IS-8

REVISED
2011-2012

ST. CHARLES PARISH PUBLIC SCHOOLS

TEACHER EVALUATION FORM

PERFORMANCE INDICATORS
KEY:

S = Satisfactory

M = Marginal

U = Unsatisfactory

PERFORMANCE RESPONSIBILITIES

1.0

DOMAIN I. PLANNING
1.1
Utilizes the districts standards, benchmarks and grade level and course requirements in planning for instruction.
1.2
Specifies learner outcomes in clear, concise objectives.
1.3
Includes activity/activities that develop objectives.
1.4
Identifies and plans for individual differences.
1.5
Written lesson plans reflect observed classroom instructions.
1.6
Identifies and makes arrangements for materials, other than standard classroom materials, as needed for the lesson.
1.7
States method(s) of evaluation to measure learner outcomes.
1.8
Develops an Individual Education Plan (IEP), ITP, and/or IFSP (for Special Education teachers only.)
*1.9
Develops and maintains a safe and orderly environment supportive of learning.
*1.10
Classroom procedures and rules are posted.
*1.11
Submits written lesson plans on time according to district guidelines.
*1.12
Maintains classroom copy of daily lesson plans to reflect instructional changes.
*1.13
Develops routine activities for students who complete work in advance.
*1.14
Plans and provides appropriate homework assignments.
*1.15
Makes alternate lesson plans for effective instruction by substitute.
*1.16
Adheres to district guidelines for pacing of subject matter.
*1.17
Prepares and submits accurate reports on time.
*1.18
Utilizes technology for information management.
*1.19
Plans and prepares assignments for paraprofessionals, volunteers, and/or student teachers, if applicable.

2.0

DOMAIN II. MANAGEMENT

2.1
Organizes and uses space, materials, and/or equipment appropriately to facilitate learning.
2.2
Promotes a positive learning climate.
2.3
Manages routines and transitions in a timely manner.
2.4
Manages and/or adjusts allotted time for activities planned.
2.5
Establishes expectations for learner behavior.
2.6
Uses monitoring techniques to facilitate learning.
2.7
Consistently enforces school and classroom rules and procedures.
2.8
Listens, observes, and questions students to determine if they are on task.
2.9
Dismisses students in a systematic and orderly fashion.
2.10
Implements and maintains a psychologically safe environment supportive of learning.
2.11
Provides opportunities for students to demonstrate leadership and responsibility
2.12
Reports to all duty stations on time (e.g., classroom, halls, yard, grounds, gym, field experiences) and properly supervises
students.

3.0

DOMAIN III. INSTRUCTION

3.1
Plans and uses adequate and appropriate instructional methods, including effective lesson design, i.e. anticipatory set,
objective and its purpose, input, modeling, checking for understanding, monitoring, adjusting, guided practice, independent
practice, and lesson closure.
3.2
Uses technique(s) which develop(s) lesson objective(s).
3.3
Sequences lesson to promote learning.
3.4
Uses appropriate teaching material(s) to achieve lesson objectives.
3.5
Uses research based practices effectively:
3.6
Presents content at a developmentally appropriate level.
3.7
Presents accurate subject matter.
3.8
Relates relevant examples, unexpected situations, or current events to the content.
3.9
Answers questions correctly and/or directs students to additional sources (i.e., references, labs, learning centers, etc.)
3.10
Accommodates individual differences.
3.11
Demonstrates ability to communicate effectively with students.
3.12
Stimulates and encourages higher order thinking at the appropriate developmental levels.
3.13
Encourages student participation.
3.14
Uses a balanced assessment program including locally-developed assessments.
3.15
Produces evidence of student academic growth under his/her instruction.
3.16
Monitors ongoing performance of students.
3.17
Provides timely and specific feedback to students regarding their progress.
3.18
Integrates technology into instruction.
3.19
Uses effective and appropriate questioning techniques to achieve lesson objectives.
3.20
Uses grammatically correct language and models legible handwriting.
3.21
Incorporates motivational strategies into classroom activities.
3.22
Teaches oral and written communication skills.
3.23
Exhibits enthusiasm for subject taught.
3.24
Displays good models of current student work.
3.25
Integrates concepts from other disciplines.
3.26
Posts daily assignments and, when appropriate, timelines for long range projects.
3.27
Holds students accountable for acceptable completion and self-appraisal of assigned work.
3.28
Instructs students in safety procedures included in the districts Crisis Management and Emergency Response Plan.

4.0

DOMAIN IV. PROFESSIONAL DEVELOPMENT

4.1
Develops professional growth plan related to job responsibilities and school priorities.
4.2
Implements growth plan and job related responsibilities.

