Common use of Collegiality Clause in Contracts

Collegiality. The School Nurse interacts with and contributes to the professional development of peers and school personnel as colleagues. Standard V. Ethics The School Nurse's decisions and actions on behalf of clients are determined in an ethical manner. Standard VI. Collaboration The School Nurse collaborates with the student, family, school staff, community, and other providers in providing student care. Standard VII. Research The School Nurse promotes use of research findings in school nursing practice. Standard VIII. Resource Utilization The School Nurse considers factors related to safety, effectiveness, and cost when planning and delivering care. Standard IX. Communication The School Nurse uses effective written, verbal, and nonverbal communication skills. Standard X. Program Management The School Nurse manages school health services. Standard XI. Health Education The School Nurse assists students, families, the school staff, and community to achieve optimal levels of wellness through appropriately designed and delivered health education. XXXXXXXX X0 XXXXXX UNFIED SCHOOL DISTRICT SCHOOL NURSE EVALUATION REPORT NURSE: _ ____ ___ ___ EVALUATOR: ___ ___ ___ SCHOOL YEAR: PERSONNEL STATUS: [] Temporary [] Probationary 1 [] Probationary 2 [] Permanent Highly Effective Proficient Developing Unsatisfactory This level is reserved for truly outstanding nurses that meets very demanding criteria and exceeds standards. Areas for growth will be identified Professional performance meets standard. Areas for growth will be identified. Nurses are not expected to remain at this level; performance has standard(s) which must be addressed. *if indicated below, a professional support plan will be implemented to meet standards Performance is clearly unacceptable, does not meet standards, and need to be improved. Re-evaluation and professional support plan are required STANDARDS OF SCHOOL NURSING PRACTICE RATING Standards 1 & 2: Assessment and Diagnosis  Utilizes student health findings and data collection related to the learning process to identify student health needs utilizing emergency cards, health screenings results, medical exams, physician orders, etc.  Identifies and follows standards of care regarding communicable disease and infection control.  Reviews documentation of student diagnosis and collaborates with parents, medical providers and staff for health care services at school using health forms, current research and clinical judgement.  Identifies at risk students and provides referrals to appropriate providers. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 3, 4, & 5: Planning, Implementation, Outcome Identification, Coordination of Care, Consultation, Health Teaching and Promotion  Develops Medical IEP/Emergency Plans to improved health and education outcomes.  Consults with family, staff, and medical providers for necessary changes.  Trains unlicensed personnel (Health Clerks, School Age Care, and Teaching Staff) in first aid and direct care.  Manages mandated health screenings in a timely manner, ensures documentation of results into Aeries and provides referrals.  Provides health education for individuals/groups as needed.  Incorporates IEP into student’s educational day and after school activities.  Responds to health care issues by providing counseling and crisis intervention in areas such as teen pregnancy, substance abuse and emotional crisis. Refers or consults with appropriate personnel. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standard 6: Evaluation  Evaluates effectiveness and amends IHP/Emergency Plan through periodic follow up with family, staff and providers.  Maintains ongoing updated documentation in Aeries and provides written reports as needed. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards STANDARDS OF PROFESSIONAL PERFORMANCE Standards 7 &12: Ethics and Leadership  Models personal and professional integrity and accountability. Upholds confidentiality within legal parameters.  Is culturally competent and demonstrates caring, kindness and respects into nursing practice.  Incorporates the vision and goals of BUSD when planning health care needs for students.  Demonstrates leadership abilities [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 8 & 9: Education And Research  Is currently a Credentialed School Nurse or is working toward a School Nurse Credential.  Maintains all state requirements related to licensure and continued educational requirements.  Participates by membership in professional organization and participates in ongoing educational activities related to professional growth and education.  