FORM E
Approved by the Board of Education, March 18, 1996

Career Ladder Verification Form for
Performance-Based Teacher Evaluation

Name

STAGE II AND III

For the purposes of the District Career Ladder Plan, I shall meet the expected performance level on all criteria of the District's Performance-Based Teacher Evaluation System and exceed the expected performance level on the following criteria:

AREA				NUMBER		CRITERIA

*

__________________	____________	___________________________

__________________	____________	___________________________

__________________	____________	___________________________

__________________	____________	___________________________

						__________________________________
						Evaluator

*One of the criteria that exceeds the expected level must be in the area of educators discipline as it relates to students.  For teachers and librarians this would be the instructional process area.  For counselors this would be the guidance/counseling process area.