Entry 3 COVER SHEET PLACE CANDIDATE I.D. BARCODE LABEL HERE

Transcripción

1 Entry 3 COVER SHEET PLACE CANDIDATE I.D. BARCODE LABEL HERE

2 Contextual INFORMATION This form asks you to describe the broader context in which you teach. If you teach in only one school, please complete this form once, make copies of it, and attach one copy to each of your entry responses, directly following each entry s cover sheet. If you teach in different schools that have different characteristics, and your entries feature students from more than one school, please complete this form for each school. Make copies of each different completed form and attach to each entry the form that applies to it. NOTE You are asked in each entry to provide specific information about the students in the class you feature in the entry. This is in addition to the information requested here. Please print clearly or type. (If you type, you may use single-space the text using 12 point Times New Roman.) Limit your responses to the spaces provided below. For clarity, please avoid the use of acronyms. 1. Briefly identify: The type of school/program in which you teach, and the grade/subject configuration (single grade, departmentalized, interdisciplinary teams, etc.). The grade(s), age levels, courses, number of students taught daily, and the average number in each class: Grades Age Levels Number of Students Average Number of Students in Each Class Courses 2. What information about your teaching context do you believe would be important for assessors to know to understand your portfolio entries? Be brief and specific. NOTE You might include details of any state or district mandates, information regarding the type of community, and access to current technology.

3 Written Commentary COVER SHEET CANDIDATE I.D.

4 Activity Description COVER SHEET Do not write or type on this cover sheet. Your responses to the requests contained in the box below must be typed on one separate sheet of 8.5" x 11" paper using 12 point Times New Roman font and double spacing. Your responses must fit on that one sheet. Place your typed page directly behind this cover sheet. 1. Describe the purpose and goals of the demonstration lesson. What did you do? What did the students do? 2. Give a brief description of the instructional materials (supporting materials) that you have attached. Attach to this cover sheet: Your typed response to the above (1 page maximum). Instructional materials related to this activity (6 pages maximum). Cover sheets do not count toward page limits. 45_EAYA/CTE

5 Entry 3 CLASSROOM LAYOUT FORM (For Informational Purposes Only.) Please make a sketch of the physical layout of the classroom (i.e., setting in which the instruction took place) as it appears in the video recording. This sketch will provide assessors with a context for the video since the camera cannot capture the whole instruction area at once. It is helpful to assessors for you to identify where particular students are located in the room by using the same student identifiers that you refer to in your Written Commentary (e.g., the girl in the green sweater ). The sketch will not be scored.

6 Entry 3 Assembly FINAL INVENTORY Materials must be checked off and assembled in the following sequence. Use paperclips only, as shown below. ENTRY 3 COVER SHEET Contextual Information Sheet WRITTEN COMMENTARY COVER SHEET Written Commentary (11 pages maximum) ACTIVITY DESCRIPTION COVER SHEET Activity Description (1 page maximum) Instructional Materials (6 pages maximum) Classroom Layout Form Photocopy of Government-Issued Photo ID Video (20 minutes maximum) ENVELOPE WITH ENTRY 3 LABEL By my signature below, I affirm that all of the above checked components are included in the materials I am submitting to NBPTS, and that all materials have been selected from my own classes and students I teach.! Signature: Date: 45_EAYA/CTE After assembling your entry and checking off the components on this form, PLACE THIS SHEET ONLY IN THE FORMS ENVELOPE.

7 Entry 3 CANDIDATE RELEASE FORM (To be completed by NBPTS candidates) Re: Permission to Use Teacher Materials and Image in Video Recordings As a participant in the certification assessment being conducted by the National Board for Professional Teaching Standards (NBPTS), I grant permission to NBPTS or any of its employees or authorized agents to assess video recordings of me and of my students as I teach a class. I understand and agree that NBPTS or its agents will use the video recording(s) that contains my performance or image in assessing my practice for the purposes of the certification assessment. As part of this project, I may submit classroom plans, assignments, and comments. I hereby grant permission to NBPTS to use these teacher materials and understand that no student last names will appear on any materials that I submit. I understand that NBPTS, at its sole discretion, may use and distribute my video recording(s), my comments and my classroom materials for assessment, professional development and research purposes, and any other purpose NBPTS deems appropriate to further the mission of the organization, and that the video recording(s) and materials, and all copies thereof, shall constitute the sole property of NBPTS. I understand that NBPTS will request additional permission for any other purposes. Candidate Signature: Date: Candidate Name: Home Address: School/Institution:

