Assignment______ / Start Date ______ / End Date ______
Remediation Plan
Remediation Plan – First Performance Standard, Criterion
(see also Remediation Description, Flow Chart, and Definition in the Professional Evaluation Handbook)
Principal and/or Manager: Identify first criterion; if a second or third criterion is needed, please use the following pages. The plan may have one, two, or a maximum of three (3) criteria.
First Performance Standard # ___, Criterion ____ / Measurable Objective-Based Indicator(s)
Strategies, Resources, and Timeline; Principal and/or Manager draft a plan, consult with the educator, and finalize plan.
Signature acknowledges receipt of plan for the standard/criterion, above.
Teacher or Student Services Professional Signature: / Date:
Principal or Manager Signature: / Date:
Remediation Plan – Second Performance Standard, Criterion
Principal and/or Manager: Identify second criterion, if needed.
Second Performance Standard # ___, Criterion ____ / Measurable Objective-Based Indicator(s)
Strategies, Resources, and Timeline; Principal and/or manager drafts a plan, consults with the educator, and finalize plan.
Signature acknowledges receipt of plan for the second standard/criterion, above.
Teacher or Student Services Professional Signature: / Date:
Principal or Manager Signature: / Date:
Remediation Plan – Third Performance Standard, Criterion
Principal and/or Manager: Identify third criterion, if needed.
Third Performance Standard # ___, Criterion ____ / Measurable Objective-Based Indicator(s)
Strategies, Resources, and Timeline; Principal and/or Manager draft a plan, consult with the educator, and finalize plan.
Signature acknowledges receipt of plan for the third standard/criterion, above.
Teacher or Student Services Professional Signature: / Date:
Principal or Manager Signature: / Date:
Data Sources used to evaluate and determine the outcome of the teacher’s remediation plan must be documented on the Summary of Evidence Journal.
Principal/Manager: Document data sources (including: dates, times, standards being addressed, subject and or activity) of the educator’s performance where each standard is referenced by a minimum of two different data sources:1) records of teaching/service provided by the teacher or Student Services Professional (SSP) and 2) another type of data provided by you. It is important to understand that a single record of teaching or data source (e.g., classroom observation) may be used to reference multiple standards. Attach additional pages, if needed.
Types of Data: I=Interview or conference R=Records of teaching or service O=Observation W=Written Communication
Note: A single data source or a record of teaching may be used to document multiple standards.
Date / Time; Place; Subject and/or Activity / Type(s) of Data / Standard(s) Referenced, Data Description, Comments
o Data Sources COMPLETE / Educator Initials (indicating review of this journal)
Remediation Plan – Outcome and Signatures
Extension
q Yes Adjusted End Date:
q No
q Improvement has been achieved, to be placed on a Professional Development Plan
q Improvement has not been achieved.
Teacher or Student Services Professional Signature (signature represents receipt of this document; not necessarily agreement) / Date
Principal or Manager Signature / Date
Evaluator Signature / Date
Other Person Involved in Evaluation Signature (not a member of the Peer Assistance Team) / Date
Principal’s or Manager’s Supervisor Signature / Date
Routing: o Instructional Superintendent (Required) o Human Resources (Original - Required) o DCTA (UniServ) Rep (Teacher may provide)
© Denver Public Schools 2008
Page 1 of 5