Attends professional conference at least once every two years and incorporates evidenced based research into practice.  Shares ideas with peers and incorporates into own practice. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 10, 14, & 17: Professionalism, Quality of Practice and Program Management  Maintains appearance and demeanor that sets an appropriate example for students and the community.  Is dependable, punctual and reliable.  Can work independently to set time schedules, set priorities and set goals.  Completes tasks in a timely manner.  Follow directions and uses good judgment in making decisions related to the care of the student.  Demonstrates initiative and enthusiasm in the quality of works accomplished, Asks for assistance or clarification when needed.  Demonstrates computer skills on district programs, utilizes Aeries, internet research and emails.  Demonstrates knowledge, competency and understanding of all phases of the school nurse role. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 11 & 13: Communication and Collaboration  Works in collaboration with peers, administration and staff.  Is readily available by phone when on duty.  Seeks continuous improvement of own communication and conflict resolution skills.  Demonstrates proper respect when working with students, staff and parents.  Demonstrates loyalty to supervisor, the organization and BUSD goals and mission.  Acts as a liaison between the student, family, school and community. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 15 & 16: Resource Utilization and Environmental Health  Uses resources found within BUSD and within the community. Takes initiative to think beyond limitations.  Understands and follows BUSD Blood-borne Pathogen Exposure Control Plan.  Identifies areas of concerns regarding environmental health issues related to student and staff health.  Manages and reports communicable diseases following standards by country standards.  Understands immunizations laws, implementation and vaccine compliance. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Commendations and Recommendations Commendations: Recommendations: Professional Support Plan (Appendix K4): NOT APPLICABLE *ATTACHED *Requires explanation (SSNP) to be addressed: [] (Nurse’s initials) I have received a copy of the evaluation report and discussed the contents with my administrative supervisor. I understand that I have the right to submit a rebuttal that will be attached to this document. Nurse’s Signature: Date: Administrators’ Signature: Date: Next Anticipated Evaluation School Year TO BE COMPLETED NO LATER THAN THIRTY (30) DAYS BEFORE LAST SCHOOL DAY Observation and Conference Report(s) must be attached Original to Personnel File Revised 5/9/19

Collegiality. The School Nurse interacts with and contributes to the professional development of peers and school personnel as colleagues. Standard V. Ethics The School Nurse's decisions and actions on behalf of clients are determined in an ethical manner. Standard VI. Collaboration The School Nurse collaborates with the student, family, school staff, community, and other providers in providing student care. Standard VII. Research The School Nurse promotes use of research findings in school nursing practice. Standard VIII. Resource Utilization The School Nurse considers factors related to safety, effectiveness, and cost when planning and delivering care. Standard IX. Communication The School Nurse uses effective written, verbal, and nonverbal communication skills. Standard X. Program Management The School Nurse manages school health services. Standard XI. Health Education The School Nurse assists students, families, the school staff, and community to achieve optimal levels of wellness through appropriately designed and delivered health education. XXXXXXXX X0 APPENDIX G8 XXXXXX UNFIED SCHOOL DISTRICT SCHOOL NURSE EVALUATION REPORT NURSE: _ ____ ___ ___ EVALUATOR: ___ ___ ___ SCHOOL YEAR: PERSONNEL STATUS: [] Temporary [] Probationary 1 [] Probationary 2 [] Permanent Highly Effective Proficient Developing Unsatisfactory This level is reserved for truly outstanding nurses that meets very demanding criteria and exceeds standards. Areas for growth will be identified Professional performance meets standard. Areas for growth will be identified. Nurses are not expected to remain at this level; performance has standard(s) which must be addressed. *if indicated below, a professional support plan will be implemented to meet standards Performance is clearly unacceptable, does not meet standards, and need to be improved. Re-evaluation and professional support plan are required STANDARDS OF SCHOOL NURSING PRACTICE RATING Standards Standard 1 & 2: Assessment and Diagnosis  Utilizes student health findings and data collection related to the learning process to identify student health needs utilizing emergency cards, health screenings results, medical exams, physician orders, etc.  