Plan of Assistance

A Plan of Assistance is required for Teachers/Educational Specialists or Principals or School/District Administrators who receive a rating of "Unsatisfactory" on any component of a summative or formative evaluation. Components include each of the Effective Practices, SLO/SPO's or Action Plans, Individual Professional Development Plans, and Overall Ratings.

Educator Name:	Click here to enter text.	School:	Click here to enter text.

Evaluator:	Click here to enter text.	Date:	Click here to enter text.

Component(s) rated as “Unsatisfactory”
Click here to enter text.

Performance deficiencies leading to the “Unsatisfactory” rating
Click here to enter text.

Recommendations to correct deficiencies
Click here to enter text.

4. Criteria used to assess the correction of deficiencies
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Assistance and resources to be provided
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6. Members of assistance team (if applicable)
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7. Timeline for correction of deficiencies
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8. Dates of review/evaluation
Next quarterly review on or before:	Click here to enter text.
Next summative revaluation on or before:	Click here to enter text.

My signature verifies that this Plan of Assistance has been discussed with me. I understand my signature does not necessarily indicate agreement and that I may respond in writing regarding this plan within ____ days of receipt.

Educator Signature:	___________________________________________________	Date: ___________

Evaluator Signature:	____________________________________________________	Date: ___________