Teacher Self-Assessment Goal-Setting Worksheet
A worksheet for teachers to complete before or after an evaluation cycle with self-rating against rubric dimensions, strengths and growth areas, and SMART professional development goals.
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Greenwood International School TEACHER SELF-ASSESSMENT & GOAL-SETTING WORKSHEET Teacher: Ms. Sarah Chen Academic Year: 2025-2026 Evaluation Cycle: [evaluation_cycle] Department Head: Head of Mathematics ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ SELF-RUBRIC ASSESSMENT Rate yourself on each dimension (1=Developing, 2=Competent, 3=Proficient, 4=Exemplary) Dimension Self-Rating Evidence/Examples ────────────────────────────────────────────────────────────── Classroom Management [ ] [Notes] Instructional Quality [ ] [Notes] Student Engagement [ ] [Notes] Differentiation [ ] [Notes] Assessment for Learning [ ] [Notes] Professional Collaboration [ ] [Notes] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ STRENGTHS What are your top 3 professional strengths? 1. 2. 3. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ GROWTH AREAS What are 2-3 areas where you would like to develop? 1. 2. 3. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ SMART GOALS Goal 1: _______________________________________________ Specific: How will you achieve this? Measurable: How will you know you've achieved it? Achievable: What resources/support do you need? Relevant: How does this impact student learning? Time-bound: By when? Goal 2: _______________________________________________ Specific: Measurable: Achievable: Relevant: Time-bound: ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ SUPPORT NEEDED What support do you need from your department head or school leadership? 1. 2. 3. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ Teacher Signature: _________________ Date: _________ Department Head: ___________________ Date: _________ Greenwood International School
About This Template
Teachers rate their own practice against each standard and evidence their ratings before the observation, starting the conversation from the teacher's own perspective.
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Topics this template covers: self assessment · teacher worksheet · goal setting · professional development
How to Use This Template
Send this to the teacher before their observation so Self-Rubric Dimensions are rated and evidenced in advance. Fill Academic Year, Evaluation Cycle and Department Head, then work through Strengths Prompt and Growth Areas Prompt with specific classroom examples, not adjectives.
Complete SMART Goals Prompts with measurable targets for the coming term and note Support Needed Prompt — coaching time, subject training, cover — so the line manager can commit resources. Both parties sign Signature Section; bring the completed worksheet to the observation so the feedback conversation starts from the teacher's own position.
When to Use This Template
Scheduled lesson observation
Share the observation focus and rubric with the teacher beforehand, record evidence against each dimension, and agree on a next observation date.
Annual staff evaluation cycle
Run self-assessment, observation and results sections through the same rubric, then collate scores and goals for the performance review meeting.
Agreeing goals for the next cycle
Close each evaluation by recording two or three specific, measurable goals for the next period and the support the teacher will receive, then revisit them at the following observation.
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