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EducatorCollectionofEvidenceForm

EducatorName/Title WendieLeBlancTeacher
:

Primary
ChristopherDodgePrincipal
EvaluatorName/Title:

SupervisingEvaluator,ifanyName/Title/Roleinevaluation:
N/A

School(s): PetershamCenterSchool

Evidencepertainsto(checkallthatapply)
:
XFulfillmentofprofessionalresponsibilitiesandgrowth
Evidenceofoutreachtoandongoingengagementwithfamilies
Progresstowardattainingstudentlearninggoal(s)
Progresstowardattainingprofessionalpracticegoal(s)
Other:

SummaryofEvidence
Summarizetheevidencecompiledtobepresentedtoevaluatorwithabriefanalysis.
Attachadditionalpagesasneeded.

SomeoftheProfessionalDevelopmentthroughtheDistrict.SchoolP.D.willmostlikely
follow.

AnexampleofStandardIVProfessionalCulture
ProfessionalGrowthIndicatorB1ProfessionalLearningandGrowth


Signatureof
Educator

Signatureof
Evaluator

Dat
e

Dat
e

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