Appendice: Sample Evaluation Forms

The forms gathered on this page illustrate a handful of formats used for teacher evaluation. If your district plans to revise its evaluation forms, these samples might serve as a reference collection. The forms were gathered from hundreds we found on school district Web sites and in other sources.

General Education Evaluation Domains and Indicators (archived copy)
General Education Performance Standards: Domains And Indicators With Measurement Statements (archived copy)
Many districts/states build their teacher evaluation forms based on documents that establish their detailed missions or their documented "domains of teaching." Such is the case with the two forms above from the Tennessee Department of Education. The General Domains document lists six domains (Planning, Teaching Strategies, Assessment and Evaluation, Learning Environment, Professional Growth, and Communication) and two or three indicators for each. The second form presents something of a checklist that spells out specific indicators of a teacher's success in each domain.

Oxnard School District Evaluation Rubrics for Permanent Teachers
Rubrics are popular with teachers for evaluating student performance on projects, so why not adapt the format to the evaluation of teachers? This form rates teachers at four levels (Inconsistent Practice, Developing Practice, Maturing Practice, and Exemplary Practice) on a wide variety of elements under five performance standards: Engaging and Supporting All Students in Learning (click EVALRUBRICSTD1a.pdf), Creating and Maintaining Effective Environments for Student Learning (click EVALRUBRICSTD2a.pdf), Understanding and Organizing Subject Matter for Student Learning, Planning Instruction and Designing Learning Experiences for All Students, and Assessing Student Learning. This rubric is based on Oxnard's Performance Responsibilities for Classroom Teachers as Prescribed by Board Policy.

Instructional I to Instructional II Assessment Form
This form from Pennsylvania's Department of Education is used for evaluating experienced teachers. It presents four categories of achievement (Planning/Preparation, Classroom Environment, Instructional Delivery, and Professionalism).

Self-Assessment Checklist
This resource from Scholastic is intended to be a self-assessment checklist, but it could easily serve as the basis for a teacher evaluation form. It presents measurable target behaviors in the areas of Classroom Environment, Routines and Procedures, Parent-Teacher Relationship, Planning for a Substitute Teacher, Reaching All Students, Assessment, Teaching Kids to Care, Teacher Collaboration, and Professional Development.

Article by Gary Hopkins
Education World® Editor-in-Chief
Copyright © 2009 Education World