5.0

DOMAIN V. SCHOOL IMPROVEMENT

*5.1
Attends, constructively participates in, and follows up on district approved staff development activities.
*5.2
Attends and constructively participates in faculty, team, grade-level and/or departmental meetings.
*5.3
Cooperates with building and district staff in planning, implementing and evaluating curriculum.
*5.4
Demonstrates positive support of school, community, and administrative expectations, including school improvement plan.
*5.5
Provides clear and timely information to parents/caregivers and colleagues regarding classroom expectations, student
progress, and ways they can assist learning.

*5.6
*5.7

IS-8
REVISED
2011-2012
Encourages parents/caregivers to become active partners in their childrens education and to become involved in school and
classroom.
Seeks community involvement in instructional program.

6.0

EVALUATION
*6.1
Develops, uses, and correctly interprets evaluation instruments and procedures appropriate to the lesson objectives.
*6.2
Prepares and maintains necessary and required records to document student progress.
*6.3
Communicates evaluation procedures to administration, students and parents.
*6.4
Uses sound assessment development strategies.

7.0

PROFESSIONAL ATTITUDE AND CONDUCT

*7.1
*7.2
*7.3
*7.4
*7.5
*7.6
*7.7
*7.8
*7.9
*7.10
*7.11
*7.12
*7.13
*7.14
*7.15
*7.16
*7.17
*7.18
*7.19
*7.20
*7.21
*7.22
*7.23
*7.24
*7.25
*7.26
*7.27
*7.28

Accepts and recognizes the value of the contribution of others.

Develops leadership and responsibility in colleagues.
Accepts and uses constructive feedback.
Attends and constructively participates in meetings and professional development activities.
Demonstrates skill in giving and receiving feedback.
Identifies problems and issues and works collaboratively to contribute ideas and find solutions.
Maintains communication with immediate supervisor, keeping him/her informed of problems, concerns, and significant
developments.
Uses verbal and non-verbal communication in a manner respectful of others.
Writes and speaks clearly and concisely so that the message is understood.
Uses active listening skills.
Consistently demonstrates customer excellence standards.
Develops and maintains a safe and caring environment for all of our customers.
Demonstrates positive support through actions and words as ambassadors of the schools and districts.
Dresses for success according to job responsibilities.
Treats all stakeholders in a respectful and helpful manner.
Cooperates with administration in the performance of additional duties.
Cooperates with building and district staff in planning and evaluation.
Demonstrates successful completion of tasks according to specified timelines.
Displays confident posture and maintains self-control.
Makes wise and appropriate decisions after identifying and analyzing relevant information.
Minimizes bias in self and others and accepts responsibility for his/her own actions.
Adheres to Board policies and procedures and administrative rules, guidelines, and regulations.
Adheres to district guidelines relative to attendance. Regularly reports to work on time and works additional hours when
deemed necessary.
Adheres to ethical, legal and professional standards.
Applies laws, policies, regulations, and procedures fairly, consistently, wisely, and compassionately.
Follows directives as assigned by supervisor.
Refrains from revealing confidential information.
Uses proper administrative procedures for making requests and resolving conflicts.

SIGNATURES:

Evaluator's Signature

Evaluatee's Signature

Date

Date

TO THE TEACHER: Your signature means that you have received a copy of the form and that you were afforded the opportunity to discuss the
evaluation with the evaluator and to provide a written reaction to the evaluation. It does not necessarily mean that you agree with the evaluation.
You must, however, sign the evaluation if the above mentioned conditions are met.
TO THE EVALUATOR: Your signature means that you have provided a copy of the form to the teacher and that you afforded him/her the
opportunity to discuss the evaluation and to provide a written reaction to the evaluation. It also means that you made specific recommendations
where needed and that sufficient observations were made by you or your designee for the purpose of reaching the conclusions made on this
evaluation.

IS-8
REVISED
2011-2012
CRITERIA SUMMARY
1.0

2.0

3.0

DOMAIN I. PLANNING:
SATISFACTORY
MARGINAL
UNSATISFACTORY

Satisfactory on 16 indicators
Satisfactory on 15 indicators
Less than Marginal above

DOMAIN II. MANAGEMENT:

SATISFACTORY
MARGINAL
UNSATISFACTORY

Satisfactory on 8 indicators
Satisfactory on 7 indicators
Less than Marginal above

DOMAIN III. INSTRUCTION:

SATISFACTORY
MARGINAL
UNSATISFACTORY

Satisfactory on 24 indicators
Satisfactory on 23 indicators
Less than Marginal above

4.0

DOMAIN IV. PROFESSIONAL DEVELOPMENT:

SATISFACTORY
Satisfactory on all indicators
UNSATISFACTORY
Less than Satisfactory above