8 Entry 3 NOTES FOR VIDEOCAMERA OPERATION (To be given to the person assisting you by operating the videocamera.) In order to assist you when you are filming the lesson, you should also refer to Video Recording Overview in Get Started. The video recording you are making must: reveal how you facilitate teamwork skills and attitudes; show you interacting and discussing with students who are engaged in teamwork activities; focus on your interactions with the teams of students as well as on student-student interactions; be taken from an angle that includes as many of the faces of the students in the class as possible. The video may show the other students in the class, but it should focus primarily on your interactions with the two teams of students; and have sound quality that enables assessors to understand all of what you say and most of what students say. Stopping and restarting the camera or the sound during recording will be regarded as editing and will make the video unscorable. The video must contain no graphics (e.g., titles) or special effects (e.g., fade in/fade out). It must be on a new, blank, standard VHS videotape cartridge. Do not submit miniature or adapted formats, such as VHS-C, Super VHS, or HI-8. If you are planning to submit video evidence in digital format, refer to the instructions included in your Portfolio Kit for DVD specifications and submittal requirements. 45_EAYA/CTE

9 Student and Adult Release Forms COVER SHEET! DO NOT SUBMIT the Student and Adult Release Forms or this cover sheet with your entry. Retain the forms for your records.

10 STUDENT RELEASE FORM Dear Parent/Guardian: (to be completed either by the parents/legal guardians of minor students involved in this project, or by students who are more than 18 years of age that are involved in this project) I am a participant this school year in an assessment to certify experienced teachers as outstanding practitioners in teaching. My participation in this assessment, which is being conducted by the National Board for Professional Teaching Standards, is voluntary. The primary purposes of this assessment are to enhance student learning and encourage excellence in teaching. This project requires that short video recordings of lessons taught in your child s class be submitted. Although the video recordings involve both the teacher and various students, the primary focus is on the teacher s instruction, not on the students in the class. In the course of recording, your child may appear on the video. Also, at times during the year, I may be asked to submit samples of student work as evidence of teaching practice, and that work may include some of your child s work. No student s last name will appear on any materials that are submitted. NBPTS, at its sole discretion, may use and distribute my video recording(s), my comments and my classroom materials for assessment, professional development and research purposes, and any other purpose NBPTS deems appropriate to further the mission of the organization. The form below will be used to document your permission for these activities. Sincerely, (Candidate Signature) Permission Slip Student Name: School/Teacher: Your Address: PARENT / GUARDIAN I am the parent/legal guardian of the child named above. I have received and read your letter regarding a teacher assessment being conducted by the National Board for Professional Teaching Standards (NBPTS), and agree to the following: I DO give permission to you to include my child s image on video as he or she participates in a class conducted at (Name of School) by (Teacher s Name) and/or to reproduce materials that my child may produce as part of classroom activities. No last names will appear on any materials submitted by the teacher. I DO NOT give permission to video my child or to reproduce materials that my child may produce as part of classroom activities. Signature of Parent or Guardian: Date: STUDENT I am the student named above and am more than 18 years of age. I have read and understand the project description given above. I understand that my performance is not being evaluated by this project and that my last name will not appear on any materials that may be submitted. I DO give permission to you to include my image on video as I participate in this class and/or to reproduce materials that I may produce as part of classroom activities. I DO NOT give permission to video me or to reproduce materials that I may produce as part of classroom activities. Signature of Student: Date: Date of Birth: / / MM DD YY

