory

(x 0)

 

 

1. Policies, procedures, and legal requirements

 

2.Verbal/written
directives

 

3. Environment

 

 

1.____

 

 

 

2.____

 

3.____

 

 

 

1.____

 

 

 

2.____

 

3.____

 

 

 

1.____

 

 

 

2.____

 

3.____

 

 

 

1.____

 

 

 

2.____

 

3.____

 

 

 

 

 

 

 

 

 

 

 

Total

 

Subtotal

 

 

 

 

 

 

 

 

Total:   13     to    15      Exceeds  Expectations

              9     to    12      Proficient

              3     to      8      Below Expectations

              0     to      2      Unsatisfactory


 

Comments:

 

 

 

 

 

 

 

 

 

 

Strengths

Areas to Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________    

Beginning Time:______   Professional Development and Appraisal System                                        Ending Time:_______

                                                                              Observation Summary

                                                                                                 Summative Annual Appraisal


Domain VIII:  Improvement of Academic Performance Of All Students on
              The Campus (Based on Indicators included in the AEIS)

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x  1)

Unsatis-factory
(x 0)

 

1. Aligns instruction

2. Analyzes TAAS data

3. Appropriate sequence

4. Appropriate materials

5. Monitors student
performance

6. Monitors attendance

7. Students in at-risk situations

8. Appropriate plans for intervention

9. Modifies and adapts

1.____

2.____

3.____

4.____

5.____


6.____

7.____

8.____


9.____

1.____

2.____

3.____

4.____

5.____


6.____

7.____

8.____


9.____

1.____

2.____

3.____

4.____

5.____


6.____

7.____

8.____


9.____

1.____

2.____

3.____

4.____

5.____


6.____

7.____

8.____


9.____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total 1-9

 

Subtotal 1-9

 

 

 

 

 

 

 

Plus 10. Campus Performance Rating of:     Reported only_____ Scored_____
                Exemplary         =    5                                                                                  __________
                Recognized       =    4                                                                                  __________
                Acceptable        =    3                                                                                  __________

                *Low Performing=   3 points      75-100% of the underlined Student Groups ________                                       2 points      50-  74% of the underlined Student Groups________

                                                1 point          1-  49% of the underlined Student Groups________

`                                               0 points               0% of the underlined Student Groups________  *See Commissionerís Letter for clarification.

 

Total Domain VIII Score:

                1st Year                                                 2nd Year

Total:   37   to  45              Exceeds Expectations    40    to 50

            23   to 36              Proficient                         24     to 39

              7   to 22              Below Expectations          8     to 23

              0   to    6              Unsatisfactory                  0     to    7


 

 

Comments:

 

 

 

 

 

 

 

 

 

 

Strengths

Areas to Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Appraiser:________________________________   Date:____________

My appraiser has given me a copy of this Observation Summary Report.

Signature of Teacher:________________________________   Date:____________

Observation Summary

 

Signature of Appraiser:________________________________   Date:____________

My appraiser and I have discussed this Summative Annual Appraisal Report.

Signature of Teacher:________________________________   Date:____________

Summative Annual Appraisal

 



Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________

Example - 1st Year (1997-98), Reported but Not Scored

Beginning Time:_______  Professional Development and Appraisal System                                        Ending Time:_______

                                                                              Observation Summary

                                                                                                                                 Summative Annual Appraisal


Domain VIII: Improvement of Academic Performance of All Students on
The Campus (Based on Indicators included in the AEIS)

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x  1)

Unsatis-factory
(x 0)

 

1. Align instruction

2. Analyze TAAS data

3. Appropriate sequence

4. Appropriate materials

5. Monitors student
performance

6. Monitors attendance

7. Students in at-risk situations

8. Appropriate plans for intervention

9. Modifies and adapts

1._____

2._____

3.__÷__

4._____

5._____


6.__
÷__

7._____


8._____


9._____

1.__÷__

2.__÷__

3._____

4.__÷__

5.__÷__


6._____

7.__÷__


8._____


9.__
÷__

1._____

2._____

3._____

4._____

5._____


6._____

7._____


8.__
÷__


9._____

1._____

2._____

3._____

4._____

5._____


6._____

7._____


8._____


9._____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total 1-9

Subtotal for Items 1-9

10

18

1

0

29

Plus 10. Campus Performance Rating of:                 Reported only__X___   Scored_____
                Exemplary         =    5                                                                                  __________
                Recognized       =    4                                                                                  __________
                Acceptable        =    3                                                                                  __________

                Low Performing      =                                                                                  2 (if quartile 1 or 2 on comparable improvement)               __________

                                                1 (if quartile 3 on comparable improvement)               __________

                                                0 (if quartile 4 on comparable improvement)               __________                       

                                               

 

Total Domain VIII Score:                                                          29

                1st Year                                                 2nd Year

Total:   37   to  45              Exceeds Expectations    40    to 50

            23   to 36              Proficient                         24     to 39

              7   to 22              Below Expectations          8     to 23

              0   to    6              Unsatisfactory                  0     to    7

 


 

 

Comments:

Mrs. Jones is a very good teacher.  She is growing each year.

