Name:
Date:
Differentiation Observation Tool
Use For:
Directions for Use:
Differentiation (Curriculum Based) Observation How are the needs of each level of learner being met?
Collect teacher action and student response in relation to each level of learners. (It may be helpful to have colored dots to identify levels of students for the observation).
Below Level Teacher Action
Student Response Teacher Action
Average Student Response
Above Average Teacher Action
Student Response
Objective
Domain I: Instruction and Assessment ○The educator uses a variety of instructional strategies. ○The educator involves students in meaningful learning. ○The educator makes reasonable and appropriate individual accommodations.
©Annette Brinkman/Becky Hatch Great Beginnings, Granite District
Domain II: Planning and Preparation ○The educator plans and prepares for the needs of diverse learners. Domain III: Learning Environment ○ The educator advocates, nurtures, and sustains a culture for learning.
Tab 6: Data Collection Tools