Identifies and follows standards of care regarding careregarding communicable disease and infection control.  Reviews documentation of student diagnosis and collaborates with parents, medical providers and staff for health care services at school using health forms, current research and clinical judgement.  Identifies at risk students and provides referrals to appropriate providers. [] Highly Effective [] Proficient [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards Identifies at risk students and provides referrals to appropriate providers. Standard 3, 4, & 5: Planning, Implementation, Outcome Identification, Coordination of Care, Consultation, Health Teaching and Promotion  • Develops Medical IEP/Emergency Plans to improved health and education outcomes.  • Consults with family, staff, and medical providers for necessary changes.  • Trains unlicensed personnel (Health Clerks, School Age Care, and Teaching Staff) in first aid and direct care.  • Manages mandated health screenings in a timely manner, ensures documentation of results into Aeries and provides referrals.  • Provides health education for individuals/groups as needed.  • Incorporates IEP into student’s educational day and after school activities.  • Responds to health care issues by providing counseling and crisis intervention in areas such as teen pregnancy, substance abuse and emotional crisis. Refers or consults with appropriate personnel. [] Highly Effective [] Proficient [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standard 6: Evaluation  • Evaluates effectiveness and amends IHP/Emergency Plan through periodic follow up with family, staff and providers.  • Maintains ongoing updated documentation in Aeries and provides written reports as needed. [] Highly Effective [] Proficient [] Effective [] Developing [] *Professional Support Plan Needed STANDARDS OF PROFESSIONAL PERFORMANCE STANDARD 7 &11: ETHICS AND LEADERSHIP • Models personal and professional integrity and accountability. Upholds confidentiality within legal parameters. • Is culturally competent and demonstrates caring, kindness and respects into nursing practice. • Incorporates the vision and goals of BUSD when planning health care needs for students. • Demonstrates leadership abilities [] Highly Effective [] Proficient [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards STANDARDS OF PROFESSIONAL PERFORMANCE Standards 7 &12STANDARD 8 & 9: Ethics EDUCATION AND RESEARCH Is currently a Credentialed School Nurse or is working toward a School Nurse Credential. Maintains all state requirements related to licensure and Leadership  Models personal and professional integrity and accountabilitycontinued educational requirements. Upholds confidentiality within legal parameters.  Is culturally competent and demonstrates caring, kindness and respects into nursing practice.  Incorporates the vision and goals of BUSD when planning health care needs for students.  Demonstrates leadership abilities [] Highly Effective [] Proficient [] Effective [] Developing [] *Professional Support Plan Needed Participates by membership in professional organization and participates in ongoing educational activities related to professional growth and education. Attends professional conference at least once every two years and incorporates evidenced based research into practice. [] Unsatisfactory/ Does Not Meet Standards Shares ideas with peers and incorporates into own practice. STANDARDS 10, 14, & 17: PROFESSIONALISM, [] Highly Effective [] Proficient QUALITY OF PRACTICE AND PROGRAM [] Effective [] Developing MANAGEMENT Maintains appearance and demeanor that sets an appropriate example for students and the community. Is dependable, punctual and reliable. [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Can work independently to set time schedules, set priorities and set goals. Completes tasks in a timely manner. Follow directions and uses good judgment in making decisions related to the care of the student. Demonstrates initiative and enthusiasm in the quality of works accomplished, Asks for assistance or clarification when needed. Demonstrates computer skills district programs, utilizes Aeries, internet research and emails. Demonstrates knowledge, competency and understanding of all phases of the school nurse role. STANDARD 11 AND 13: COMMUNICATION AND COLLABORATION • Works in collaboration with xxxxx, administration and staff. • Is readily available by phone when on duty. • Seeks continuous improvement of own communication and conflict resolutionskills. • Demonstrates proper respect when working with students, staff and parents. • Demonstrates loyalty to supervisor, the organization and BUSD goals and mission. • Acts as a liaison between the student, family, school and community. [] Highly Effective [] Proficient [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 8 & 9STANDARD 15 AND 16: Education And Research  Is currently a Credentialed School Nurse or is working toward a School Nurse Credential.  