Department Of Education Performance Improvement Plan
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1State of Rhode Island and Providence Plantations
DEPARTMENT OF EDUCATION
Shepard Building
255 Westminster Street
Providence, Rhode Island 02903-3400
Deborah A. Gist
Commissioner
Verification of Performance Improvement Plan:
This document should be completed and submitted by the educator as part of his/her Certification Renewal
Application. A separate form must be completed for each rating of Ineffective and /or Developing that the
educator received during his/her renewal cycle.
Educator Name
Title/position
School Name
District
School Year
Rating
To be verified and signed by the Superintendent or designee
I certify by my signature that:
A Performance Improvement Plan was developed and satisfactorily completed by this
educator during the school year ________________________
______________________________________________________
______________
Signature of Superintendent or Designee
Date
________________________________
______________________________
School District
Name Superintendent or Designee
This document may be photocopied as needed
Telephone (401)222-4600
Fax (401)222-6178
TTY (800)745-5555
Voice (800)745-6575
Website:
The Board of Education does not discriminate on the basis of age, sex, sexual orientation, gender identity/expression, race, color, religion, national origin,
or disability.
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