No Go N/A
Items Score
Items
2.m. Explained Risk Level
2.n. Stated Environmental Considerations
2.o. Identified Administrative Procedures
Instructor Observation Rubric
Section 1. Administrative Data.
1.a. Start Date/Time (YYYY/MM/DD)/(HHMM): ____________________________ 1.b. End Date/Time (YYYY/MM/DD)/(HHMM): ______________________
1.c. I
nstructor's Rank/Last/First/MI: ____________________________________________________ 1.d. Unit: _________________________________________________
1.e
. Class Location: ___________________________________________________ 1.f. Course Number: _________________ 1.g. Lesson Number: _____________________
1.h. Co
urse/Lesson Title(s): _____________________________________________________________________________________________________________________
Go
N/A
Go
No Go
Section 2. Additional Documentation for Professional Development.
Instructions: Score items as GO, NO GO, or Not Applicable (N/A). Please place an 'X' to indicate correct
answer. Additional documentation for professional development only; will not affect final evaluation score.
2.i. TF 600-21-1 (Blank Evaluation Form)
2.j. Individual Student Assessment Plan
2.p. Other
3.a.5. Promote retention knowledge of skills
3.a.6. Assess learning and performance
3.a.7. Communicate effectively
3.a.8. Ethical / legal standards; Professional credibility
Additional Remarks:
Section 3. The Instructor Competencies.
3.a.1. Stimulate and sustain motivation and engagement. Promote transfer of knowledge and skills.
(CMP)
certificates both military and civilian (if applicable)).
TRADOC Form 600-21-1, October 2017
3.a.2. Presentation and facilitation skills.
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
(Note: k – o are likely to be observed during two levels, presentation skills, and facilitation skills)
2.k. Explained Terminal Learning Objectives (TLO)
2.l. Explained Safety Requirements
3.b. Total Score (3.a.1. + 3.a.8)
3.a.4. Learning management.
3.a.3. Provide clarification and feedback.
Page 1
Score
*ibstpi Instructor Competencies used by permission.
0
0
0
0
0
0
0
0
0
Item 3.c. Score each item using the rubric. Indicate the score that most closely fits what you observed and use the comments section to provide qualifications for your rating or
annotate if there were areas that may have kept the instructor from fitting perfectly in the next category rating. A '0' in any area (competency rating) will result in a failed observation.
Provided opportunities for learners
to participate and succeed.
Gained and maintained learner
attention by establishing relevance.
Ensured goals and objectives are
clear.
Provided opportunities for learners
to participate and succeed.
Gained and maintained learner
attention by establishing relevance.
Ensured goals and objectives are
clear.
Fostered a favorable attitude toward
learning (example: displaying
enthusiasm about the subject).
Provided an opportunity for students
to connect learning to future
applications (learning transfer).
Did not meet all of
the criteria for a “1”
rating
0
Unacceptable
Comment(s)/ Example(s)
3
Exemplary
2
Accomplished
Did not meet all of
the criteria for a “1”
rating
Page 2
Rating
1
Developing
1. Stimulate and Sustain
Motivation and
Engagement. Promote
Transfer of Knowledge and
Skills.
ibstpi
Competencies:
7 and 13
Provided opportunities for learners to
participate and succeed.
Gained and maintained learner attention
by establishing relevance.
Rating
3
Exemplary
Comment(s)/ Example(s)
2. Presentation and
Facilitation Skills
ibstpi
Competencies:
8 and 9
Involved learners in presentations.
Gave directions that are clearly
understood by all learners.
Kept learning activities focused.
Brought learning activities to
closure.
Provided examples to clarify
meaning.
Draw upon the knowledge and
experience of all participants.
Encouraged and support
2
Accomplished
1
Developing
0
Unacceptable
Involved learners in presentations.
Gave directions that are clearly
understood by all learners.
Kept learning activities focused.
Brought learning activities to
closure.
Provided examples to clarify
meaning.
Draw upon the knowledge and
experience of all participants.
Involved learners in presentations.
Gave directions that are clearly
understood by all learners.
Kept learning activities focused.
Brought learning activities to closure.
TRADOC Form 600-21-1, October 2017
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
*ibstpi Instructor Competencies used by permission.
0
0
Item 3.c. Score each item using the rubric. Indicate the score that most closely fits what you observed and use the comments section to provide qualifications for your rating or
annotate if there were areas that may have kept the instructor from fitting perfectly in the next category rating. A '0' in any area (competency rating) will result in a failed observation.
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
Page 3
Rating
3
Exemplary
2
Accomplished
1
Developing
0
Unacceptable
Comment(s)/ Example(s)
4. Learning Management
ibstpi
Competency: 17
Anticipated and addressed situations
that may impact learning and
performance.
Ensured learners had access
resources.
Established ground rules and
expectations with learners.
Employed time management
principles during instruction.
Discouraged undesirable behaviors
in a timely and appropriate manner
when necessary.
Anticipated and addressed
situations that may impact learning
and performance.
Ensured learners had access
resources.
Established ground rules and
expectations with learners.
Employed time management
principles during instruction.
Anticipated and addressed situations
that may impact learning and
performance.
Ensured learners had access resources.
Established ground rules and
expectations with learners.
Did not meet all of
the criteria for a “1”
rating
Rating
3
Exemplary
2
Accomplished
1
Developing
0
Unacceptable
Comment(s)/ Example(s)
Provide opportunitiesfor learners
to request clarification.
Use a variety of clarification and
feedback strategies.
Provide clear, timely, relevant, and
specific feedback.
Be open and fair when giving and
receiving feedback.
Provide opportunities for learners
to request clarification.
Use a variety of clarification and
feedback strategies.
