Positive Impact on Student Learning
Verification of
Ability to Impact Student Learning
Type or print the following information.
last name first name middle name maiden
social security number local education agency unit number
Directions: To convert a Standard Professional 1 License to a Standard Professional 2 License, the individual must:
1) have three years of satisfactory teaching experience;
2) have the recommendation of the employing school system;
3) complete any professional development activities prescribed by the employing school system; and
4) satisfactorily complete NC testing requirements for the teaching area or receive a rating of Proficient or higher for each of the NC Professional Teaching Standards in the most recent year of employment in North Carolina, which verifies the ability to positively impact student learning, AND verification of the LEA intent to offer re-employment to the teacher for the following year. The teacher will not be required to accept the offer of re-employment.
If the teacher has chosen to use “receive a rating of Proficient or higher for each of the NC Professional Teaching Standards in the most recent year of employment in North Carolina, which verifies the ability to positively impact student learning,” to satisfy the fourth requirement, the principal should complete the attached rating sheet. The teacher must be rated “Proficient” or higher for each of the NC Professional Teaching Standards.
Teacher Name:
1. Ratings from the North Carolina Teacher Evaluation Process: SP1 must be rated Proficient or higher to be recommended for SP2:
Standard I: Teachers demonstrate leadership
Not Demonstrated Developing Proficient Accomplished Distinguished
Standard II: Teachers establish a respectful environment for a diverse population of students
Not Demonstrated Developing Proficient Accomplished Distinguished
Standard III: Teachers know the content they teach
Not Demonstrated Developing Proficient Accomplished Distinguished
Standard IV: Teachers facilitate learning for their students
Not Demonstrated Developing Proficient Accomplished Distinguished
Standard V: Teachers reflect on their practice
Not Demonstrated Developing Proficient Accomplished Distinguished
2. Signatures:
Superintendent or Designee’s Signature (Please Print) Date
Superintendent or Designee’s Email Address and Telephone Number
Principal’s Signature (Please Print) Date
Teacher’s Signature (Please Print) Date
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