Field Observation Assessment Report

NJ-L2LSUMMATIVEASSESSMENT REPORT

INSTRUCTIONS

In accordance with State requirements, each Resident will be formally assessed five (5) times during the two-year Residency period by his/her Mentor.Three (3) formative assessments will be completed during the Year 1 Residency (at the end of 4, 8 and 12 months), and one(1) additional formative assessment will be completed during the Year 2 Residency (at the end of 16months). Mentors will complete thisSummative Assessment Reportat the end of 19 months, which will include the Mentor’s recommendation to the NJ Department of Education for the Resident to receive Standard Principal Certification.Mentors are required to use the State-approved “Resident Assessment Rubric” and “Resident Assessment Criteria Chart” in the document entitled “Mentor Recommendation for Standard Principal Certification” (see attached) as a basis for their Summative Assessment Report and recommendation for Standard Principal Certification.

TheNJ-L2L Summative Assessment Report is based onthe Mentor’songoing observations, interactions and formal conferences with the Resident during the two-year Residency, and the Mentor’s review of evidence related to theResident’s: (1) completionof eight (8) Explorations into School Leadership Practice during the Year 1 Residency;(2) satisfactory completion of a job-embedded Action Research Project that addresses one or more of the barriers to effective teaching and learning identified by the Resident during his/her Year 1 Explorations; (3) satisfactory completion of the Action Research Presentation;(4) professional growth during Year 1 and Year 2 in the leadership knowledge, skills and personal dispositions indicated by the New Jersey Professional Standards for School Leaders; and (5) identification of 2-3 professional growth targets for development of the State-required Professional Growth plan (PGP) in year 3 of employment.

The Mentor will hold a conference with the Residentto review the draft of the Summative Assessment Report, the completed Resident Assessment Criteria Chart andrecommendation for Standard Principal Certification,and to provide feedback for continuing professional growth. Following this conference,the draft of the Summative Assessment Report will be shared electronically with the Residentfor his/her review and comments. The Resident will return the Summative Assessment Report electronically to the Mentorwho may modify the draft as he/she deems appropriate. A copy of the final Summative Assessment Reportwill beprovided to the Resident for inclusion in his/her Leadership Portfolio.

NOTE:

The signed original of the finalSummativeAssessment Reportwill be submitted by the Mentorto the NJ-L2L Program Coordinatorwithin two (2) weeks of the required Mentor/Resident Conference.
The following documents MUST be attached to the final Summative Assessment Report: (1) Resident Assessment Criteria Chart; (2) Action Research Project Assessment Report; and (3) Action Research Project Presentation Assessment Report.
NJ-L2L will transmit the Summative Assessment Report to the NJ Department of Education.

All information and discussions related to formative and summative assessments of the Resident are CONFIDENTIAL. A copy of all Formative and Summative Assessment Reports will be retained by NJ-L2L in the Resident’s file.Formative and Summative Assessment Reports will not be provided to the Resident’s school district or any agency or individual without the written request and consent of the Resident.

File: NJ-L2L Summative Assessment Report

NJ-L2 SUMMATIVE ASSESSMENT REPORT

RESIDENT: ______START DATE: ______

COMPLETION OFYEAR 1 RESIDENCY REQUIREMENTS

(Brief summary of the Resident’s completion of Year 1 Explorations and other requirements,and comments based on review of evidence of the impact of actions taken, and observations and interactions with the Resident)

[ ] The Resident has provided evidence ofcompletion of all Year 1 Residency requirements.

Comments:

COMPLETION OF YEAR 2 RESIDENCY REQUIREMENTS

(Brief summary of the Resident’s completion of Year 2 requirementsand comments based on review of evidence and observations and interactions with the Resident)

[ ] The Resident has provided evidence of completion of all Year 2 Residency requirements.

