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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 />

96

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