Attachment VII - Instructor Feedback Form.pdf

INSTRUCTOR FEEDBACK FORM

AUG 2020

Instructor Name: Evaluator Name:

Signature: Signature:

Course/Lesson Title: Go:☐ No-Go:☐

Date:

Start/Stop Time:

Purpose: ☐ PERJC ☐ Annual/Semi ☐ MTS Recommendation Conducted by: ☐ Peer ☐ MTS ☐ School Chief

Rating Measures Action Required by the Instructor

Exceeds = Demonstrated mastery, could serve as a model for this component.

Consider mentoring colleagues who seek improvement.

Meets = Demonstrated competency. Seek ways to incorporate all instructor competencies.

Does not meet = Demonstrated some competency but needs improvement / Did not demonstrate at all

Focus on improving per recommendations / Seek assistance & make improvements per recommendations.

Provide detailed feedback and recommendations on various areas of the instructors performance

+ = Positive Performance ∆ = Improvement Needed

+ ∆ PLANNING & PREPARATION ☐Meets ☐Exceeds ☐Does not meet

Plans Instructional Methods and Materials (#2): Plans or modifies instruction to accommodate for students’ experiences. Personalizes lesson plan to check for understanding. Lesson plan follows logical sequence. Selects (or adapts) instructional methods, strategies, and presentation techniques to accommodate Student performance. Adapts lesson plan to accommodate different instructional settings (content still delivered as designed). Creates and publishes course agenda for students.

Prepares for Instruction (#3): Rehearses lesson plan timing with another qualified instructor. Makes available all necessary resources, supplies and reference materials to students. Confirms logistical arrangements and equipment readiness prior to class convening. Ensures environment is set up and conducive to learning. Tests equipment operation and functionality prior to class convening. Eliminates (or minimizes) internal and external distractions that prohibit learning and performance. Provides a safe and clean learning environment

Comments:

+ ∆ PROFESSIONAL FOUNDATIONS ☐Meets ☐Exceeds ☐Does not meet

Communicates Effectively (#1): Varies pitch, tone, inflection and rate of speech. Uses proper spelling, grammar, punctuation, and language that fit the students’ level of understanding. Uses hand gestures and body motions to enhance the teaching points. Uses eye contact appropriately and effectively. Maintains a comfortable distance from students. Uses pauses appropriately to allow for student reflection and comprehension.

Complies with Ethical and Legal Standards (#4): Respects student rights to confidentiality and anonymity in safeguarding personal information. Avoids conflicts of interest with the staff and students. Respects and complies with intellectual property laws.

Establishes and Maintains Professional Credibility (#5): Conforms to Coast Guard Uniform Standards (or appropriate civilian attire).

Demonstrates subject-matter expertise. Recognizes and acknowledges mistakes and provides opportunity to correct them.

+ ∆ MANAGEMENT ☐Meets ☐Exceeds ☐Does not meet

Manage an Environment that Fosters Learning and Performance (#7): Introduces oneself, co-instructors, and students at the beginning of the course (if necessary). Presents clear expectations and ground rules for learning and interaction. Addresses undesirable behavior effectively, appropriately and timely. Resolves student conflicts appropriately and timely. Manages group-paced and individual participation. Manages instructional time effectively and avoids digressions. Provides a positive learning environment for all students.

Uses Media & Technology to Enhance Learning (#10): Uses visual aids that support the objective(s) and teaching points. Uses visual aids that are simple and easy to read and understand. Incorporates the use of job aids, handouts, or other printed materials in the learning environment. Incorporates different media to appeal to all students. Establishes a contingency plan in the event media fails during instruction.

+ ∆ INSTRUCTIONAL METHODS & STRATEGIES ☐Meets ☐Exceeds ☐Does not meet

Stimulates and Sustains Learner Motivation and Engagement (#6): Matches learning outcomes (expectations) to student and course goals. Plans and deliberately uses feedback and positive reinforcement during delivery of instruction. Uses stories, analogies, and examples to gain and sustain student attention.

Demonstrates Effective Presentation / Facilitation Skills (#8): Uses a lesson plan to deliver instruction. Represents key ideas and concepts in a variety of ways. Provides examples to clarify meaning or teaching points. Involves students in presentations for discussion, questions, and reflection. Uses examples, anecdotes, stories, analogies, and humor to reinforce teaching points. Uses props and teaching aids effectively and appropriately.

Uses Instructional Methods Appropriately (#9): Implements a variety of training methods. Manages the group dynamics associated with each method. Employs training techniques appropriate to methods and training situations prescribed.

Demonstrates Effective Questioning Techniques (#11): Asks clear and relevant questions. Promptly follows up on student questions and concerns. Uses a variety of questions types and delivered at various levels. Directs and redirects questions effectively. Builds responses to questions in current (or subsequent) learning environments. Repeats, rephrases, and restructures questions from students. Provides positive reinforcement to student responses. Provides opportunity to involve all students in discussions.

Provides Clarification and Feedback (#12): Provides clear, timely, relevant, and specific feedback. Provides opportunities for students to request clarifications on teaching points. Assists students in giving and receiving feedback. Provides feedback targeted to the performance (and not the student). Promotes peer-to-peer feedback.

Promotes Retention and Transfer of Skills (#13): Encourages students to elaborate concepts and ideas. Provides opportunities to integrate new knowledge and practice new skills. Provides opportunities for reflection, review, and self-guided learning. Provides opportunities to practice in realistic settings.

+ ∆ ASSESSMENT & EVALUATION ☐Meets ☐Exceeds ☐Does not meet

Assesses Learning and Performance (#14): Communicates assessment criteria to students. Monitors individual and group performance during practice and assessment. Provides students with opportunities for self-assessment. Assesses student performance outcomes.

Provides opportunities for remediation.

INSTRUCTOR’S REACTIONS AND ACTION PLAN

FOLLOWING A MENTORING CONVERSATION WITH THE EVALUATOR, what opportunities for improvement do you intend?

Competency # Opportunities for Improvement