11 FORMULARIO DE AUTORIZACIÓN (Para ser completado por padres o guardianes legales de estudiantes menores que participen en este proyecto, o por estudiantes mayores de 18 años que participen en este proyecto) Estimados Padres/Guardianes: Este año escolar soy uno de los participantes en una evaluación para certificar a maestros con experiencia como educadores sobresalientes. Mi participación en esta evaluación, llevado a cabo por el National Board for Professional Teaching Standards (Comité de Normas Profesionales para la Enseñanza), es voluntaria. Los propósitos principales de esta evaluación son mejorar el aprendizaje de los alumnos y fomentar la excelencia en la enseñanza. Este proyecto requiere que yo exhiba videos de las lecciones que doy en el grupo de su hijo(a). Aunque en los videos aparecen el maestro y sus estudiantes, la atención se centra en el maestro y su manera de dar clase, no en los estudiantes. Al grabar mi clase, su hijo(a) podría aparecer en el video. También, durante el año, se le puede requerir al maestro que exhiba muestras del trabajo de sus estudiantes como evidencia de su práctica docente. El trabajo de su hijo(a) podría ser incluido en esas muestras. Los apellidos de los estudiantes no aparecerán en los materiales que se exhiban. El NBPTS, a su entera discreción, puede usar y distribuir mis videograbaciones, mis comentarios y mis materiales del salón de clase con propósitos de evaluación, desarrollo profesional e investigación, y para cualquier otro propósito que NBPTS considere apropiado para cumplir con la misión de la organización. El formulario siguiente será utilizado para documentar su permiso para estas actividades. Atentamente, Firma del (de la) maestro(a) Autorización Nombre del estudiante: Escuela/Maestro(a): Domicilio: EL PADRE/MADRE/GUARDIÁN Soy el padre/madre/guardián legal del niño/niña mencionado/a arriba. He recibido y leído su carta acerca de una evaluación para maestros que está siendo conducida en nombre del National Board for Professional Teaching Standards (NBPTS), y estoy de acuerdo con lo siguiente: (Por favor marque abajo en el cuadro correspondiente) SÍ, autorizo que se incluya la imagen de mi hijo/hija en videograbaciones cuando participa en una clase conducida en (Nombre de la escuela) por (Nombre del maestro/de la maestra) y a que se reproduzcan materiales de trabajo que mi hijo/hija pueda producir como parte de las actividades de clase. No aparecerán apellidos en ninguno de los materiales presentados por el maestro/la maestra. NO, no autorizo que se incluya a mi hijo/hija en videograbaciones ni que se reproduzcan materiales que mi hijo/hija pueda producir como parte de las actividades de clase. Firma del padre, madre o guardian: Fecha: EL ESTUDIANTE Soy el estudiante arriba mencionado y tengo más de 18 años de edad. He leído y entendido la descripción del proyecto mencionado arriba. Entiendo que mi desempeño no será evaluado en este proyecto y que mi apellido no se mencionará en ninguno de los materiales que puedan ser presentados. (Por favor marque abajo en el cuadro correspondiente) SÍ, autorizo a que se incluya mi imagen en videograbaciones cuando participo en esta clase y a que se reproduzcan materiales de trabajo que pueda producir como parte de las actividades de clase. NO, no autorizo a que se me incluya en videograbaciones o a que se reproduzcan materiales que pueda producir como parte de de las actividades de clase. Firma del estudiante: Fecha: Fecha de nacimiento: / / Mes Dia Ano

12 ADULT RELEASE FORM (to be completed by non-students involved in this project) Dear Sir or Madam: I am a participant this school year in an assessment to certify experienced teachers as outstanding practitioners in teaching. My participation in this assessment, which is being conducted by the National Board for Professional Teaching Standards, is voluntary. The primary purposes of this assessment are to enhance student learning and encourage excellence in teaching. This project requires that short video recordings of lessons taught in the class be submitted. Although the video recordings involve both the teacher and various students, the primary focus is on the teacher s instruction, not on the students in the class. In the course of recording, your image may appear on the video. No last names will appear on any materials that are submitted. The form below will be used to document your permission for these activities. Sincerely, (Candidate Signature) Permission Slip Name: Address: School/Teacher: I am the person named above. I have received and read your letter regarding a teacher assessment being conducted by the National Board for Professional Teaching Standards (NBPTS), and agree to the following: I DO give permission to you to include my image on video as a participant in a class conducted PARTICIPANT at (Name of School) by (Teacher s Name) as part of classroom activities. No last names will appear on any materials submitted by the teacher. I DO NOT give permission to video my image as part of classroom activities. Signature: Date: