ISACS

Please complete this form only after you have been invited to serve on an ISACS visiting team.

Title:

* First Name:

* Last Name:

* School to be Visited:

* Job Title:

* Phone:

* School Name:

* School Address:

* School City:

* School State:

* School Zip:

* School Fax:

* Email Address:

* Home Address:

* Home City:

* Home State:

* Home Zip:

* Home Telephone Number:

Teaching Experience Includes:

* Subjects Taught:

* Grade Levels Taught:

* Boarding School Experience?

Yes No

Administrative Experience Includes:

Extra-curricular Experience Includes:

Specialist Experience Includes:

(e.g. Montessori, Reggio Emilia, Gifted, Technology, etc.)

Have been in education as a teacher or administrator since:

Have taken part in __ number of evaluations of other schools.

* Have notebook computer with MS Word that I will bring to the visit:

Yes No

Please check all of the following report areas below for which you would feel comfortable and competent as an evaluator or as an assistant to a more experienced evaluator.
	Evaluator	Assist
Purpose, Goals, and Philosophy
Community of the School
(a) Admissions Policies and Procedures, Financial Aid, Student Demographics
b) Alumni/ae Relations/Development/PR
(c) Parents Organizations and Programs
(d) The Local Community
(e) School Climate and Morale - factors contributing to the learning and social environment.
Gender and Diversity
Personnel - Administration, Faculty and Staff
Programs, Activities, and Student Services
(a) Curriculum and Overall Program
Subject Areas:
(b) Student Services - counseling, guidance, health services, referral services, school and college placement, etc.
(c) Other required areas - if applicable: residential life, early childhood programs, religious programs, special education and instruction, special programs (such as summer sessions, school programs, institutes, etc.), and volunteer/service programs.
Governance and Administration
(a) Governance and Decision-Making
(b) Business and Financial Management
(c) School Facilities - to include buildings, grounds, food service, equipment, maintenance, transportation, and evidence of compliance with health and safety regulations