 

 

 

 

 

 

 

 

 

Strengths

Areas to Address

 

Ms. Jones is beginning to really specify the learning needs of her students.  She is now preparing better instruction and materials.  She has also done quite well in monitoring and increasing the attendance of her students.

 

 

 

 

 

 

Ms. Jones needs to provide more appropriate learning situations for at-risk students.

Signature of Appraiser:________________________________   Date:____________

My appraiser has given me a copy of this Observation Summary Report.

Signature of Teacher:________________________________   Date:____________

Observation Summary

 

Signature of Appraiser:________________________________   Date:____________

My appraiser and I have discussed this Summative Annual Appraisal Report.

Signature of Teacher:________________________________   Date:____________

Summative Annual Appraisal

 

 

 



Name:____________________    Appraiser:___________________   Date:________   Campus:______________                                                      Assignment/Grade:____________

Example - 2nd Year (1998-99), Reported and Scored

Beginning Time:_______  Professional Development and Appraisal System                                        Ending Time:_______

                                                                              Observation Summary

                                                                                                                                 Summative Annual Appraisal

 


 


Domain VIII:  Improvement of Academic Performance of All Students on
The Campus (Based on Indicators included in the AEIS)

 

 

Exceeds
(x 5)

 

Proficient
(x 3)

 

Below
(x  1)

Unsatis-factory
(x 0)

 

1. Align instruction

2. Analyze TAAS data

3. Appropriate sequence

4. Appropriate materials

5. Monitors student
performance

6. Monitors attendance

7. Students in at-risk situations

8. Appropriate plans for intervention

9. Campus-wide programs

1._____

2._____

3.__÷__

4._____

5._____


6.__
÷__

7._____

8.__ ÷___


9._____

1.__÷__

2.__÷__

3._____

4.__÷__

5.__÷__


6._____

7.__÷__

8._____


9.__
÷__

1._____

2._____

3._____

4._____

5._____


6._____

7._____

8._____


9._____

1._____

2._____

3._____

4._____

5._____


6._____

7._____

8._____


9._____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub Total 1-9

 

Subtotal for Items 1-9

 

15

 

18

 

0

 

0

 

33

 

Plus 10. Campus Performance Rating of:                 Reported only_____      Scored__X___
                Exemplary         =    5                                                                                  __________
                Recognized       =    4                                                                                  __________
                Acceptable        =    3                                                                                  _____3____

                Low Performing      =                                                                                  2 (if quartile 1 or 2 on comparable improvement)               __________

                                                1 (if quartile 3 on comparable improvement)               __________

                                                0 (if quartile 4 on comparable improvement)               __________                       

                                               

 

Total Domain VIII Score:                                                           36

                1st Year                                                 2nd Year

Total:   37   to  45              Exceeds Expectations    40    to 50

            23   to 36              Proficient                         24     to 39

              7   to 22              Below Expectations          8     to 23

              0   to    6              Unsatisfactory                  0     to    7


 

Comments:

Mrs. Jones continues to be a solid member of our faculty.  She makes efforts to improve that have paid off this year.

 

 

 

 

 

 

 

 

 

 

 

Strengths

Areas to Address

 

Ms. Jones has focused on working with students in at-risk situations, developing specific plans for intervention, which she has successfully carried out.

 

 

 

 

 

 

 

 

 

Ms. Jones has selected the continued alignment of instructiion with TAAS-related objectives as an area to focus on for the next year. She intends to increase her collaboration with colleagues as she works in this area.

Signature of Appraiser:________________________________   Date:____________

My appraiser has given me a copy of this Observation Summary Report.

Signature of Teacher:________________________________   Date:____________

Observation Summary

 

Signature of Appraiser:________________________________   Date:____________

My appraiser and I have discussed this Summative Annual Appraisal Report.

Signature of Teacher:________________________________   Date:____________

Summative Annual Appraisal

 

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