A.Year 2 Residency Plan[ ] Plan Developed and Successfully Implemented

Comments:

Year 2 Action Research Project[ ] Project Completed

Action Research Project Rating:______

(1 = Little/No Proficiency; 2 = Limited Proficiency;3 = Proficient; 4 = Proficient With Commendation)

Comments:

Year 2 Action Research Project Presentation[ ] Presentaiton Completed

Action Research Presentation Rating:______

(1 = Little/No Proficiency; 2 = Limited Proficiency; 3 = Proficient; 4 = Proficient With Commendation)

Comments:

III. VERIFICATION OF MENTOR-RESIDENT CONTACT HOURS (Year 1 and Year 2)

[ ] Year 1 Minimum required Mentor-Resident Contact Hours was met or exceeded

(45 hours face to face contact hours including 10 hours of Peer Support Group meetings)

[ ] Year 2 Minimum required Mentor-Resident Contact Hours was met or exceeded

(30 hours face to face contact hours including 10 hours of Peer Support Group meetings)

Comments:

IV. SUMMARY of RESIDENT’SPROFESSIONAL GROWTH

(Brief summary of the Resident’s professional growth related to theleadership knowledge, skills and personal dispositionsas indicated by the NJ Professional Standards for School Leaders anddemonstrated by the Resident. NOTE: Refer to “Resident Assessment Rubric” and “Resident Assessment Criteria” in the document entitled “Mentor Recommendation for Standard Principal Certification”.

Summary of evidence of professional growth during Year 1 and Year 2 of the Residency:

Comments:

V. PROFESSIONAL GROWTH PLANNING forYEAR 3

(Brief summary of 2-3 professional growth targets identified by the Resident’s at the end of Year 2 of the Residency for the State-required PGP, which will be subject to the superintendent’s approval.)

[ ] Resident has identified the following 2-3 professional growth targets for the State-required PGP in Year 3:

Comments:

VI.RESIDENT and MENTORSUMMATIVE ASSESSMENT CONFERENCE

(Summary of feedback and recommendations provided to the Resident and other important areas of discussion)

Date of Summative Assessment Conference:______

Summary of Conference:

VII. ADDITIONAL MENTOR COMMENTS (Optional)

(Additional comments as appropriate and relevant to the Resident’s experiences and professional growth)

VIII. MENTOR RECOMMENDATION FOR STANDARD PRINCIPAL CERTIFICATION

(Mentors are required to use the “Resident Assessment Rubric” and “Resident Assessment Criteria” in the document entitled “Mentor Recommendation for Standard Principal Certification” as a basis for this recommendation.)

[ ] “Approved” for Certification

(This rating should result in issuance of Standard Principal Certification; however, the District is under no obligation to retain the Resident even though he/she has received a favorable recommendation for certification.)

[ ] “Insufficient” Progress Manifested

(This rating means that the Resident will not be issued Standard Principal’s Certification, but may continue employment and the Residency for up to one year under provisional certification. The District is under no obligation to retain a Resident with this rating, although it may choose to do so.)

[ ] “Disapproved” for Certification

(This rating means that the Resident will not be issued Standard Principal Certification, may not be retained in the district, and will not be permitted an extended time period as a Resident or seek future employment under provisional certification.)

Comments:

IX.RESIDENT’S COMMENTS

(The Resident completes this section with comments related to the Mentor’s Formative Assessment, conference feedback, and insights for his/her continuing professional growth)

XI.REQUIRED ATTACHMENTS

[ ]Resident Assessment Criteria Chart

[ ] Action Research Project Assessment Report

[ ] Action Research Project Presentation Assessment Report

The Mentor’s and Resident’s signaturesverify that: all information in thisSummative Assessment Report is complete and accurate;a conference was held and sufficient opportunity was provided for the Resident to comment; and a copy of the final Summative Assessment Report was given to the Resident for his/her Leadership Portfolio.All information and discussions related to formative and summative assessments of the Resident are CONFIDENTIAL. The original of this Summative Assessment Report will be submitted to the NJ-L2L Program Coordinator for transmittal to the NJ Department of Education, and a copy will be retained by NJ-L2L in the Resident’s file. This Report will not be provided to the Resident’s school district or any agency or individual without the written request and consent of the Resident. Residents who disagree with the Mentor’s recommendation for Standard Certification have the right to appeal to the NJ Board of Examiners.

Resident Name:______Start Date: ______

Resident Signature: ______Date:______

Mentor Signature: ______Date:______

c: Resident

Mentor

Resident File