1. STUDENT LEARNING OBJECTIVE
Template
Teacher’s Name: ___________________________ School: ________________________ Date: ________________
District Name: _____________________________ Principal’s Name: ____________________________________
Section I
-Context-
Guiding Statement: “Let me begin by describing my classroom.”
1.1 Content
Area
1.4 Total
Students
1.7 Instructional
Setting
1.2 Course
1.5 Average
Class Size
1.8 Instructional
Interval
1.3 Grade
Level
1.6 Class
Frequency
Section II
-Goal-
Guiding Statement: “Here is a key concept my students needed to fully understand.”
2.1 Goal Statement
2.2 Content
Standards
2.3 Instructional
Strategy
Guiding Statement: “My students need to attain these learning targets to be successful.”
3.1 Starting Point
(Baseline)
Section III
-Objective-
OBJ #1:
3.2 Objectives
(Whole Class)
OBJ #2:
OBJ #3:
3.3 Objectives
(Focused
Students)
3.4 End Point
(Combined)
Template #2-SLO Form
1
Failing
0% to ____% of
students met the
learning objectives
Needs
Improvement
___% to ___% of
students met the
learning objectives
Proficient
___% to ___% of
students met the
learning objectives
Distinguished
___% to 100% of
students met the
learning objectives

2. Guiding Statement: “These assessments are best suited to measure my students’ understand of the standards.”
PM #1:
PM #2:
4.1 Name
PM #3:
PM #1:
Section IV
-Performance Measure-
4.2 Purpose
PM #2:
PM #3:
PM #1:
4.3 Content Standards
PM #2:
PM #3:
PM #1:
4.4 Performance Targets
PM #2:
4.5 Metric
PM #3:
Growth (change in student performance across two or more points in time)
Mastery (attainment of a defined level of achievement)
Growth and Mastery
PM #1:
4.6 Administration
PM #2:
PM #3:
PM #1:
4.7 Scoring Tools
PM #2:
PM #3:
4.8 Results
N-count
(Total)

PM #2

Met Target
(Percent)
PM #1

Met Target
(Count)
PM #3
Grand Totals
Teacher Signature_______________________ Date_______ Evaluator Signature____________________ Date_______
SLO Rating
Template #2-SLO Form
2
Distinguished
Proficient
Needs Improvement
Failing
Notes/Explanation