1. Name of Applicant

Name of applicant being assessed

Your relationship to the applicant: Immediate Supervisor Supervisor; But Not Immediate

Co-Worker Parent or Community member Board member

2. Iowa Standards: Dispositions

2.1. DISPOSITION: This person willingly facilitates the development, articulation, implementation, and stewardship of a vision of learning that is supported by other education stakeholders.

a. Vision of Learning

Excellent Above Average Average Below Average No Opportunity to Observe  

2.2. DISPOSITION This person willingly creates an atmosphere for learning across the education setting.

a. Instructional Program

Excellent Above Average Average Below Average No Opportunity to Observe

2.3. DISPOSITION This person shows the ability to manage an environment and its resources so that it is safe, efficient and effective.

a. Management

Excellent Above Average Average Below Average No Opportunity to Observe

2.4. DISPOSITION This person collaborates with families and responds well to diverse needs.

a. Collaboration

Excellent Above Average Average Below Average No Opportunity to Observe

2.5. DISPOSITION This person consistently acts with integrity, fairness and in an ethical manner.

a. Integrity

Excellent Above Average Average Below Average No Opportunity to Observe

2.6. DISPOSITION This person understands and responds to the political, social, economic and legal context of the school.

a. Political, Economic, Social and Legal Environment

Excellent Above Average Average Below Average No Opportunity to Observe

3. Iowa Standards: Performance

Now you are asked to rate PERFORMANCE on the same six standards.

3.1. PERFORMANCE This person has performed well in developing, articulating, implementing a vision of learning in the school community.

a. Vision of Learning

Excellent Above Average Average Below Average No Opportunity to Observe

3.2. PERFORMANCE: This person has performed as an advocate, nurturer and sustainer of an instructional program conducive to student learning.

a. Instructional program

Excellent Above Average Average Below Average No Opportunity to Observe

3.3. PERFORMANCE This person has demonstrated successful management of the organization and its resources to achieve a safe, efficient and effective learning environment.

a. Management

Excellent Above Average Average Below Average No Opportunity to Observe

3.4. PERFORMANCE This person has proved to be a collaborator with families and communities and responds well to diverse community needs.

a. Collaboration

Excellent Above Average Average Below Average No Opportunity to Observe

3.5. PERFORMANCE This person has consistently proved to act with intergity, fairness and in an ethical manner

a. Integrity

Excellent Above Average Average Below Average No Opportunity to Observe

3.6. PERFORMANCE This person has demonstrated an understanding and responsiveness towards the political, social, economic and legal context of the school.

a. Political, Economic, Social and Legal Environment

Excellent Above Average Average Below Average No Opportunity to Observe

4. Iowa Standards: Knowledge

Would you now rate in terms of KNOWLEDGE on the same six standards

4.1. KNOWLEDGE This person has knowledge about the development, articulation, implementation, and stewardship of a vision of learning that is supported by the school community.

a. Vision of Learning

Excellent Above Average Average Below Average No Opportunity to Observe

4.2. KNOWLEDGE The person knows how to be an advocate, nurturer and sustainer of an instructional program conducive to student learning.

a. Instructional program

Excellent Above Average Average Below Average No Opportunity to Observe

4.3. KNOWLEDGE This person has knowledge about the organization and its resources to achieve a safe, efficient and effective learning environment.

a. Management

Excellent Above Average Average Below Average No Opportunity to Observe

4.4. KNOWLEDGE This person knows how to collaboarte with families and community and how to respond well to diverse needs.

a. Collaboration

Excellent Above Average Average Below Average No Opportunity to Observe

4.5. KNOWLEDGE This person knows what it means to act with intergirty, fairness and in an ethical manner

a. Integrity

Excellent Above Average Average Below Average No Opportunity to Observe

4.6. KNOWLEDGE This person has knowledge of and responds well to the political, social, economic and legal context of the school

a. Political, Economic, Social and Legal Environment

Excellent Above Average Average Below Average No Opportunity to Observe

5. Current Overall Assessment

5.1. How would you evaluate this person's CURRENT leadership skills?

Excellent Above Average Average Below Average No Opportunity to Observe

6. Future Overall Assessment

6.1. How would you evaluate this person's POTENTIAL for leadership?

Excellent Above Average Average Below Average No Opportunity to Observe

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Signature:_________________________________________________ Date:_____________________