1. All professionals must submit a Form INV1.

a. Steps 2 through 7 must be completed within the first instructional eight weeks of school.
b. Late hires will complete the process within four instructional weeks from their start date.
2. Complete the top section of the form.
3. Set goals for Domains 1-4: (Domain 1 information will be entered on page 1, Domain 2 on page 2, etc.)
a. Use the components in each of the four domains to reflect on your past planning and preparation, classroom environment,
instruction, and professional responsibilities. Consider past observation results, STAAR data, benchmark data, lesson/unit
plans, assessments/rubrics and any other materials you have in your self reflection.
b. Answer the questions in the first three blocks of each page.
c. A minimum of one goal must be set for each domain.
4. Complete the 'Action Plans' section for Domains 1-4:
a. Based on the goals you have set, determine what steps you will take to accomplish them.
b. Write these steps in the 'Action Plans' block of each page.
c. In the 'Evidence of Completion' field, describe the specific evidence you will use to demonstrate you have completed the
actions.
d. Enter the date the actions will be completed in the 'Completion Date' field.
5. Submit the form with completed Goals to your administrator/appraiser for review.
The administrator/appraiser will review your submission and discuss any modifications or clarifications, if necessary, at your goal
setting and action plan conference.
6. A conference will be scheduled and held by your administrator/appraiser.
Mentors and buddies can participate in the goal setting and action plan conference.
7. Bring the completed Form INV1 to all score card meetings.
8. At the summative conference you and the administrator/appraiser will discuss the completed form.
a. The staff member and the administrator/appraiser must sign and date the completed form.
b. The administrator/appraiser will submit the form to be filed in the staff member's campus file and save the electronic version.

Page 1 of 1

June, 2015

Name of Staff Member

Name of Appraiser

Daisy Labra

Ricardo Pequeno

Date Reviewed

October 1st, 2015

Assignment

School Year

2015 - 2016

6th Grade Science

DOMAIN 1
PLANNING AND PREPARATION
CURRENT STRENGTHS
What areas of knowledge or specific skills do you currently consider
to be your strengths in this domain?

Campus

Stehlik

AREAS FOR FURTHER GROWTH

What areas of knowledge or specific skills would you like to
strengthen in this domain?

1a. Demonstrating knowledge of content and pedagogy (Knowledge of content and the structure of the discipline) 1f. Designing student assessment (design of formative assessment)

GOALS:
Based on your self-assessment of current strengths and areas for further growth, including administrative input, and school or district
initiatives, what goal(s) have you identified in this domain?
This year, I will use my knowledge of 6th grade Science content to develop formal methods of assessment that are aligned with the TEKS to measure student progress.

EVIDENCE OF COMPLETED
ACTIONS:

ACTION PLANS:

Describe specific actions you will take to achieve

your goals

I will create formal and informal assesments that target 6th grade Science SMART goals (aligned to the TEKS).

June, 2015

Describe specific evidence you will use to

I will keep demonstrate
a binder monitoring
progress
student achievement
with examples of
you
haveofcompleted
the
assessments.
actions

Page 1 of 4

COMPLETION
DATE
End of 1st 9 weeks

Form INV1

GOAL SETTING and ACTION PLAN

ALDINE INDEPENDENT SCHOOL DISTRICT
DOMAIN 2
CLASSROOM ENVIRONMENT
CURRENT STRENGTHS
What areas of knowledge or specific skills do you currently consider
to be your strengths in this domain?
2a. Creating an environment of respect and rapport (teacher interaction with students)

AREAS FOR FURTHER GROWTH

What areas of knowledge or specific skills would you like to
strengthen in this domain?
2c. Managing classroom procedures (management of transitions)

GOALS:
Based on your self-assessment of current strengths and areas for further growth, including administrative input, and school or district
initiatives, what goal(s) have you identified in this domain?
For this school year, I will focus on reducing transition time in the lesson by using a timer.

EVIDENCE OF COMPLETED
ACTIONS:

ACTION PLANS:

Describe specific actions you will take to achieve

your goals
I will write my lesson schedule on the board along with the length of time allotted.

Describe specific evidence you will use to

demonstrate
you have completed the
Posted schedule
with time allotted
actions

COMPLETION
DATE
End of 2nd nine weeks

Page 2 of 4

June, 2015

Form INV1

GOAL SETTING and ACTION PLAN

ALDINE INDEPENDENT SCHOOL DISTRICT
DOMAIN 3
INSTRUCTION
CURRENT STRENGTHS
What areas of knowledge or specific skills do you currently consider
to be your strengths in this domain?
3a. Communicating with students (explanation of content)

AREAS FOR FURTHER GROWTH

What areas of knowledge or specific skills would you like to
strengthen in this domain?
3d. Using assessment in instruction (student self-assessment and monitoring of progress)

GOALS:
Based on your self-assessment of current strengths and areas for further growth, including administrative input, and school or district
initiatives, what goal(s) have you identified in this domain?
This year I will implement student self reflection on content from benchmark exams and use TEK aligned assessments to monitor progress.

EVIDENCE OF COMPLETED
ACTIONS:

ACTION PLANS:

Describe specific actions you will take to achieve

your goals
The students will complete metacognition forms to reflect on student strengths and areas for improvement.

June, 2015

Describe specific evidence you will use to

demonstrate
you
completed
the
Student metacognition
forms
andhave
progress
monitoring binder
actions

COMPLETION
DATE
End of the 2nd nine
weeks

Page 3 of 4

Form INV1

GOAL SETTING and ACTION PLAN

ALDINE INDEPENDENT SCHOOL DISTRICT
DOMAIN 4
PROFESSIONAL RESPONSIBILITIES
CURRENT STRENGTHS
What areas of knowledge or specific skills do you currently consider
to be your strengths in this domain?
4e. Growing and developing professionally (service to profession)

AREAS FOR FURTHER GROWTH

What areas of knowledge or specific skills would you like to
strengthen in this domain?
4c. Communicating with families (information about individual students)

GOALS:
Based on your self-assessment of current strengths and areas for further growth, including administrative input, and school or district
initiatives, what goal(s) have you identified in this domain?
This year, I will strive to make positive contact with parents and be proactive about informing them on issues that begin to arise.

ACTION PLANS:

Describe specific actions you will take to achieve

your goals
I will make contact with parents in Wednesday folders and through phone calls.

EVIDENCE OF COMPLETED
ACTIONS:

Describe specific evidence you will use to

demonstrate
you
have
the
Written contact
in Wednesday
folders
andcompleted
documentation
of phone calls in SMS.
actions

COMPLETION
DATE
December 18th

Staff Member Signature | Date

June, 2015

Appraiser Signature | Date

Page 4 of 4

Form INV1