DCTA Evaluation Forms
1. Professional Evaluation Handbook [pdf]
2. Comprehensive Performance Evaluation Form
(Forms are now available online. After clicking a link below you will have the option of
opening the form to complete or saving it to your computer and them completing it.)
2.1 Classroom Teacher [word]
2.2 Advisor/Administrative Assistant [word]
2.3 Audiologist [word]
2.4 Counselor [word]
2.5 Deaf and Hard of Hearing Itinerant [word]
2.6 Facilitator/Instructional Coach [word]
2.7 Librarian [word]
2.8 Nurse [word]
2.9 Occupational Therapist/Physical Therapist (OT/PT) [word]
2.10 Psychologist [word]
2.11 Social Worker [word]
2.12 Special Education Itinerant/TOSA [word]
2.13 Speech Language Pathologist [word]
2.14 Student Service Professional (General) - Forthcoming
2.15 Teacher on Special Assignment (TOSA) - Forthcoming
2.16 Vision Itinerant [word]
2.17 Gifted and Talented Itinerant [word]
3. Standards, Criteria, Rubric, Indicators
3.1 Classroom Teacher [word]
3.2 Advisor/Administrative Assistant [word]
3.3 Audiologist [word]
3.4 Counselor [word]
3.5 Deaf and Hard of Hearing Itinerant [word]
3.6 Facilitator/Instructional Coach [word]
3.7 Librarian
3.8 Nurse
3.9 Occupational Therapist/Physical Therapist (OT/PT) [word]
3.10 Psychologist [word]
3.11 Social Worker [word]
3.12 Special Education Itinerant/TOSA [word]
3.13 Speech Language Pathologist [word]
3.14 Student Service Professional (General) - Forthcoming
3.15 Teacher on Special Assignment (TOSA) - Forthcoming
3.16 Vision Itinerant [word]
3.17 Gifted and Talented Itinerant [word]
4. Professional Evaluation Organizer
4.1 Classroom Teacher [word]
4.2 Advisor/Administrative Assistant [word]
4.3 Audiologist - Forthcoming
4.4 Counselor [word]
4.5 Deaf and Hard of Hearing Itinerant - Forthcoming
4.6 Facilitator/Staff Developer - Forthcoming
4.7 Librarian [word]
4.8 Nurse
4.9 Occupational Therapist/Physical Therapist (OT/PT) - Forthcoming
4.10 Psychologist - Forthcoming
4.11 Social Worker - Forthcoming
4.12 Special Education Itinerant/TOSA - Forthcoming
4.13 Speech Language Pathologist - Forthcoming
4.14 Student Service Professional (General) - Forthcoming
4.15 Teacher on Special Assignment (TOSA) - Forthcoming
4.16 Vision Itinerant - Forthcoming
5. Records of Teaching/Service Samples
5.1 Classroom Teacher [word]
5.2 Advisor/Administrative Assistant - Forthcoming
5.3 Audiologist [word]
5.4 Counselor - Forthcoming
5.5 Deaf and Hard of Hearing Itinerant [word]
5.6 Facilitator/Staff Developer - Forthcoming
5.7 Librarian [word]
5.8 Nurse [word]
5.9 Occupational Therapist/Physical Therapist (OT/PT) [word]
5.10 Psychologist [word]
5.11 Social Worker [word]
5.12 Special Education Itinerant/TOSA - Forthcoming
5.13 Speech Language Pathologist - Forthcoming
5.14 Student Service Professional (General) - Forthcoming
5.15 Teacher on Special Assignment (TOSA) - Forthcoming
5.16 Vision Itinerant [word]
6. Individual Forms and Documents
6.1 Action Plan [word]
6.2 Consultation Request/Documentation [word]
6.3 Coversheet for Record of Teaching/Service [word]
6.4 Non-Appraisal Year Observation [word]
6.5 Pre-Observation Checklist [word]
6.6 Remediation Form [word]
6.7 Timeline - Integrated [pdf]
6.8 Workflow Evaluation [word]
6.9 Professional Development Plan [word]
6.10 Peer Assistance Request/Denial [word]
6.11 Special Services & Related Service Provider Appraiser Designation
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