Classroom Observation Asynchronous Debrief/O3

It is highly recommended that you watch
this quick tutorial prior to using this form.

Let's collect a bit of information!
Your Name*
Your Email*
Date of Observation*

MonthDayYear
Grade or Homeroom*
Teacher Name*
Teacher Email*
Next Observation Date:*

MonthDayYear

Hour MinutesAM/PM Option
Asynch O3 Teacher Due Date:*

MonthDayYear
When would you like the teacher to complete this?
Additional Email:
Here you can add an additional email (i.e. the principal or another coach) to share the responses gathered from this form.
copy of grade
Feedback Input
Glow:*
It was most effective when you ______ because it had the following impact:This will automatically populate in the teacher section below.
Grow:*
During my time in your classroom, I also noticed: State specific teacher moves and student action/behavior(s). This will automatically populate in the teacher section below.
Stamp Teacher's HLAS*
WHAT: HOW: • • • •
Select an exemplar/example to share with the teacher:*
Example URL
For documents, upload to Google Drive and paste the share link here.
Did you record your classroom observation and have a link to the video to share with the teacher?*

YesNo
Observation Video

Hi {teacherName}!

Thank you for allowing me to work with you and our {copyOf} scholars on {dateOf}. During our time together, I noticed a lot of effective things happening in your room. I have also identified an area of refinement for us to continue working on together.

Let's get started!

Reminder: Please complete our Asychronous Debrief by {asynchO3}. If you need assistance, just let me know!
Here is the link to the video of your classroom observation.

Click Here to View Yourself and Scholars in Action

If the link above does not work, please copy and paste this link into a new tab: {observationVideolink}

Relish in the Success
Glow(s) From Your Classroom
Do you have anything to add about the positive impact this had on you and/or our scholars?

Reflect on the Gap(s)
I want to share with you an example of how this could and should look in order to have a more positive impact on teacher and scholar outcomes. Please take a look at the {selectAn} below.

As you view the example, think about the following:
- What did you notice in the example that was most effective?
- What is different about your practice and the exemplar/example provided?
Exemplar/Example

Click Here to View the Example

If the link above does not work, please copy and paste this link into a new tab: {exampleUrl}
Refection
What did you notice in the example that was most effective?*
What is different about your practice and the exemplar/example provided?*
Based upon the gap between your current practice and what was shared in the exemplar, what do you think your Action Step is going to be?*

Refinements to Plan, Practice, & Implement
Hopefully, we're on the same page 😊

Your action step based upon the observation is:
What shifts/changes do you intend to make to meet the needs of your action step?*
What support(s) and/or resource(s) do you need in order to feel ready and be successful?*
If none, enter "none"
Practice

(optional)
If you would like to carve out some time for us to connect and practice prior to our next classroom coaching cycle, please share 2-3 times you are available for 15-20 minutes.
Date   Time

Date   Time

Date   Time

Let's collect a bit of information!