Classroom Observation Request

Classroom Observation Request Form.docx

 Board Policy KK:

Classroom Observations

Parental involvement with school activities is encouraged, and the district provides opportunities for such involvement. However, because classroom visits can be disruptive to the educational process, the district does not permit parents/guardians or others to visit classrooms during instructional time for the purpose of observing students unless the principal has approved the visit in advance after consulting with the teacher. 

Classroom Observation Request Form

The purpose of the classroom observation should be to collect information regarding your child’s performance, current or proposed educational program, placement or services that can be used to assist in making decisions regarding your child’s instructional program.

Please complete the following information and an administrator or designee will contact you regarding the visit.

Student Name:_____________________________________________________________

Parent/Guardian Name:______________________________________________________

Date of Request:____________________________________________________________

Name and Title of Observer:__________________________________________________

Classroom(s) to be Observed:_________________________________________________

Purpose of the Observation:__________________________________________________


Requested time(s)/date(s) for observation:_______________________________________________________________

Contact Information:________________________________________________________

Person Requesting Observation Signature_______________________________________


Administrator Signature______________________________________ _______________     



Classroom Observation Confidentiality Agreement 

I, ____________________________________________, (Observer) have made a request to observe a classroom or program at Meadow Heights.  As part of the observation I agree to abide by the following conditions:

1. I will make every effort not to disrupt the teaching and learning process or distract the students, teachers, or paraprofessionals during the observation. Unless otherwise specified by the teacher, any questions can be scheduled at a later date.

2. In order to accommodate potential visitors and to minimize disruption to the student’s education environment, each observation will not exceed an hour.

3. During the observation, I will remain in the designated location, as directed and will turn off my mobile phone.

4. I will not take pictures, videos, or audio recording during the observation.

5. I acknowledge that I cannot disclose any identifying information regarding other students in the classroom, including a description of the student(s) observed, their education needs, and/or their performance during the observation.

6. I acknowledge that information related to a student’s disability and individualized education program is highly confidential and protected by the Family Educational Rights and Privacy Act, and that I have no right to access such information without permission. I will maintain any information in strict confidence related to other students’ disabilities, educational needs, and/or educational programs that I observe.

7. I understand that failure to abide by these procedures for classroom observation may result in revocation of my observation privileges.


Signature of Observer:_______________________________________Date:________________

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