Form Pde 430 – Fill Out and Use This PDF

Pennsylvania Statewide Evaluation Form for Student Professional Knowledge and Practice

Student’s Last Name	First	Middle		Social Security Number
Subject(s) Taught				Grade Level

This form is to serve as a permanent record of a student teacher’s professional performance evaluation during a specific time period based on specific criteria. This form must be used at least twice during the 12-week (minimum) student teaching experience.

PERFORMANCE EVALUATION

Directions: Examine all sources of evidence provided by the student teacher and bear in mind the aspects of teaching for each of the four categories used in this form. Check the appropriate aspects of student teaching, and indicate the sources of evidence used to determine the evaluation of the results in each category. Assign an evaluation for each of the four categories and then assign an overall evaluation of performance. Sign the form and gain the signature of the student teacher.

Category I: Planning and Preparation – Student teacher demonstrates thorough knowledge of content and pedagogical skills in planning and preparation, student teacher makes plans and sets goals based on the content to be taught/learned, their knowledge of assigned students and their instructional context.

Alignment: 354.33. (1)(i)(A), (B), (C), (G), (H)

Student Teacher’s performance appropriately demonstrates:

•Knowledge of content

•Knowledge of pedagogy

•Knowledge of Pennsylvania’s K-12 Academic Standards

•Knowledge of students and how to use this knowledge to impart instruction

•Use of resources, materials, or technology available through the school or district

•Instructional goals that show a recognizable sequence with adaptations for individual student needs

•Assessments of student learning aligned to the instructional goals and adapted as required for student needs

•Use of educational psychological principles/theories in the construction of lesson plans and setting instructional goals

Sources of Evidence (Check all that apply and include dates, types/titles and number)

Lesson/Unit Plans

Student Teacher Interviews

Resources/Materials/Technology

Classroom Observations

Assessment Materials

Resource Documents

Information About Students

Other

Category

Exemplary 3 Points

Superior 2 Points

Satisfactory 1 Point

Unsatisfactory 0 Points

Criteria for Rating

The candidate consistently

The candidate usually and

The candidate sometimes and

The candidate rarely or never and

and thoroughly

extensively demonstrates indicators

adequately demonstrates

inappropriately or superficially

demonstrates indicators of

of performance.

indicators of performance.

demonstrates indicators of

performance.

performance.

Rating

(Indicate √

Justification for Evaluation

PDE-430 1

Student’s Last Name

First

Middle

Social Security Number

Category II: Classroom Environment – Student teacher establishes and maintains a purposeful and equitable environment for learning, in which students feel safe, valued, and respected, by instituting routines and by setting clear expectations for student behavior.

Alignment: 354.33. (1)(i)(E), (B)

Student Teacher’s performance appropriately demonstrates:

•Expectations for student achievement with value placed on the quality of student work

•Attention to equitable learning opportunities for students

•Appropriate interactions between teacher and students and among students

•Effective classroom routines and procedures resulting in little or no loss of instructional time

•Clear standards of conduct and effective management of student behavior

•Appropriate attention given to safety in the classroom to the extent that it is under the control of the student teacher

•Ability to establish and maintain rapport with students

Sources of Evidence (Check all that apply and include dates, types/titles, and number)

Classroom Observations

Visual Technology

Informal Observations/Visits

Resources/Materials/Technology/Space

Student Teacher Interviews

Other

Category

Exemplary 3 Points

Superior 2 Points

Satisfactory 1 Point

Unsatisfactory 0 Points

Criteria for Rating

The candidate consistently

The candidate usually and

The candidate sometimes and

The candidate rarely or never and

and thoroughly

extensively demonstrates indicators

adequately demonstrates

inappropriately or superficially

demonstrates indicators of

of performance.

indicators of performance.

demonstrates indicators of

performance.

performance.

Rating

(Indicate √

Justification for Evaluation

PDE-430 2

Student’s Last Name

First

Middle

Social Security Number

Category III – Student teacher, through knowledge of content and their pedagogy and skill in delivering instruction engages students in learning by using a variety of instructional strategies.

