CLINICAL SUPERVISION TEMPLATE

WSU-Puyallup
OB
S
#

Teacher
Name

Subject,

Grade(# Date

Type
of
Observation/Evaluation

students)

Context:
PRE CONFERENCE/GOALS
Supervisory
Behaviors
during preconference

Listeni
ng
Proble
m
Solving

Clarifying
Negotiating

Encoura
ging
Directing

Reflecting
Standardizi
ng

Presenti
ng
Reinforc
ing

Insights from
Pre-conference
OBSERVATION TOOL: EVIDENCE (Attached)
Insights from Observation: (What did I notice? What wonders do I have? Did
the lesson align with the standards and support school/district goals?)

ANALYSIS OF DATA AND PREPARING FOR POST CONFERENCE

Type of Post
Conference

Directi
ve

Directive
Informational

Collaborative

Nondirective

Areas of Focus:

What are possible entry questions to a growth conversation?

Did students master the learning target/essential standard? How do you
know?
How do you think the (learning strategy selected) went?
How did you decide to use these prompts?
What other self-reflection/lesson closing strategies have/might you used?
What has the teacher mastered?
Where is the teacher on the verge?

POST CONFERENCE
Was the learning target met?
Elaborate on the evidence of student learning?

Supervisory
Behaviors used
during Post
Conference
Highlights of Post
Conference

Listening
Problem
Solving

Clarifyin
g
Negotiat
ing

Encoura
ging
Directing

REFLECTION
What did I learn
about my own skills
as an observer, use of
TPEP tool, use of
frameworks to guide
observation and
conversation for the
purpose of
instructional growth
(student learning)?
Next Steps in My
Leadership
Trajectory

Reflecting
Standardizi
ng

Presenti
ng
Reinforc
ing