Corrective Action Plan

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Optional Corrective Action Plan (CAP) Template and Sample CAP This optional Corrective Action Plan (CAP) template is a tool to help supervisors and staff members address the statutory requirements in the TEACHNJ Act while working together to create meaningful, practical, and supportive CAPs.. Demonstrable Goals Expectations Met (Y) or Not Met (N) Sources of Evidence Review Date 1 2 3 My signature below indicates that I have reviewed the information recorded in the Summative Review of CAP Progress and that I understand its contents: Staff Member s Signature: Date: Sample Corrective Action Plan (CAP) Background (provided for context in this example): Mr. Rogers, a tenured teacher, has been teaching 5 years in upper elementary grades and was assigned to teach grade 4 when this CAP was created.. Foley pages 1-2, 3-4 and 5-6 of online observation report Domain 2: Classroom Environment Components: Creating Environment of Respect and Rapport Managing Student Behavior 3 Communication with families Mr. Rogers has not communicated with families regarding the instructional program There is no process for two-way communication with families of students needing extra support No documentation of communications that staff are required to provide to Ms.. Demonstrable Goals Expectations Met (Y) or Not Met (N) Sources of Evidence Review Date 1 Develop ability to collect and use student learning evidence to differentiate instruction in mathematics N Classroom observations on 9/27/14, 12/6/14, 2/2/15, and 3/14/15 pages 1-8 of online observation report Results of SGO 1 2014-15 pre- and post-assessment Documentation of Mr. Rogers meeting with assistant principal and coach after twice observing a teacher(s) Documentation of Mr. Rogers self-reflection on learning based on interaction with coach, administrator, peers, and readings 6/14/15 2 Improve management of student behavior and peer interaction to ensure students are focused on learning Y


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