5.0

DOMAIN V. SCHOOL IMPROVEMENT:

SATISFACTORY
Satisfactory on 5 indicators
MARGINAL
Satisfactory on 4 indicators
UNSATISFACTORY
Less than Marginal above

6.0

EVALUATION:
SATISFACTORY
MARGINAL
UNSATISFACTORY

7.0

Satisfactory on all indicators

Satisfactory on 2 indicators
Less than Marginal above

PROFESSIONAL ATTITUDE AND CONDUCT

SATISFACTORY
Satisfactory on all indicators
MARGINAL
Satisfactory on 4 indicators
UNSATISFACTORY
Less than Marginal above

OVERALL SUMMARY:
SATISFACTORY
MARGINAL
UNSATISFACTORY

Satisfactory on Sections 1.0, 2.0, 3.0 and 4 Satisfactory in other sections with no section rated
less than Marginal
Satisfactory on Sections 1.0, 2.0, 3.0 and 2 Satisfactory in other sections.
Less than Marginal above

IS-8
REVISED
2011-2012

ST. CHARLES PARISH PUBLIC SCHOOLS

TEACHER EVALUATION FORM

Teacher: Shannon Niceley

4+ Years:

Grade and/or Discipline: Biology

Date: 5-3-12

School: Hahnville High School

Sick/Emergency Absences: 7.8 days

Recommended for Re-employment: Yes

KEY:

No

0-3 Years:

Evaluator: Oertling

S = Satisfactory
M = Marginal
U = Unsatisfactory

Directions to the Observer:

Check the most appropriate rating
Overall Summary:

1.0

2.0

3.0

DOMAIN I. PLANNING
1.1
S
1.2
S
1.3
S
1.4
S
1.5
S
1.6
S
1.7
S
1.8
S
*1.9
S
*1.10
S
*1.11
S
*1.12
S
*1.13
S
*1.14
S
*1.15
S
*1.16
S
*1.17
S
*1.18
S
*1.19
S
SUMMARY S

U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
U
M

DOMAIN II. MANAGEMENT

2.1
S
U
2.2
S
U
2.3
S
U
2.4
S
U
2.5
S
U
2.6
S
U
2.7
S
U
2.8
S
U
2.9
S
U
2.10
S
U
2.11
S
U
2.12
S
U
SUMMARY S
M
DOMAIN III.
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
3.10
3.11
3.12
3.13
3.14
3.15
3.16
3.17
3.18
3.19
3.20
3.21
3.22
3.23

Satisfactory

3.24
3.25
3.26
3.27
3.28
SUMMARY

S
S
S
S
S
S

4.0

DOMAIN IV.
4.1
4.2
SUMMARY

PROFESSIONAL DEVELOPMENT
S
U
S
U
S
M
U

5.0

DOMAIN V. SCHOOL IMPROVEMENT

*5.1
S
U
*5.2
S
U
*5.3
S
U
*5.4
S
U
*5.5
S
U
*5.6
S
U
*5.7
S
U
SUMMARY S
M
U

6.0

EVALUATION
*6.1
S
*6.2
S
*6.3
S
*6.4
S
SUMMARY S

7.0

INSTRUCTION
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U
S
U

U
U
U
U
U
M

U
U
U
U
M

PROFESSIONAL ATTITUDE AND CONDUCT

*7.1
S
U
*7.2
S
U
*7.3
S
U
*7.4
S
U
*7.5
S
U
*7.6
S
U
*7.7
S
U
*7.8
S
U
*7.9
S
U
*7.10
S
U
*7.11
S
U
*7.12
S
U
*7.13
S
U
*7.14
S
U
*7.15
S
U
*7.16
S
U
*7.17
S
U
*7.18
S
U
*7.19
S
U
*7.20
S
U
*7.21
S
U
*7.22
S
U
*7.23
S
U
*7.24
S
U
*7.25
S
U
*7.26
S
U
*7.27
S
U
*7.28
S
U
SUMMARY S
M
U

COMMENTS: Mr. Niceley holds students to a high standard of learning while teaching them to master essential concepts through a

variety of effective teaching methods. His classes are engaging and rigorous. He incorporates technology in a variety of ways to
stimulate learning and assess students knowledge.
Asterisk (*) denotes non-instructional indicators. Deficiencies in these areas shall not be subject to a plan of intensive assistance.
Evaluators
Signature

Teachers
Signature

Date

Date

(Note: There is a statutory requirement that both parties sign the evaluation form.)Signed comments are attached by the Evaluator and/or
Teacher. My signature does not imply that I agree or disagree with this evaluation, but only that I have received a copy of it.