Maintains all state requirements related to licensure and continued educational requirements.  Participates by membership in professional organization and participates in ongoing educational activities related to professional growth and education.  Attends professional conference at least once every two years and incorporates evidenced based research into practice.  Shares ideas with peers and incorporates into own practice. RESOURCE UTILIZATION [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 10, 14, & 17: Professionalism, Quality of Practice and Program Management  Maintains appearance and demeanor that sets an appropriate example for students and the community.  Is dependable, punctual and reliable.  Can work independently to set time schedules, set priorities and set goals.  Completes tasks in a timely manner.  Follow directions and uses good judgment in making decisions related to the care of the student.  Demonstrates initiative and enthusiasm in the quality of works accomplished, Asks for assistance or clarification when needed.  Demonstrates computer skills on district programs, utilizes Aeries, internet research and emails.  Demonstrates knowledge, competency and understanding of all phases of the school nurse role. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 11 & 13: Communication and Collaboration  Works in collaboration with peers, administration and staff.  Is readily available by phone when on duty.  Seeks continuous improvement of own communication and conflict resolution skills.  Demonstrates proper respect when working with students, staff and parents.  Demonstrates loyalty to supervisor, the organization and BUSD goals and mission.  Acts as a liaison between the student, family, school and community. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Standards 15 & 16: Resource Utilization and Environmental Health  Proficient AND ENVIRONMENTAL HEALTH Uses resources found within BUSD and within the community. Takes initiative to think beyond limitations.  [] Effective [] Developing [] *Professional Support Plan Needed Understands and follows BUSD Blood-borne Pathogen Exposure Control Plan.  Identifies areas of concerns regarding environmental health issues related to student and staff health.  Manages and reports communicable diseases following standards by country standards.  [] Unsatisfactory/ Does Not Meet Standards Understands immunizations laws, implementation and vaccine compliance. [] Highly Effective [] Effective [] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards Commendations and Recommendations Commendations: Recommendations: Professional Support Plan (Appendix K4): NOT APPLICABLE *ATTACHED *Requires explanation (SSNPSPSNP) to be addressed: [] (Nurse’s initials) I have received a copy of the evaluation report and discussed the contents with my administrative supervisor. I understand that I have the right to submit a rebuttal that will be attached to this document. Nurse’s Signature: Date: Administrators’ Signature: Date: Next Anticipated Evaluation School Year TO BE COMPLETED NO LATER THAN THIRTY (30) DAYS BEFORE LAST SCHOOL DAY Observation and Conference Report(s) must be attached Original to Personnel File Revised 5/9/192/25/19 APPENDIX G9 Notice XXXXXX UNIFIED SCHOOL DISTRICT School TO: FROM: DATE: SUBJECT: Return to Evaluation Cycle Notice Pursuant to Article 4.2 of the BUSD and BUTA contract, you are being notified that you are being placed back on the evaluation cycle for the school year. Areas of improvement include: Check all that apply □ Engaging and Supporting All Students in Learning □ Creating and Maintaining Effective Environments for Student Learning □ Understanding and Organizing Subject Matter for Studentlearning □ Planning Instruction and Designing Learning Experiences for All Students □ Assessing Students for Learning □ Developing as a Professional Educator Principal Date _ Certificated Employee Date Student Progress Is Our Business APPENDIX H CLASS COVERAGE (For Payment) Date Period Teacher Needing Coverage Teacher Covering Class Reason (SL, PN, SB, etc.) Account Number for Non-PN / Non-SL Approved: Principal Date

