Pennsylvania Code › Title 22 - EDUCATION › Part I - State Board of Education › Subpart A - Miscellaneous Provisions › Chapter 19 - EDUCATOR EFFECTIVENESS RATING TOOL › Appendix A - Interim Rating Form

Current through Register Vol. 54, No. 28, July 13, 2024
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 than
Classroom
								  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.