Library Media Specialist- Formative Observation Form-OPGES
 
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Observation Date *
MM
/
DD
/
YYYY
Observation Start Time *
Time
:
Employee's Full Name *
Employee's E-mail address *
Evaluator's Name *
Evaluator's E-mail address *
Building *
Component 2A: Creating an Environment of Respect and Rapport
Please check all of the following items observed and related to component 2A.
2A - Observer Evidence:
Type any observations you would like to share.
2A - Component Rating
Ineffective
Exemplary
Clear selection
2B: Establishing a Culture for Learning
Please check all of the following items observed relating to component 2B.
2B - Observer Evidence:
Type any observations you would like to share.
2B - Component Rating
Ineffective
Exemplary
Clear selection
2C: Managing Library Procedures
Please check all of the following items observed related to component 2C.
2C - Observer Evidence:
Type any observations you would like to share.
2C Component Rating
Ineffective
Exemplary
Clear selection
2D: Managing Student Behavior
Please check all of the following items observed related to component 2D.
2D - Observer Evidence:
Type any observations you would like to share.
2D Component Rating
Ineffective
Exemplary
Clear selection
2E: Organizing Physical Space
Please check all of the following items observed related to component 2E.
2E - Observer Evidence:
Type any observations you would like to share.
2E Component Rating
Ineffective
Exemplary
Clear selection
DOMAIN 2:  ENVIRONMENT- OVERALL Rating
Ineffective
Exemplary
Clear selection
3A: Communicating Clearly and Accurately
Please check all of the following items observed related to component 3A.
3A - Observer Evidence:
Type any observations you would like to share.
3A Component Rating
Ineffective
Exemplary
Clear selection
3B: Using Questioning and Research Techniques
Please check all of the following items observed relative to component 3B.
3B - Observer Evidence:
Type any observations you would like to share.
3B Component Rating
Ineffective
Exemplary
Clear selection
3C: Engaging Students in Learning
Please check all of the following items observed related to component 3C.
3C - Observer Evidence:
Type any observations you would like to share.
3C Component Rating
Ineffective
Exemplary
Clear selection
3D: Assessment in instruction (whole class, one-on-one and small group)
Please check all of the following items observed related to component 3D
3D - Observer Evidence:
Type any observations you would like to share.
3D Component Rating
Ineffective
Exemplary
Clear selection
3E: Demonstrating flexibility and responsiveness
Please check all of the following items observed related to component 3E.
3E - Observer Evidence:
Type any observations you would like to share.
3E Component Rating
Ineffective
Exemplary
Clear selection
DOMAIN 3: INSTRUCTION- OVERALL Rating
Ineffective
Exemplary
Clear selection
1A:  Demonstrating Knowledge of Content Curriculum and Process
Please check all of the following items observed related to component 1A.
1A - Observer Evidence:
Type any observations you would like to share.
1A Component Rating
Ineffective
Exemplary
Clear selection
1B:   Demonstrating Knowledge of Students
Please check all of the following items observed related to component 1B.
1B - Observer Evidence:
Type any observations you would like to share.
1B Component Rating
Ineffective
Exemplary
Clear selection
1C:  Supporting Instructional Goals
Please check all of the following items observed related to component 1C.
1C - Observer Evidence:
Type any observations you would like to share.
1C Component Rating
Ineffective
Exemplary
Clear selection
1D:  Demonstrating Knowledge and Use of Resources
Please check all of the following items observed related to component 1D.
1D - Observer Evidence:
Type any observations you would like to share.
1D Component Rating
Ineffective
Exemplary
Clear selection
1E:  Demonstrating a Knowledge of Literature and Lifelong Learning
Please check all of the following items observed related to component 1E.
1E - Observer Evidence:
Type any observations you would like to share.
1E Component Rating
Ineffective
Exemplary
Clear selection
1F:  Collaborating in the Design of Instructional Experiences
Please check all of the following items observed related to component 1F.
1F - Observer Evidence:
Type any observations you would like to share.
1F Component Rating
Ineffective
Exemplary
Clear selection
DOMAIN 1: PLANNING & PREPARATION- OVERALL Rating
Ineffective
Exemplary
Clear selection
4A:  Reflecting on Practice
Please check all of the following items observed related to component 4A.
4A - Observer Evidence:
Type any observations you would like to share.
4A Component Rating
Ineffective
Exemplary
Clear selection
4B:  Maintaining Accurate Records
Please check all of the following items observed related to component 4B.
4B - Observer Evidence:
Type any observations you would like to share.
4B Component Rating
Ineffective
Exemplary
Clear selection
4C:  Communicating with School Staff and Community
Please check all of the following items observed related to component 4C.
4C - Observer Evidence:
Type any observations you would like to share.
4C Component Rating
Ineffective
Exemplary
Clear selection
4D:  Participating in a Professional Community
Please check all of the following items observed related to component 4D.
4D - Observer Evidence:
Type any observations you would like to share.
4D Component Rating
Ineffective
Exemplary
Clear selection
4E:  Growing and Developing Professionally
Please check all of the following items observed related to component 4E.
4E - Observer Evidence:
Type any observations you would like to share.
4E Component Rating
Ineffective
Exemplary
Clear selection
4F:  Collection Development and Maintenance  
Please check all of the following items observed related to component 4F.
4F - Observer Evidence:
Type any observations you would like to share.
4F Component Rating
Ineffective
Exemplary
Clear selection
4G:  Managing the Library Budget  
Please check all of the following items observed related to component 4F.
4G - Observer Evidence:
Type any observations you would like to share.
4G Component Rating
Ineffective
Exemplary
Clear selection
4H:  Managing Personnel  
Please check all of the following items observed related to component 4F.
4H - Observer Evidence:
Type any observations you would like to share.
4H Component Rating
Ineffective
Exemplary
Clear selection
4I:  Professional Ethics    
Please check all of the following items observed related to component 4F.
4I - Observer Evidence:
Type any observations you would like to share.
4I Component Rating
Ineffective
Exemplary
Clear selection
DOMAIN 4: PROFESSIONALISM- OVERALL SCORE
Ineffective
Exemplary
Clear selection
Observation Completion Time *
Time
:
Additional Information or Directives:
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