Collegiality. The School Nurse interacts with and contributes to the professional development of peers and school personnel as colleagues. Standard V. Ethics The School Nurse's decisions and actions on behalf of clients are determined in an ethical manner. Standard VI. Collaboration The School Nurse collaborates with the student, family, school staff, community, and other providers in providing student care. Standard VII. Research The School Nurse promotes use of research findings in school nursing practice. Standard VIII. Resource Utilization The School Nurse considers factors related to safety, effectiveness, and cost when planning and delivering care. Standard IX. Communication The School Nurse uses effective written, verbal, and nonverbal communication skills. Standard X. Program Management The School Nurse manages school health services. Standard XI. Health Education The School Nurse assists students, families, the school staff, and community to achieve optimal levels of wellness through appropriately designed and delivered health education. XXXXXXXX X0 APPENDIX G8 XXXXXX UNFIED SCHOOL DISTRICT SCHOOL NURSE EVALUATION REPORT NURSE: _ ____ ___ ___ EVALUATOR: ___ ___ ___ SCHOOL YEAR: PERSONNEL STATUS: [] Temporary [] Probationary 1 [] Probationary 2 [] Permanent Highly Effective Proficient Developing Unsatisfactory This level is reserved for truly outstanding nurses that meets very demanding criteria and exceeds standards. Areas for growth will be identified Professional performance meets standard. Areas for growth will be identified. Nurses are not expected to remain at this level; performance has standard(s) which must be addressed. *if indicated below, a professional support plan will be implemented to meet standards Performance is clearly unacceptable, does not meet standards, and need to be improved. Re-evaluation and professional support plan are required STANDARDS OF SCHOOL NURSING PRACTICE NURSINGPRACTICE RATING Standards Standard 1 & 2: Assessment and Diagnosis  ❑ Utilizes student health findings and data collection related to the learning process to identify student health needs utilizing emergency cards, health screenings results, medical exams, physician orders, etc.  ❑ Identifies and follows standards of care regarding communicable disease and infection control.  ❑ Reviews documentation of student diagnosis and collaborates with parents, medical providers and staff for health care services at school using health forms, current research and clinical judgement.  ❑ Identifies at risk students and provides referrals to appropriate providers. [[ ] Highly Effective [[ ] Proficient[ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Standards Standard 3, 4, & 5: Planning, Implementation, Outcome Identification, Coordination of Care, Consultation, Health Teaching and Promotion  • Develops Medical IEP/Emergency Plans to improved health and education outcomes.  • Consults with family, staff, and medical providers for necessary changes.  • Trains unlicensed personnel (Health Clerks, School Age Care, and Teaching Staff) in first aid and direct care.  • Manages mandated health screenings in a timely manner, ensures documentation of results into Aeries and provides referrals.  • Provides health education for individuals/groups as needed.  • Incorporates IEP into student’s educational day and after school activities.  • Responds to health care issues by providing counseling and crisis intervention in areas such as teen pregnancy, substance abuse and emotional crisis. Refers or consults with appropriate personnel. [[ ] Highly Effective [[ ] Proficient[ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Standard 6: Evaluation  ❑ Evaluates effectiveness and amends IHP/Emergency Plan through periodic follow up with family, staff and providers.  ❑ Maintains ongoing updated documentation in Aeries and provides written reports as needed. [[ ] Highly Effective [[ ] Proficient [ ] Effective [[ ] Developing [] *Professional Support Plan Needed [] Unsatisfactory/ Does Not Meet Standards STANDARDS OF PROFESSIONAL PERFORMANCE Standards STANDARD 7 &1211: Ethics and Leadership  ETHICS AND LEADERSHIP • Models personal and professional integrity and accountability. Upholds confidentiality within legal parameters.  • Is culturally competent and demonstrates caring, kindness and respects into nursing practice.  • Incorporates the vision and goals of BUSD when planning health care needs for students.  • Demonstrates leadership abilities [[ ] Highly Effective [[ ] Proficient [ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Standards STANDARD 8 & 9: Education And Research  EDUCATION AND RESEARCH • Is currently a Credentialed School Nurse or is working toward a School Nurse Credential.  • Maintains all state requirements related to licensure and continued educational requirements.  • Participates by membership in professional organization and participates in ongoing educational activities related to professional growth and education.  • Attends professional conference at least once every two years and incorporates evidenced based research into practice.  • Shares ideas with peers and incorporates into own practice. [[ ] Highly Effective [[ ] Proficient [ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Standards STANDARDS 10, 14, & 17: ProfessionalismPROFESSIONALISM, Quality of Practice and Program Management  QUALITY OF PRACTICE AND PROGRAM MANAGEMENT • Maintains appearance and demeanor that sets an appropriate example for students and the community.  • Is dependable, punctual and reliable.  • Can work independently to set time schedules, set priorities and set goals.  • Completes tasks in a timely manner.  • Follow directions and uses good judgment in making decisions related to the care of the student.  • Demonstrates initiative and enthusiasm in the quality of works accomplished, Asks for assistance or clarification when needed.  • Demonstrates computer skills on district programs, utilizes Aeries, internet research and emails.  • Demonstrates knowledge, competency and understanding of all phases of the school nurse role. [[ ] Highly Effective [[ ] Proficient [ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Standards STANDARD 11 & AND 13: Communication and Collaboration  COMMUNICATION AND COLLABORATION ❑ Works in collaboration with peersxxxxx, administration and staff.  ❑ Is readily available by phone when on duty.  ❑ Seeks continuous improvement of own communication and conflict resolution skills.  ❑ Demonstrates proper respect when working with students, staff and parents.  ❑ Demonstrates loyalty to supervisor, the organization and BUSD goals and mission.  ❑ Acts as a liaison between the student, family, school and community. [[ ] Highly Effective [[ ] Proficient [ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Standards STANDARD 15 & AND 16: Resource Utilization and Environmental Health  RESOURCE UTILIZATION AND ENVIRONMENTAL HEALTH • Uses resources found within BUSD and within the community. Takes initiative to think beyond limitations.  • Understands and follows BUSD Blood-Blood- borne Pathogen Exposure Control Plan.  • Identifies areas of concerns regarding environmental health issues related to student and staff health.  • Manages and reports communicable diseases following standards by country standards.  • Understands immunizations laws, implementation and vaccine compliance. [[ ] Highly Effective [[ ] Proficient [ ] Effective [[ ] Developing [[ ] *Professional Support Plan Needed [[ ] Unsatisfactory/ Does Not Meet Standards Commendations and Recommendations Commendations: Recommendations: Professional Support Plan (Appendix K4G4): NOT APPLICABLE *ATTACHED *Requires explanation (SSNPSPSNP) to be addressed: [[ ] (Nurse’s initials) I have received a copy of the evaluation report and discussed the contents with my administrative supervisor. I understand that I have the right to submit a rebuttal that will be attached to this document. Nurse’s Signature: Date: Administrators’ Signature: Date: Next Anticipated Evaluation School Year TO BE COMPLETED NO LATER THAN THIRTY (30) DAYS BEFORE LAST SCHOOL DAY Observation and Conference Report(s) must be attached Original to Personnel File Revised 5/9/192/25/19 APPENDIX G9 Notice XXXXXX UNIFIED SCHOOL DISTRICT School TO: FROM: DATE: SUBJECT: Return to Evaluation Cycle Notice Pursuant to Article 4.2 of the BUSD and BUTA contract, you are being notified that you are being placed back on the evaluation cycle for the school year. Areas of improvement include: Check all that apply □ Engaging and Supporting All Students in Learning □ Creating and Maintaining Effective Environments for Student Learning □ Understanding and Organizing Subject Matter for Student learning □ Planning Instruction and Designing Learning Experiences for All Students □ Assessing Students for Learning □ Developing as a Professional Educator Principal Date Certificated Employee Date APPENDIX H CLASS COVERAGE (For Payment) Date Period Teacher Needing Coverage Teacher Covering Class Reason (SL, PN, SB, etc.) Account Number for Non-PN / Non-SL Approved: Principal Date