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THE JOHN J. DRISCOLL SCHOOL Public School 16 80 Monroe Avenue Staten Island, NY 10301 Voice: (718) 447-01234 Vincenza Gallassio, Principal Rita Diaz-Maniglia, Parent Coordinator (347) 563-4684

Fax: (718) 447-5398 Caroline Conevery, Assistant Principal Michele Ramos, Assistant Principal

PART 1 Dear_______________________________: I would like to see a ________________________________lesson. Please fill our Part 2 of this form indicating if you would like a pre-observation. If you would like a pre-observation, please bring a copy of your lesson plan. I will inform you of a pre-observation date and time. If you choose not to have a pre-observation, please put a copy of the lesson plan in my mailbox on the morning of the observation. A post-observation conference will occur as soon as possible immediately following the lesson. Sincerely,

____________________________________________________________________________________ PART 2 Your formal observation will take place: Date: _________________________ Time:_______________ ______I would like a pre-observation conference ______I do not want a pre-observation conference Teacher’s Signature_______________________________________ __________________________________________________________________________________ \\ PART 3 Your pre-observation will take place on _______________at_________________. _______________________________ Supervisor

______________________ Date 83


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