Provide clear, timely, relevant, and
specific feedback.
Did not meet all of
the criteria for a “1”
rating
3. Provide Clarification
and Feedback
ibstpi
Competency: 11
Provide opportunities for learners
to request clarification.
Use a variety of clarification and
feedback strategies.
Provide clear, timely, relevant, and
specific feedback.
Be open and fair when giving and
receiving feedback.
Provide opportunities for learners to
give feedback.
TRADOC Form 600-21-1, October 2017
*ibstpi Instructor Competencies used by permission.
0
0
Communicate assessment criteria.
Monitor individual and group
performance.
Assessed learner attitudes and
reactions.
Assessed learning outcomes.
Communicate assessment criteria.
Monitor individual and group
performance.
Assessed learner attitudes and
reactions.
Did not meet all of
the criteria for a “1”
rating
TRADOC Form 600-21-1, October 2017
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
Page 4
Item 3.c. Score each item using the rubric. Indicate the score that most closely fits what you observed and use the comments section to provide qualifications for your rating or
annotate if there were areas that may have kept the instructor from fitting perfectly in the next category rating. A '0' in any area (competency rating) will result in a failed observation.
Linked learning activities to prior
knowledge.
Encouraged learners to elaborate on
concepts and ideas.
Provided opportunities to practice
newly acquired skills.
Did not meet all of
the criteria for a “1”
rating
Rating
3
Exemplary
2
Accomplished
1
Developing
0
Unacceptable
Comment(s)/ Example(s)
6. Assess Learning and
Performance
ibstpi
Competency:
15
Communicate assessment criteria.
Monitor individual and group
performance.
Assessed learner attitudes and
reactions.
Assessed learning outcomes.
Provided learners with opportunities
for self-assessment.
5. Promote Retention of
Knowledge and Skills
ibstpi
Competency: 12
Linked learning activities to prior
knowledge.
Encouraged learners to elaborate on
concepts and ideas.
Provided opportunities to practice
newly acquired skills.
Provided opportunities to synthesize
and integrate new knowledge.
Provided opportunities for reflection
and review.
Linked learning activities to prior
knowledge.
Encouraged learners to elaborate on
concepts and ideas.
Provided opportunities to practice
newly acquired skills.
Provided opportunities to synthesize
and integrate new knowledge.
Rating
3
Exemplary
Comment(s)/ Example(s)
2
Accomplished
1
Developing
0
Unacceptable
*ibstpi Instructor Competencies used by permission.
0
0
7. Communicate
Effectively
ibstpi
Competency:
1
Used lang
uage appropriate to the
audience, context and culture.
Used appropriate verbal and non-
verbal language.
Sought and acknowledged diverse
perspectives.
Used active listening skills.
Used appropriate technology to
communicate.
Used language appropriate to the
audience, context and culture.
Used appropriate verbal and non-
verbal language.
Sought and acknowledged diverse
perspectives.
Used active listening skills.
Used language appropriate to the
audience, context and culture.
Used appropriate verbal and non-verbal
language.
Sought and acknowledged diverse
perspectives.
Did not meet all of
the criteria for a “1”
rating
Rating
3
Exemplary
2
Accomplished
1
Developing
0
Unacceptable
Comment(s)/ Example(s)
Item 3.c. Score each item using the rubric. Indicate the score that most closely fits what you observed and use the comments section to provide qualifications for your rating or
annotate if there were areas that may have kept the instructor from fitting perfectly in the next category rating. A '0' in any area (competency rating) will result in a failed observation.
Ensured that learners were treated
fairly.
Complied with organizational and
professional code of ethics.
Respected intellectual property,
including copyright.
Demonstrated subject-matter
expertise.
8. Ethical and Legal
Standards. Professional
Credibility
ibstpi
Competencies:
3 and 4
Ensured that le
arners were treated
fairly.
Complied with organizational and
professional code of ethics.
Respected intellectual property,
including copyright.
Did not meet all of
the criteria for a “1”
rating
Ensured that learners were treated
fairly.
Complied with organizational and
professional code of ethics.
Respected intellectual property,
including copyright.
Demonstrated subject-matter
expertise.
Was open to change and
improvement.
TRADOC Form 600-21-1-R-E, October 2017
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
Page 5
Rating
3
Exemplary
2
Accomplished
1
Developing
0
Unacceptable
Comment(s)/Example(s)
*ibstpi Instructor Competencies used by permission.
0
0
3.d. Additional Comments/Examples from items # 1 – 8:
Section 4. Signatures and Recommendations.
4.a. Evaluator Recommendations.
4.b. Learning Environment (Note: This part of the rubric must
be completed by the evaluated instructor).
4.b.1. Was the learning environment field or classroom?
4.b.2. Clean? Yes/No? If no, provide additional explanation/s.
4.b.3. Relatively free from outside noise or distractions? Yes/No? If no, provide additional explanation/s.
4.b.4. Well lit? Yes/No? If no, provide additional explanation/s.
4.b.5. Large enough to conduct the planned activities? Yes/No? If no, provide additional explanation/s.
4.b.6. Well ventilated? Yes/No? If no, provide additional explanation/s.
4.c. Signatures/Date.
4.c.1. Instructor’s Signature:
4.c.2. Did the instructor met the minimum rating requirements for the Army instructor badging level?
4.c.3. Evaluator’s Name (Last, First, MI):
4.c.4. Evaluator’s Signature:
4.c.5. Date (YYYY/MM/DD):
TRADOC Form 600-21-1, October 2017
For use of this form see TRADOC Regulation 600-21; the proponent agency is ARMYU
Page 6
YES
NO
*ibstpi Instructor Competencies used by permission.