Regional Teacher Center Evaluation Form-NF Summer and Fall 2014

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The training from this program correlates to the NYS Teaching Standards and can be used as evidence of your compliance with APPR.

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* 1. Workshop Title

Your name will only be used for record keeping purposes and will not be shared.

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* 2. First Name:

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* 3. Last Name:

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* 4. Teacher Center:

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* 5. Position:

Teacher

Assistant/Aide

Administrator

Pre-Service Teacher (Student)

Higher Ed Faculty

Other (please specify)

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* 6. Grade Level:

P-5

6-8

9-12

P-12

Higher Ed

Other (please specify)

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* 7. Core Content:

Elementary

ELA

Math

Science

Social Studies

LOTE

Art/Music

FACS

Special Ed

Support Staff

Other (please specify)

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* 8. INSTRUCTOR EVALUATION: HIGHLY EFFECTIVE indicates consistently through the workshop; EFFECTIVE indicates most of the time; DEVELOPING indicates some, but not a majority of the time; INEFFECTIVE indicates hardly any of the time.
Please indicate the extent to which the instructor was able to effectively facilitate your learning in the following ways:

	Highly Effective	Effective	Developing	Ineffective
Involvement: Actively involved participants in learning through a variety of activities and learning experiences	Involvement: Actively involved participants in learning through a variety of activities and learning experiences Highly Effective	Involvement: Actively involved participants in learning through a variety of activities and learning experiences Effective	Involvement: Actively involved participants in learning through a variety of activities and learning experiences Developing	Involvement: Actively involved participants in learning through a variety of activities and learning experiences Ineffective
Interactivity: Facilitated meaningful interaction between the presenter/audience and among participants	Interactivity: Facilitated meaningful interaction between the presenter/audience and among participants Highly Effective	Interactivity: Facilitated meaningful interaction between the presenter/audience and among participants Effective	Interactivity: Facilitated meaningful interaction between the presenter/audience and among participants Developing	Interactivity: Facilitated meaningful interaction between the presenter/audience and among participants Ineffective
Responsiveness: Was receptive to participants' questions and concerns	Responsiveness: Was receptive to participants' questions and concerns Highly Effective	Responsiveness: Was receptive to participants' questions and concerns Effective	Responsiveness: Was receptive to participants' questions and concerns Developing	Responsiveness: Was receptive to participants' questions and concerns Ineffective
Flexibility: Adjusted instruction to meet the needs of participants	Flexibility: Adjusted instruction to meet the needs of participants Highly Effective	Flexibility: Adjusted instruction to meet the needs of participants Effective	Flexibility: Adjusted instruction to meet the needs of participants Developing	Flexibility: Adjusted instruction to meet the needs of participants Ineffective

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* 9. CONTENT PRESENTED: DEFINITELY indicates true and can be applied to my instruction now or in the future; MOSTLY indicates you will need some additional practice before applying new information; SOMEWHAT indicates you will need significant additional learning time and practice; NOT AT ALL indicates the content was not relevant for your use at any time; NOT APPLICABLE indicates you do not presently work with the topics in this workshop

	Definitely	Mostly	Somewhat	Not at All	Not Applicable
Meaningful & Relevant: Content was relevant and can be applied now or in the future	Meaningful & Relevant: Content was relevant and can be applied now or in the future Definitely	Meaningful & Relevant: Content was relevant and can be applied now or in the future Mostly	Meaningful & Relevant: Content was relevant and can be applied now or in the future Somewhat	Meaningful & Relevant: Content was relevant and can be applied now or in the future Not at All	Meaningful & Relevant: Content was relevant and can be applied now or in the future Not Applicable
Focused & Clear: Content was tightly focused on the topic(s), clear, accurate, current and research-based	Focused & Clear: Content was tightly focused on the topic(s), clear, accurate, current and research-based Definitely	Focused & Clear: Content was tightly focused on the topic(s), clear, accurate, current and research-based Mostly	Focused & Clear: Content was tightly focused on the topic(s), clear, accurate, current and research-based Somewhat	Focused & Clear: Content was tightly focused on the topic(s), clear, accurate, current and research-based Not at All	Focused & Clear: Content was tightly focused on the topic(s), clear, accurate, current and research-based Not Applicable
Modeling & Examples Presented: Content included a variety of examples and models that I can use in my teaching to connect the content to student learning	Modeling & Examples Presented: Content included a variety of examples and models that I can use in my teaching to connect the content to student learning Definitely	Modeling & Examples Presented: Content included a variety of examples and models that I can use in my teaching to connect the content to student learning Mostly	Modeling & Examples Presented: Content included a variety of examples and models that I can use in my teaching to connect the content to student learning Somewhat	Modeling & Examples Presented: Content included a variety of examples and models that I can use in my teaching to connect the content to student learning Not at All	Modeling & Examples Presented: Content included a variety of examples and models that I can use in my teaching to connect the content to student learning Not Applicable

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* 10. IMPACT ON PARTICIPANTS' PRACTICE: DEFINITELY indicates true and can be applied to my instruction now or in the future; MOSTLY indicates you will need some additional practice before applying new information; SOMEWHAT indicates you will need significant additional learning time and practice; NOT AT ALL indicates there will be no change in practice as a result of this program; NOT APPLICABLE indicates that content does not apply to my practice

