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LEVEL I TO LEVEL II ASSESSMENT FORM

By Jonathan Roberts,2014-10-17 13:15
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LEVEL I TO LEVEL II ASSESSMENT FORM

Commonwealth of Pennsylvania DEPARTMENT OF EDUCATION 333 Market St., Harrisburg, PA 17126-0333

    INSTRUCTIONAL I TO INSTRUCTIONAL II ASSESSMENT FORM

Applicant’s Last Name First Middle Positions(s) of Employee

District/IU School Evaluator Interview/Conference Date

Directions: This form is used after having reviewed 6 satisfactory semi-annual employee evaluations of the

    teacher’s performance. All categories in this form must be assessed as well as all sources of evidence provided by the teacher. The evaluator should bear in mind the aspects of teaching for each category and refer to the

    rubric language. If applicable, record commendations. Finally, assign an overall assessment, sign the form and

    gain Superintendent’s review and signature. This form MUST BE included as part of the Instructional II application submitted to the Pa. Dept. of Education.

    Category I: Planning/Preparation--Through their knowledge of content and pedagogy skills in planning and preparation, teachers make plans and set goals based on the content to be learned, their knowledge of students and their instructional context. Category I reviews:

    Knowledge of Content and Pedagogy, Knowledge of Pennsylvania Academic Standards, Knowledge of Students, Selecting Instructional Goals, Designing Coherent Instruction, Assessing Student Learning, Knowledge of Resources, Materials and Technology.

Teacher’s performance demonstrates:

    o In-depth and thorough knowledge of content and pedagogy

    o In-depth and thorough knowledge of Pennsylvania’s Academic Standards

    o In-depth and thorough knowledge of students and how to use this knowledge to direct and guide instruction

    o Clear and appropriate instructional goals that reflect content standards and high expectations for students

    o Thorough awareness of resources, materials, and technology available through the school or district or professional organizations

    o Appropriate and coherent instructional design in which plans for all elements are completely aligned with the instructional goals, have a clear

    sequence, and include adaptations for individual student needs

    o Perceptive reflection on teaching and learning and use of such in future instruction planning

    o Appropriate and clear assessments of student learning completely aligned to the instructional goals, and adapted as required for student needs.

Sources of Evidence (Check all that apply and include dates, types/titles and number)

     See Attachment 427 A See Attachment 427 A Lesson/Unit Plans Teacher Conferences/Interviews

     See Attachment 427 A See Attachment 427 A Resources/Material/Technology Classroom Observations

     See Attachment 427 A See Attachment 427 A Assessment Materials Teacher Resource Documents

     See Attachment 427 A See Attachment 427 A Information About Students Other Assessment of Category I Factors (Discussion)

    - 1

    PDE 427

    Commonwealth of Pennsylvania DEPARTMENT OF EDUCATION 333 Market St., Harrisburg, PA 17126-0333

    Category II: Classroom Environment --Teachers establish and maintain a purposeful and equitable environment for learning, in which students feel safe, valued, and respected by instituting routines and setting clear expectations for student behavior. Category II reviews: Teacher Interaction with Students, Establishment of a Learning Environment, Student Interaction.

    Teacher’s performance demonstrates: o High and clear expectations for student achievement in a challenging and dynamic learning environment, with value placed on high

     quality student work

    o Significant attention to equitable learning opportunities for students

    o Appropriate and highly respectful interactions between teacher and students and among students

    o Highly effective classroom routines and procedures resulting in effective use of instructional time

    o Clear standards of conduct and highly effective and preventive management of student behavior

    o Safe and skillful organization of physical space, to the extent it is under the control of the teacher, that provides accessibility to

     learning and to the use of resources, materials, and technology.

Sources of Evidence (Check all that apply and include dates, types/titles, and number)

     See Attachment 427 A See Attachment 427 A Classroom Observations Visual Technology

     See Attachment 427 A See Attachment 427 A Informal Observations/Visits Resources/Materials/Technology/Space

     See Attachment 427 A See Attachment 427 A Teacher Other

    Conferences/Interviews Assessment of Category II Factors (Discussion)

    Category III: Instructional Delivery --Teachers, through their knowledge of content and their skill in delivering instruction, engage students in learning by using a variety of instructional strategies. Category III reviews: Communications, Questioning and Discussion Techniques, Engaging Students in Learning, Providing Feedback, Demonstrating Flexibility and Responsiveness.

    Teacher’s performance demonstrates: o Clear and appropriate communication of procedures and high-quality explanations of the content

    o Highly effective use of different levels of questioning and discussion strategies that encourage most, if not all, students to participate o High-level engagement of students in learning and appropriate pacing of instruction

    o Equitable, accurate, and constructive feedback to students on their learning

    o Informed and appropriate use of formal and informal assessments to meet learning goals and to monitor student learning o High degree of flexibility and responsiveness in meeting the learning needs of students.

Sources of Evidence (Check all that apply and include dates, types/titles, or number)

     See Attachment 427 A See Attachment 427 A Classroom Observations Student Assignment Worksheets

     See Attachment 427 A See Attachment 427 A Informal Observations/Visits Student Work

     See Attachment 427 A See Attachment 427 A Assessment Materials Instructional

    Resources/Materials/Technology

     See Attachment 427 A See Attachment 427 A Teacher Conferences/Interviews Other Assessment of Category III Factors (Discussion)

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    PDE 427

    Commonwealth of Pennsylvania DEPARTMENT OF EDUCATION 333 Market St., Harrisburg, PA 17126-0333

Category IV: Professionalism--Professionalism is demonstrated through qualities that characterize a professional person in aspects

    occurring in and beyond the classroom/building. Category IV reviews: Maintaining Clear and Accurate Records, Communication with Families and Students, Contributing to School and District, Developing Professionalism.

    Teacher’s performance demonstrates: o Full adherence to school and district procedures and regulations related to attendance, punctuality, and the like.

    o Full knowledge of Professional Code of Conduct and full commitment to professional standards

    o Full and active compliance with school and district requirements for maintaining accurate and complete records and communicating with

     families regarding student needs/improvement

    o Frequent participation in school and district professional development events/opportunities, consistent application of new learning in the

     classroom and sharing of learning with colleagues

Sources of Evidence (Check all that apply and include dates, types/titles, and number)

     See Attachment 427 A See Attachment 427 A Teacher Conferences/Interviews Progress Reports/Report Cards

     See Attachment 427 A See Attachment 427 A Observations/Visual Parent/School/Community Feedback

    Technology

     See Attachment 427 A See Attachment 427 A Artifacts/Interaction with Artifacts: Professional

    Family Development/Act 48 Documentation

     See Attachment 427 A See Attachment 427 A Student Records/Grade Book Perceptive Use of

    Teaching/Learning Reflections

     See Attachment 427 A Other Assessment of Category IV Factors (Discussion)

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    PDE 427

    Commonwealth of Pennsylvania DEPARTMENT OF EDUCATION 333 Market St., Harrisburg, PA 17126-0333

Teacher’s Name Social Security Number

    I certify that the before named applicant for the period beginning and ending has received an overall assessment that is: (month/day/year) (month/day/year)

     SATISFACTORY UNSATISFACTORY

    Signature of Principal/Assistant Principal (Assessor) Date

    Signature of District Superintendent or Date

    I. U. Executive Director

Overall Justification for Assessment

Commendations (optional)

Name of Applicant Signature of Applicant Date

    NOTE: Only page 4 is returned to the Pa. Dept. of Education as a part of the application for a Level II certificate. PDE-427

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    PDE 427

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