Mini Observation Feedback Form - Summer 2019

• Conducted on

  Date

• Prepared by

• Teacher Name

  Select Claire Juan Hannah Jalysa Hannah Issac Jacob Kelly

  • Claire
  • Juan
  • Hannah
  • Jalysa
  • Hannah
  • Issac
  • Jacob
  • Kelly
• Location
  Address

Instructions: Enter teacher/class info below. Then mark YES, NO or N/A next to the section you assessed.

Teacher Info

• Teacher Name

  Select Claire Juan Hannah Jalysa Hannah Issac Jacob Kelly

  • Claire
  • Juan
  • Hannah
  • Jalysa
  • Hannah
  • Issac
  • Jacob
  • Kelly

• Subject

  ELA

  Math

  Science

  Social Studies

  Other

• Grade Level

  6

  7

  8

  9

  Other

• Highest Level of Rigor Observed

  Select Remember (Choose, Define, Label, Locate, Memorize, Recite, Select, Write, Describe, Identify, List, Name, Recognize) Understand (Classify, Demonstration, Explain, Match, Paraphrase, Restate, Select, Interpret, Describe, Discuss) Apply (Apply, Choose, Dramatize, Organize, Prepare, Produce, Select, Use, Illustrate, Explain, Construct, Interpret, Solve, Show) Analyze (Observed, Analyze, Categorize, Classify, Compare, Sequence, Experiment, Separate, Differentiate, Infer, Contrast) Evaluate (Appraise, Define, Dispute, Editorialize, Judge, Prioritize, Rate, Select, Argue, Critique, Justify, Debate, Recommend) Create (Change, Combine, Compose, Create, Design, Formulate, Hypothesize, Construct, Develop, Invent, Make up, Improve)

  • Remember (Choose, Define, Label, Locate, Memorize, Recite, Select, Write, Describe, Identify, List, Name, Recognize)
  • Understand (Classify, Demonstration, Explain, Match, Paraphrase, Restate, Select, Interpret, Describe, Discuss)
  • Apply (Apply, Choose, Dramatize, Organize, Prepare, Produce, Select, Use, Illustrate, Explain, Construct, Interpret, Solve, Show)
  • Analyze (Observed, Analyze, Categorize, Classify, Compare, Sequence, Experiment, Separate, Differentiate, Infer, Contrast)
  • Evaluate (Appraise, Define, Dispute, Editorialize, Judge, Prioritize, Rate, Select, Argue, Critique, Justify, Debate, Recommend)
  • Create (Change, Combine, Compose, Create, Design, Formulate, Hypothesize, Construct, Develop, Invent, Make up, Improve)

• Number of students in class

• Number of students off task

• Beginning of Lesson (Do Now, Warm Up, etc.)

  Yes

  No

  N/A

• Direct Teach or Structured Practice

  Yes

  No

  N/A

• Group Activity or Guided Practice

  Yes

  No

  N/A

• Closure

  Yes

  No

  N/A

• Other (Explain in notes below)

  Yes

  No

  N/A

During TF observation, the TF:

• Was prepared for the lesson

  Yes

  No

  N/A

• Engaged the students (energetic, motivating, etc.)

  Yes

  No

  N/A

• Was knowledgeable about the content taught

  Yes

  No

  N/A

• Used VIPs or other support tools to guide and differentiate instruction for all learners

  Yes

  No

  N/A

• Formative assessment evident throughout the lesson

  Yes

  No

  N/A

• Challenged the students/asked Higher Order Thinking (HOT) questions during the lesson

  Yes

  No

  N/A

• Moved about the room with purpose

  Yes

  No

  N/A

• Strategically used positive feedback to control or maintain classroom management procedures

  Yes

  No

  N/A

• Enforced and referred to classroom expectations/norms during the lesson to control or maintain classroom management procedures

  Yes

  No

  N/A

• Encouraged a sense of culture and upbeat climate during the lesson

  Yes

  No

  N/A

• Successfully adjusted to student learning/behavior when needed during the lesson

  Yes

  No

  N/A

• Strategically and successfully managed time during the lesson

  Yes

  No

  N/A

• Effectively closed the lesson (exit slip, skill review, etc.)

  Yes

  No

  N/A

• Incorporated technology to enhance lesson

  Yes

  No

  N/A

• Other: Explain below in the notes section

  Yes

  No

  N/A

• Type Comments or Action Items with Dates Here