Planning Process (TSIPP)
SIP Templates
Tennessee Department of
Education
Commissioner Lana C.
Seivers
August, 2007
(TSIPP)
with Signature of Principal
I certify that
I CERTIFY that the assurances referenced above have been satisfied to the best of my knowledge.
__________________________________________ ______________________
Signature of Principal Date Signed
Component 1a - School
Profile and Collaborative Process
TEMPLATE 1.1: SIP Leadership Team
Composition
In the School Improvement process, six committees exist: a leadership team and five subcommittees. Establish a subcommittee for each of the five components of the plan. The Leadership Team is composed of its chairperson, the chairperson from each of the subcommittees, and representatives from each relevant stakeholder group and major initiatives within the school. These stakeholders could include representatives from the following groups: teachers, administrators, non-certified personnel, community, parents, and students. In high schools, be sure to represent faculty from both the academic and the technical paths.
The
Leadership Team provides guidance
for the entire process. When you list
the members of the Leadership Team, be sure to indicate who is serving as the
chairperson of this team.
TEMPLATE 1.1: SIP Leadership Team
Composition
(Rubric Indicator 1.1)
|
Leader- ship
Chair? (Y/N) |
Position |
Name
of Subcommittee(s) (when applicable) |
|
|
Janet Johnson |
Y |
Principal |
|
|
Karen Campbell |
Y |
Kindergarten Teacher |
|
|
Kerry Robertson |
Y |
First Grade Teacher |
|
|
Debbie Rowe |
Y |
Second Grade Teacher |
|
|
Arlene Fish |
Y |
Third Grade Teacher |
|
|
Jeff Wilson |
Y |
Fourth Grade Teacher |
|
|
Kendra Pesterfield |
Y |
Fifth Grade Teacher |
|
Component 1a - School
Profile and Collaborative Process
TEMPLATE
1.2: Subcommittee Formation and Operation
Subcommittees should represent various grade levels within the school and relevant stakeholders. It is desirable to include stakeholders on subcommittees when possible. Stakeholders should be strategically assigned to appropriate committees based on strength, skills and knowledge.
If there are guiding initiatives within your school, be sure to place those key faculty members involved in the initiatives on the appropriate subcommittees. Subcommittees have the responsibility to monitor the development and implementation, as appropriate, of the respective component so that the subcommittee chair can communicate the progress to the SIP Leadership Team.
In completing the templates that name the members of the subcommittees, be sure to indicate each member’s position within the school or stakeholder group. Indicate which member serves as the subcommittee chair.
After each list of the members for a subcommittee, be sure to indicate the signatures for the subcommittee chairs are on file and check the box to indicate assurance the subcommittee has met and minutes are on file.
TEMPLATE 1.2: Subcommittee Formation and Operation
(Rubric Indicator 1.2)
|
Subcommittee for COMPONENT 1 School
Profile and Collaborative Process |
||
|
Member
Name |
Position |
Chair |
Janet Johnson
|
Principal |
Yes |
Kendra Pesterfield
|
Teacher |
Yes |
Jeff Wilson
|
Teacher |
Yes |
Connie Blair
|
Teacher |
No |
Judy Wade
|
Teacher
|
No |
Debbie Edwards
|
Teacher |
No |
Jennie Everett
|
Parent |
No |
Chase Falcon
|
Student |
No |
Ann Peterson
|
Community
Member |
No |
tab in last cell to create a new row as needed)
|
Component 1 Subcommittee has met to address critical components of the SIP and minutes are on file. |
YES |
NO |
|
|
||
|
Subcommittee 1 Chair
Signature Subcommittee 1 Chair
Signature |
||
Subcommittee for COMPONENT 2 Beliefs, |
||
|
Member
Name |
Position |
Chair |
Janet Johnson
|
Principal
|
Yes |