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Individual Development Plan Review Form by hrs10621

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Individual Development Plan Review Form                        Employee Name                                                           School


       This form must be completed for each goal on the Individual Development Plan and attached to any plan submitted to the district PDC.
                       Every category must be rated at “Satisfactory” or above for approval of the plan by the district PDC.


                All plans must include Name of employee; Signature of employee; Employee ID and SS number; Building name; Teaching assignment.

                                                     Unsatisfactory                                   Satisfactory                                       Exemplary
     Level 1 Goals                   District and Building goal is not checked.      District and Building goal is checked.            District and Building goal is checked.
       (required)                    Individual goal is:                            Goal is:                                           Goal is:
                                  -vague;                                         -generic and broad;                               -specific to teaching assignment;
                                  -not clearly linked to teaching assignment;                                                       -measurable; and
                                                                                                                                    -achievable.
     Level 1 Activities:            No activities are checked or specified.          Knowledge level activities:                       Knowledge level activities:
     Knowledge                                                                    -are checked or specified;                        -are checked and identified;
       (required)                                                                 -are consistent with goal; and                    -are specific to goal;
                                                                                  -include graduate credit if needed for renewal.   -include more than one type of activity; and
                                                                                                                                    -include graduate credit if needed for renewal.

                                                     Level Two (Application) and Three (Impact) Activities are OPTIONAL

                                                    Unsatisfactory                                    Satisfactory                                        Exemplary
                  Level 2            Application level activities are:               Application level activities:                     Application level activities:
                  Activities:     -not linked to goal;                            -are consistent with goal;                        -are specific to goal;
                  Application     -not linked to knowledge level activities;      -are generally appropriate to achieve goal;       -are highly likely to lead to achievement of goal;
                                  -do not require classroom application;          -are linked to knowledge level activities;        -are linked to knowledge level activities;
                                  -C or PE is not identified or not accurate.     -include one type of activity;                    -include more than one type of activity;
     Optional




                                                                                  -are conducted regularly and include tentative    -are conducted regularly and include specific
                                                                                  dates;                                            dates;
                                                                                  -C or PE is identified and accurate.              -C or PE is identified and accurate.
                  Level 2           No verification is identified.                   Planned verification completed by individual      Planned verification completed by observations
                  Verification:                                                   documenting dates and times of application.       conducted and documented by principal, SIF, or
                  Application                                                                                                       peer.

                                                    Unsatisfactory                                    Satisfactory                                       Exemplary
                  Level 3            Areas of impact identified:                     Areas of impact identified:                       Areas of impact:
                  Activities:     -do not link to goal;                           -are consistent with goal;                        -are specific to goal;
                  Impact          -are not linked to student achievement;         -are broadly related to the knowledge level       -are directly and clearly related to the knowledge
                                  -impact is not measured or measured             activities;                                       and application level activities;
                                  inappropriately;                                -are measured appropriately;                      -are measured appropriately;
     Optional




                                  -C or PE is not identified or not accurate.     -C or PE is identified and accurate.              -set a specific level of student achievement;
                                                                                                                                    -C or PE is identified and accurate.
                  Level 3           No verification is identified.                  Planned verification documents change in area     Planned verification documents change in area
                  Verification:                                                   of impact through:                                of impact through:
                  Impact                                                          -changes in student behavior; or                  -changes in student achievement; or
                                                                                  -organizational behaviors.                        -organizational policies/curriculum.

 Signature of Principal

								
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