Alignment: 354.33. (1)(i)(D),(F),(G)

Student Teacher’s performance appropriately demonstrates:

•Knowledge of content and pedagogical theory through their instructional delivery

•Instructional goals reflecting Pennsylvania K-12 standards

•Communication of procedures and clear explanations of content

•Instructional goals that show a recognizable sequence, clear student expectations, and adaptations for individual student needs

•Use of questioning and discussion strategies that encourage many students to participate

•Engagement of students in learning and adequate pacing of instruction

•Feedback to students on their learning

•Use of informal and formal assessments to meet learning goals and to monitor student learning

•Flexibility and responsiveness in meeting the learning needs of students

•Integration of disciplines within the educational curriculum

Sources of Evidence (Check all that apply and include dates, types/titles, or number)

Classroom Observations

Student Assignment Sheets

Informal Observations/Visits

Student Work

Assessment Materials

Instructional Resources/Materials/Technology

Student Teacher Interviews

Other

Category

Exemplary 3 Points

Superior 2 Points

Satisfactory 1 Point

Unsatisfactory 0 Points

Criteria for Rating

The candidate consistently

The candidate usually and

The candidate sometimes and

The candidate rarely or never and

and thoroughly

extensively demonstrates indicators

adequately demonstrates

inappropriately or superficially

demonstrates indicators of

of performance.

indicators of performance.

demonstrates indicators of

performance.

performance.

Rating

(Indicate √

Justification for Evaluation

PDE-430 3

Category IV – Student teacher demonstrates qualities that characterize a professional person in aspects that occur in and beyond the classroom/building.

Alignment: 354.33. (1)(i)(I),(J)

Student Teacher’s performance appropriately demonstrates:

•Knowledge of school and district procedures and regulations related to attendance, punctuality and the like

•Knowledge of school or district requirements for maintaining accurate records and communicating with families

•Knowledge of school and/or district events

•Knowledge of district or college’s professional growth and development opportunities

•Integrity and ethical behavior, professional conduct as stated in Pennsylvania Code of Professional Practice and Conduct for Educators; and local, state, and federal, laws and regulations

•Effective communication, both oral and written with students, colleagues, paraprofessionals, related service personnel, and administrators

•Ability to cultivate professional relationships with school colleagues

•Knowledge of Commonwealth requirements for continuing professional development and licensure

Sources of Evidence (Check all that apply and include dates, types/titles, or number)

	Classroom Observations						Student Assignment Sheets
	Informal Observations/Visits						Student Work
	Assessment Materials						Instructional Resources/Materials/Technology
	Student Teacher Interviews						Other

Written Documentation

Category	Exemplary 3 Points	Superior 2 Points	Satisfactory 1 Point	Unsatisfactory 0 Points
Criteria for Rating	The candidate consistently	The candidate usually and	The candidate sometimes and	The candidate rarely or never and
	and thoroughly	extensively demonstrates indicators	adequately demonstrates	inappropriately or superficially
	demonstrates indicators of	of performance.	indicators of performance.	demonstrates indicators of
	performance.			performance.
Rating
(Indicate √)

Justification for Evaluation

PDE-430 4

Overall Rating

Category	Exemplary (Minimum of	Superior (Minimum of 8 Points)	Satisfactory (Minimum of	Unsatisfactory (0 Points)
	12 Points)		4 Points)
Criteria for Rating	The candidate consistently	The candidate usually and	The candidate sometimes and	The candidate rarely or never and
	and thoroughly	extensively demonstrates indicators	adequately demonstrates	inappropriately or superficially
	demonstrates indicators of	of performance.	indicators of performance.	demonstrates indicators of
	performance.			performance.
Rating
(Indicate √)

Note: Candidates must achieve at least a satisfactory rating consisting of 4 Points or above.

Justification for Overall Rating:

Student’s Last Name		First		Middle		Social Security Number
District/IU		School				Interview/Conference Date
School Year:		Term:

Required Signatures:
Supervisor/Evaluator:				Date:
Student Teacher:				Date:
Certification Officer:				Date:
Certification Area:		PDE – Certification Code:
	(To be completed by Certification Officer)			(See Reverse)

PDE-430 5

PDE-430 6