Certificated Employee Observation/evaluation Report Form - Special Education Page 5

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8. Professional Responsibilities
Standard Met
Standard Not Met
Observed
Not Observed
8.1 Adhere to District, State and Federal guidelines
8.2 Staff Development
Comments (Including recommendations/commendations):
Post Conference 1 or 2
Date
After sharing the observation data, compare what happened with what was desired. Reflect on what helped and what
hindered and why.
Next Steps
Improvements/New Strategies
Administrator Comments:
Signature of Evaluator:___________________________________
Date:_________________
Signature of Teacher:______________________________________
Date:_________________
Students First: Every Day, Every School, Every Classroom
Adolfo Camarillo • Channel Islands • Frontier • Hueneme • Oxnard • Pacifica • Rio Mesa • Adult School

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