	Definitely	Mostly	Somewhat	Not at All	Not Applicable
Assessment and/or Student Learning: The learning will help me to develop appropriate assessments or learning experiences that clearly relate and respond to students' needs and abilities	Assessment and/or Student Learning: The learning will help me to develop appropriate assessments or learning experiences that clearly relate and respond to students' needs and abilities Definitely	Assessment and/or Student Learning: The learning will help me to develop appropriate assessments or learning experiences that clearly relate and respond to students' needs and abilities Mostly	Assessment and/or Student Learning: The learning will help me to develop appropriate assessments or learning experiences that clearly relate and respond to students' needs and abilities Somewhat	Assessment and/or Student Learning: The learning will help me to develop appropriate assessments or learning experiences that clearly relate and respond to students' needs and abilities Not at All	Assessment and/or Student Learning: The learning will help me to develop appropriate assessments or learning experiences that clearly relate and respond to students' needs and abilities Not Applicable
Instructional Strategies: The learning will have a significant impact on strategies used in my daily instruction	Instructional Strategies: The learning will have a significant impact on strategies used in my daily instruction Definitely	Instructional Strategies: The learning will have a significant impact on strategies used in my daily instruction Mostly	Instructional Strategies: The learning will have a significant impact on strategies used in my daily instruction Somewhat	Instructional Strategies: The learning will have a significant impact on strategies used in my daily instruction Not at All	Instructional Strategies: The learning will have a significant impact on strategies used in my daily instruction Not Applicable
Professional Growth: The learning has expanded my knowledge of the content and I feel comfortable sharing and applying this knowledge with my educational community	Professional Growth: The learning has expanded my knowledge of the content and I feel comfortable sharing and applying this knowledge with my educational community Definitely	Professional Growth: The learning has expanded my knowledge of the content and I feel comfortable sharing and applying this knowledge with my educational community Mostly	Professional Growth: The learning has expanded my knowledge of the content and I feel comfortable sharing and applying this knowledge with my educational community Somewhat	Professional Growth: The learning has expanded my knowledge of the content and I feel comfortable sharing and applying this knowledge with my educational community Not at All	Professional Growth: The learning has expanded my knowledge of the content and I feel comfortable sharing and applying this knowledge with my educational community Not Applicable

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* 11. Which aspects of your professional practice will most likely be impacted by this program (check up to 5)?

Leadership Skills

Assessment Strategies

Tech Integration

Collaboration Skills

Instructional Planning

Cross-Curricular Planning

Knowledge of Common Core LS

Implementation of CCLS

Data Driven Instruction

Differentiated Instruction

Content Knowledge

Classroom Management/Behavior

Coaching/Mentoring

Student Directed Learning

Dignity for All (Bully prevention)

Rigorous Instruction

Other (please specify)

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* 12. IMPACT ON STUDENT LEARNING: DEFINITELY indicates true and student learning will be greatly impacted immediately; MOSTLY indicates you will need some additional practice/time before student learning is impacted; SOMEWHAT indicates you will need significant additional learning time and practice; NOT AT ALL indicates there will be no change in student learning as a result of this program; NOT APPLICABLE indicates that content does not apply to my practice

	Definitely	Mostly	Somewhat	Not at All	Not Applicable
Student Understanding: strategies learned will help my students develop a deep understanding of concepts or ideas and will be able to apply them to new situations	Student Understanding: strategies learned will help my students develop a deep understanding of concepts or ideas and will be able to apply them to new situations Definitely	Student Understanding: strategies learned will help my students develop a deep understanding of concepts or ideas and will be able to apply them to new situations Mostly	Student Understanding: strategies learned will help my students develop a deep understanding of concepts or ideas and will be able to apply them to new situations Somewhat	Student Understanding: strategies learned will help my students develop a deep understanding of concepts or ideas and will be able to apply them to new situations Not at All	Student Understanding: strategies learned will help my students develop a deep understanding of concepts or ideas and will be able to apply them to new situations Not Applicable
Students Skills: students will be able to acquire and use valuable new skills or processes which can be applied to a wide variety of situations and contexts	Students Skills: students will be able to acquire and use valuable new skills or processes which can be applied to a wide variety of situations and contexts Definitely	Students Skills: students will be able to acquire and use valuable new skills or processes which can be applied to a wide variety of situations and contexts Mostly	Students Skills: students will be able to acquire and use valuable new skills or processes which can be applied to a wide variety of situations and contexts Somewhat	Students Skills: students will be able to acquire and use valuable new skills or processes which can be applied to a wide variety of situations and contexts Not at All	Students Skills: students will be able to acquire and use valuable new skills or processes which can be applied to a wide variety of situations and contexts Not Applicable
Student Engagement: strategies learned will help create a highly engaging classroom and motivate students to be self-directed learners	Student Engagement: strategies learned will help create a highly engaging classroom and motivate students to be self-directed learners Definitely	Student Engagement: strategies learned will help create a highly engaging classroom and motivate students to be self-directed learners Mostly	Student Engagement: strategies learned will help create a highly engaging classroom and motivate students to be self-directed learners Somewhat	Student Engagement: strategies learned will help create a highly engaging classroom and motivate students to be self-directed learners Not at All	Student Engagement: strategies learned will help create a highly engaging classroom and motivate students to be self-directed learners Not Applicable

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* 13. Which aspects of student learning MAY most likely be impacted by this program (check up to 3)?

Engagement

Literacy Skills

Math Skills

Tech Fluency

Motivation

Communication Skills

Critical Thinking

Behavior

Leadership Skills

Student Self-Direction

Cross-Curricular Learning

Other (please specify)

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* 14. On a scale of 1-5 what will be the overall impact of this program on your practice and student learning?

1 (low)

5 (high)

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* 15. Comments about the workshop:

Thank you for your participation!