Teacher Self-Assessment Goal-Setting Worksheet

TEACHER SELF-ASSESSMENT & GOAL-SETTING WORKSHEET Teacher: Academic Year: Evaluation Cycle: Department Head: ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ 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: _________