Pa. Code tit. 22, pt. I, subpt. A, ch. 19, app A
To be utilized for any interim evaluation of a professional employee serving as a classroom teacher, principal, or nonteaching professional in accordance with section 1138.9(2).
Table 19.4a-5: PDE 13-4 Rating Form
PDE 13-4 | Department of Education Commonwealth of Pennsylvania | |
LEA: | School: | |
Employee Name (Last, First, Middle): | ||
Rating Period (M/D/Y - M/D/Y): | [] Professional Employee (for Temporary Professional Employee, use PDE 13-1, 13-2, or 13-3 as appropriate) | |
Date Completed: | [] Interim Evaluation | |
INTERIM RATING FORM | ||||
(A) CLASSROOM TEACHER: OBSERVATION & PRACTICE | ||||
Domain | Rating* (a) | Factor (b) | Adjusted Rating (a x b) | |
I. Planning & Preparation | [0-3] | 20% | [0-0.60] | |
II. Classroom Environment | [0-3] | 30% | [0-0.90] | |
III. Instruction | [0-3] | 30% | [0-0.90] | |
IV. Professional Responsibilities | [0-3] | 20% | [0-0.60] | |
(A) Observation & Practice Rating | [0-3] | |||
(A) PRINCIPAL: OBSERVATION & PRACTICE | ||||
Domain | Rating (a) | Factor* (b) | Adjusted Rating (a x b) | |
I. Strategic/Cultural Leadership | [0-3] | 10%-30% | [0-0.90] | |
II. Systems Leadership | [0-3] | 10%-30% | [0-0.90] | |
III. Leadership for Learning | [0-3] | 10%-30% | [0-0.90] | |
IV. Professional & Community Leadership | [0-3] | 10%-30% | [0-0.90] | |
(A) Observation & Practice Rating | [0-3] | |||
*The four assigned factors must total 100%. | ||||
(A) NONTEACHING PROFESSIONAL (Educational Specialist, Instructional Professional other thanClassroom Teacher): OBSERVATION & PRACTICE | ||||
Domain | Rating (a) | Factor (b) | Adjusted Rating (a x b) | |
I. Planning & Preparation | [0-3] | 25% | [0-0.75] | |
II. Educational Environment | [0-3] | 25% | [0-0.75] | |
III. Delivery of Service | [0-3] | 25% | [0-0.75] | |
IV. Professional Development | [0-3] | 25% | [0-0.75] | |
(A) Observation & Practice Rating | [0-3] | |||
(A) NONTEACHING PROFESSIONAL (Supervisor): OBSERVATION & PRACTICE | ||||
Domain | Rating (a) | Factor (b) | Adjusted Rating (a x b) | |
I. Strategic/Cultural Leadership | [0-3] | 25% | [0-0.75] | |
II. Systems Leadership | [0-3] | 25% | [0-0.75] | |
III. Leadership for Learning | [0-3] | 25% | [0-0.75] | |
IV. Professional & Community Leadership | [0-3 | 25% | [0-0.75] | |
(A) Observation & Practice Rating | [0-3] | |||
(B) ALL PROFESSIONAL EMPLOYEES: LEA SELECTED MEASURES | ||||
(B) LEA Selected Measures Rating** | [0-3] | |||
**Ratings for employees evaluated using multiple measures shall be caculated pro rata. | ||||
(C) SUMMATIVE RATING () | ||||
Professional Employee Category | Measure | Rating (f) | Factor (g) | Adjusted Rating (f x g) |
Classroom Teacher | (A) Observation & Practice | [0-3 | 70% | [0-2.10] |
(B) LEA Selected Measures | [0-3] | 30% | [0-0.90] | |
CLASSROOM TEACHER RATING | [0-3]*** | |||
Principal | (A) Observation & Practice | [0-3] | 70% | [0-2.10] |
(B) LEA Selected Measures | [0-3] | 30% | [0-0.90] | |
PRINCIPAL RATING | [0-3]*** | |||
Nonteaching Professional | (A) Observation & Practice | [0-3] | 70% | [0-2.10] |
(B) LEA Selected Measures | [0-3] | 30% | [0-0.90] | |
NONTEACHING PROFESSIONAL RATING | [0-3]*** | |||
***Final Rating Values 0 Failing 1 Needs Improvement 2 Proficient 3 Distinguished | ||||
I certify the afore-named employee has received a performance rating of: [] DISTINGUISHED [] PROFICIENT [] NEEDS [] FAILING IMPROVEMENT | |
Distinguished, Proficient, or Needs Improvement* shall be considered Satisfactory. Failing shall be considered Unsatisfactory. *A second Needs Improvement rating issued by the same employer within 4 years of the first where the employee is in the same certification shall be considered Unsatisfactory. | |
The performance rating shall be deemed: [] SATISFACTORY [] UNSATISFACTORY | |
Date: | Rater Name/Position: |
Date: | Chief School Administrator Signature: |
(a) When evaluating a professional employee serving as a principal, the LEA may use Performance Goals as a locally developed rubric under LEA Selected Measures.
(b) When evaluating a professional employee serving as a nonteaching professional, the LEA may use a locally developed rubric appropriate to the role and responsibilities of the nonteaching professional.
Pa. Code tit. 22, pt. I, subpt. A, ch. 19, app A