OBSERVATION SERIES PLANNING FORM

TEACHER NAME:                                          SCHOOL:                                          TEACHING ASSIGNMENT:

DATE SUBMITTED:                                       SCHOOL YEAR:

Teaching and Learning Data (where appropriate):  In your review of student learning data associated with your teaching what did you find as strengths and on what might you wish to focus for improved learning? Be prepared to discuss this with your administrator in your planning conference.

Teacher Focus:  Which section(s) of the Professional Qualities and Responsibilities have you selected as your focus for this observation series?   Please provide a short narrative about why you have selected this section and what you hope to accomplish.  Please bring this completed narrative to your conference.

Administrator’s Focus:  Are there additional sections of the PQR on which the teacher should focus? If so list the PQR and provide a short narrative about why you have selected it and what you would like to see accomplished.

Date of Planning Conference:

Administrator Signature:

Teacher Signature: (Teacher signature indicates that the administrator’s expectations have been reviewed.