<p> Jones County School District Instructional Supervision Checklist</p><p>Teacher Date Subject Grade Time of Observation Drop in  Formal  Objectives Evident Lesson Plans Reviewed </p><p>Dominant Teacher Activity: Class Discussion Working w/ Individual(s) Leading in Group Center(s) Question/Answer Session Reading to Students Sitting at Desk Demonstrating/Modeling Use of Manipulatives Positive Reinforcement Administering Test Use of Audiovisual Equipment Lecture Whole Group Instruction Proximity Utilized</p><p>Primary Student Activity: Question/Answer Session Reading (Silently/Orally) Taking Test Taking Notes Individual Seat Work Technology in Use Class Discussion Group Work Instructional Games Board Work Task-Oriented</p><p>High Quality Classroom Instruction and Management Yes No Does the room arrangement support effective instruction? Yes No Is the classroom climate built upon mutual respect? Yes No Does the teacher have clear procedural routines posted? Yes No Are the students on task and engaged? Yes No Are clear expectations and learning goals established and visible in the classroom? Yes No Is it evident that the various DOK levels and Bloom’s Taxonomy are being utilized? Yes No Is instructional time maximized for student success? Yes No Does the teacher use a variety of teaching strategies to individualize instruction based on students’ needs and tier placement? Yes No Is the teacher implementing scientifically-based research strategies? Yes No Is differentiated instruction evident? Yes No Are assessments varied and appropriate with meaningful feedback? Yes No Is classroom teaching reflective of curriculum map?</p><p>Cognitive Level:  Knowledge  Comprehension  Application  Analysis  Synthesis  Evaluation</p><p>Depth of Knowledge Level:  DOK 1  DOK 2  DOK 3  DOK 4</p><p>Comments: </p><p>Teacher’s Signature Date </p><p>Principal’s Signature Date (Three-Minute Walk Through and Tier I Documentation Form – 9/08)</p>