Teacher Evaluation System - Polk County School District
Teacher Evaluation System - Polk County School District
Teacher Evaluation System - Polk County School District
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<strong>Polk</strong> <strong>County</strong> <strong>School</strong> <strong>District</strong><br />
Instructional Assistance Conference Form<br />
Name: ___________________________________________________<br />
<strong>School</strong>: __________________________________________________<br />
Initial Meeting Date: ______________________________________<br />
<strong>School</strong> Year: _____________________________________________<br />
_________________________________________________________<br />
Principal’s Signature<br />
Specific Area(s) of Concern<br />
_________________________________________________________<br />
<strong>Teacher</strong>’s Signature<br />
Suggested Action(s)<br />
Resource Person(s):<br />
Name: ____________________________________________<br />
Name: ____________________________________________<br />
Name: ____________________________________________<br />
Name: ____________________________________________<br />
Title: ____________________________________________<br />
Title: ____________________________________________<br />
Title: ____________________________________________<br />
Title: ____________________________________________<br />
Exit Meeting Date: _________________________<br />
____________________________________<br />
Principal’s Signature<br />
__________________________________<br />
<strong>Teacher</strong>’s Signature<br />
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