FORM H

Winnisquam Regional School District

COMPLETION of FORM A

Staff Member:                                                                          School:

Teaching Assignment:                                                             Date:

Certification Area:

Goal # 1     2     3    4

Based on reviewing your own portfolio, fill out the following form to review with your supervisor.

1. Describe the evidence you collected and examined to demonstrate student improvement resulting from your professional development activities:

2. Summarize the student results from the analysis of your 3 years of evidence?  What did you find?  How were your students’ outcomes affected?  Have more students shown mastery of GLEs/GSEs?

3. Thinking about your goal, your professional development activities, the implementation of strategies you learned and the results of your evidence analysis where do you feel you need to expand your own learning to better meet the needs of your students?  Please reflect.