Teacher Evaluation Disclosure Consent Form
Please review the information below and indicate your consent regarding the sharing of teacher evaluation information with the teacher and relevant school personnel.
Full Name
*
First Name
Last Name
Position/Role
*
School or Department
*
Email Address
*
example@example.com
Please read: Evaluation-related information about you may be shared with the teacher being evaluated and relevant school personnel for the purposes of professional development, feedback, and compliance with school policies.
Please specify any limits or restrictions on what may be shared (if any). Leave blank if there are no restrictions.
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Consent
Submit Consent
Should be Empty: