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Allen County Schools Library Media - Post-Observation Conference Form

Library Media
School
Grade Level(s)
Evaluator
Date of Conference

Evaluator’s Formative Observation Rating: Other professionals may request the evaluator provide
examples of evidence used to support the rating

Domain 2: The Environment	Rating	Domain 3: Delivery of Service	Rating
A: Creating an Environment of / Respect and Rapport		A: Communicating Clearly and Accurately
B. Establishing a Culture for / Learning		B. Using Questioning and Research Techniques
C. Managing Library / Procedures		C: Engaging Students in Learning
D: Managing Student Behavior		D: Assessment in Instruction (whole-class, one-on-one, small group)
E. Organizing Physical Space		E: Demonstrating / Flexibility and / Responsiveness

I	D	A	E	NA
I	D	A	E	NA
I	D	A	E	NA
I	D	A	E	NA
I	D	A	E	NA

I	D	A	E	NA
I	D	A	E	NA
I	D	A	E	NA
I	D	A	E	NA
I	D	A	E	NA

Domain 1: Planning and Preparation	Comments / Ratings:

Domain 4: Professional Responsibilities	Comments / Ratings:

_____________________________________ _____________________ _____________________________________ _____________________
Library Media’s Signature Date Evaluator’s Signature Date
*Denotes sharing of results, not necessarily agreement with the formative rating. The library media specialists may submit a response in writing to all ratings by the evaluator.

Opportunities for an appeal are part of the Allen County School District evaluation plan
A copy of the completed form must be provided to the library media specialist