EVALUATION FOR WORKSHOP, CONFERENCE, SEMINAR, ETC. - ISBE 77-21A - Educator Effectiveness Form

Oct 10, 2026

Evaluation form for a workshop, conference, or seminar under the Educator Effectiveness Department. Collects provider and activity details (title, date, location, provider name) and asks respondents to identify professional development outcomes, applicable statements, and agreement levels for items A–F. Coverage includes impacts on educator and student growth, content knowledge, instructional strategies, collaboration, research-informed decision-making, inclusive practices, student well-being, safety, and professional conduct. Includes alignment to Illinois standards and educator teaching/professional standards.

LanguageEnglish

CategoryExam

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Professional Development Activity Details

Outcomes and Applicable Statements

Rating Statements A-F

!77-21a EVALUATION FOR WORKSHOP, CONFERENCE, SEMINAR, ETC. 100 North First Street, E-240 Springfield, Illinois 62777-0001 EDUCATOR EFFECTIVENESS DEPARTMENT DIRECTIONS: Please complete and return this form to the presenters of the professional development activity. Providers must retain this form for a minimum of six years for ISBE auditing purposes. | TITLE OF PROFESSIONAL DEVELOPMENT ACTIVITY | DATE | | --- | --- | LOCATION (Facility, City, State) | NAME OF PROVIDER | | | --- | --- | | 1. Indicate the outcome(s) of this professional development. (Check all that apply)
Increased the knowledge and skills of school and district leaders who guide continuous professional development.
Will lead to improved learning for students.
Addressed the organization of adults into learning communities whose goals are aligned with those of their schools and districts.
Deepened participants’ content knowledge in one or more content (subject) areas.
Provided participants with research-based instructional strategies to assist students in meeting rigorous academic standards.
Prepared participants to appropriately use various types of classroom assessments.
Used learning strategies appropriate to the intended goals.
Provided participants with the knowledge and skills to collaborate.
Prepared participants to apply research to decision-making.
Provided educators with training on inclusive practices in the classroom that examines instructional and behavioral strategies that improve academic and social-emotional outcomes for all students, with or without disabilities, in a general education setting.
Provided educators with training on the physical and mental health needs of students, student safety, educator ethics, professional conduct, and other topics that address the well-being of students and improve the academic and social-emotional outcomes of students.
None of the above describe the effects of this professional development.
2. Identify those statements that directly apply to this professional development. (Check all that apply)
Activities were of a type that engaged participants over a sustained period of time, which allowed for analysis, discovery, and application as they relate to student learning, social or emotional achievement, or well-being.
This professional development aligned to my performance as an educator.
The outcomes for the activities relate to student growth or district improvement.
The activities offered for this event aligned to state-approved standards.
Standards for Professional Learning
Illinois Learning Standards
Illinois Professional Teaching Standards (Through June 30, 2026)
Illinois Professional Educator Standards (Begin July 1, 2026)
Illinois Performance Standards for School Leaders
This activity was higher education coursework.
None of these statements apply to this professional development.
3. Write the number (4 to 1) for each statement below that best describes how you feel about your experience in this professional development.
4 – Strongly Agree 3 – Agree 2 – Somewhat Agree 1 – Disagree | | | | A. The outcomes of this professional development were clearly identified as the knowledge and/or skills that I should gain as a result of my participation.
B. This professional development will impact my professional growth or student growth in regards to content knowledge or skills,or both.
C. This professional development will impact my social and emotional growth or student social and emotional growth.
D. Overall, the presenter appeared to be knowledgeable of the content provided.
E. The materials and presentation techniques utilized were well-organized and engaging.
F. The professional development aligned to my district, school, or organizations improvement plans. | ISBE 77-21A (11/25) Print Reset Form

FAQs

What information must be completed on the form for the professional development activity?

The form requires the activity title, date, location (facility, city, state), and the provider name.

What types of outcomes does the form ask you to indicate?

It asks you to check outcomes such as increased knowledge and skills for leaders, improved student learning, learning communities aligned to district goals, content-area knowledge, research-based instructional strategies, assessment use, collaboration, inclusive practices, and student well-being and safety.

How are agreement levels captured for the personal evaluation statements?

Statements A–F are rated using a 4-point scale: 4 Strongly Agree, 3 Agree, 2 Somewhat Agree, and 1 Disagree.

Oct 10, 2026

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