Board Report November 2025

Summative Rating Form

Name of Teacher:

Name of Evaluator: Eric Bohm

Date of Observation:

Unsatisfactory

Needs Improvement Proficient

Excellent

DOMAIN 1: Planning and Preparation 1a: Demonstrating Knowledge of Content and Pedagogy

X X X X X X

1b: Demonstrating Knowledge of Students

1c: Setting Instructional Outcomes

1d: Demonstrating Knowledge of Resources

1e: Designing Coherent Instruction 1f: Designing Student Assessments

Overall rating for DOMAIN 1

X (3)

DOMAIN 2: Classroom Environment 2a: Creating an Environment of Respect and Rapport

X

2b: Establishing a Culture for Learning 2c: Managing Classroom Procedures 2d: Managing Student Behavior

X X X

2e: Organizing Physical Space

X

Overall rating for DOMAIN 2

X (3)

DOMAIN 3: Instruction 3a: Communicating with Students

X X X X X

3b: Using Questioning and Discussion Techniques

3c: Engaging Students in Learning 3d: Using Assessment in Instruction

3e: Demonstrating Flexibility and Responsiveness

Overall rating for DOMAIN 3

X (3)

DOMAIN 4: Professional Responsibilities 4a: Reflecting on Teaching

X

4b: Maintaining Accurate Records 4c: Communicating with Families

X X X

4d: Participating in a Professional Community 4e: Growing and Developing Professionally

X X

4f: Showing Professionalism

Overall rating for DOMAIN 4

X (3)

SUMMATIVE EVALUATION RATING: _Proficient __ Note : The signature of the evaluator and teacher verifies that the report has been reviewed with the teacher and that the proper process has been followed. Teacher Signature: _____________________________ Evaluator Signature: ______________________________ Date: _________