School Year Revised July 2011 DP-10
Originated ___________ DeSoto Parish Schools Page 1
Location ___________________________ Experience in Job Description 0-3 4+
Individual Growth Plan
(Non-TAP)
Employee____________________________________ Position ____________________________________
Social Security # XXX-XX-_________
At least 2 objectives are required. This is objective #_______ of 2.
I. Objective What area do you want to strengthen? (1, 2, 4, 5, 6)*(See Criteria below)
II. Rationale Why do you want to strengthen this area?
III. What is your Plan of Action? (3, 4, 5, 6)*(See Criteria below)
IV. What are the Criteria for Evaluation? (7)*(See Criteria below)
Signatures below must be dated to verify dates of development, yearly review, and completion of objectives.
YR 1 ________________________________ ________________________________ ______________________
Employee’s Signature Evaluator’s Signature Date Developed
Reviewed:
YR 2 ________________________________ ________________________________ ____________________
Employee’s Signature Evaluator’s Signature Date
YR 3 ________________________________ ________________________________ _____________________
Employee’s Signature Evaluator’s Signature Date
_____________________________________ _______________________________ ____________________
Employee’s Signature Evaluator’s Signature Date Completed
*Numbers correspond to the questions listed on the following page and should be considered when reviewing each
aspect of the Individual Growth Plan.
Note: Separate forms are to be used for each objective in the Growth Plan.
DP-10
Page 2
Questions to Consider When Reviewing
Your Individual Growth Plan
1. Is the plan based on a specific objective with outcomes that can be observed or
measured?
2. Does the objective strengthen professional performance and/or improve
student learning?
3. Does the plan include a time line for accomplishing the objective?
4. Does the plan support system, building, and/or departmental objectives?
5. Is the plan realistic and challenging?
6. Is the plan consistent with available and anticipated resources?
7. Does the plan include the means and criteria by which the objective will be evaluated?
Year Objective Began ________ DP-10
DeSoto Parish School Board Page 3
Location __________________________
Individual Growth Plan
(Non-TAP)
Progress Report on Objectives
Employee _____________________________________ Position _____________________________________________
Social Security # XXX-XX_________ Evaluation Period: From ___________________Through ___________________
Objective:
This objective has been: Met or surpassed Partially attained Not attained
Comments:
Objective:
This objective has been: Met or surpassed Partially attained Not attained
Comments:
_________________________________________________________________________________________________________________________________
I verify by my signature that the information in this document has been provided to and explained to me.
_______________________________ ________________________
Employee’s Signature Date
_______________________________ ________________________
Evaluator’s Signature Date
Annual Review_________________ Signatures __________________________ ______________________________
Date