Teacher Summative Evaluation Form

Montgomery County Professional Staff Teacher Summative Evaluation Form
Employee Full Name:			Location:
Date:			Grade Level/Subject:
Supervisor Name:
	Meeting Expectations	Improving	Needs Improvement	Not Meeting Expectations
Planning & Assessment
	Meeting Expectations	Improving	Needs Improvement	Not Meeting Expectations
Communication & Community Relations
	Meeting Expectations	Improving	Needs Improvement	Not Meeting Expectations
Safety & Learning Environment
	Meeting Expectations	Improving	Needs Improvement	Not Meeting Expectations
Professionalism
	Meeting Expectations	Improving	Needs Improvement	Not Meeting Expectations
Instruction
Supervisor Comments:
Conference Summary
	Meeting Expectations	Improving	Needs Improvement	Not Meeting Expectations
Evaluation Summary
Supervisor Comments: (Any evaluation result that is assessed as "Needs Improvement" or "Not Meeting Expectations" must have a statement describing the performance shortcoming as well as the performance expectation.)
Employee Comments:
Observation Date(s):
Recommended for Re-employment:	Yes		No

Confirmation: (Both Supervisor and Employee should type their first and last names in the text boxes above their respective titles.)	Supervisor Date:		Employee Date:
*Confirmation does not necessarily indicate concurrence but rather that a summative conference with the supervisor has taken place and the employee has received a copy of this completed summative evaluation form.