PLC Observation Feedback
Use this form to provide feedback after PLC observations.
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Date observed *
MM
/
DD
/
YYYY
What grade level or PLC was observed? *
If secondary, what specific content? If Elementary, what specials or other group?
Norms and Goals
Celebrations & Reflections from Admin
Data Reflection
Next Steps
Core Instruction: What do we want students to know, understand, and do?
Core Instruction: How will we know they learned it?
Core Instruction: How will we provide support to the students who need it?
Core Instruction: How will we extend the knowledge or understanding of those who get it?
Wrap-Up Section
Feedback Given to the PLC members/building:
PLC Progress
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