PERFORMANCE OBSERVATION FORM for Counselors

PROGRESS REVIEW Form 2 PERFORMANCE OBSERVATION FORM for Counselors

Teacher Subject/Grade Building/Administrator Date

Data Collected Through FORMAL OBSERVATIONS  Formal Observation Observation #1 Observation #2 Observation #3  Informal Observations y d d l t r c e e i a n o v t h

 Input from Others s o e r i c s a i e c  Bulleted areas under each G a i B u f s f - g b o s - r element are “Look Fors.” i t O n

i P t a t s s o i n N D U DOMAIN 1: Planning and Preparation 1A. Demonstrating Knowledge of Counseling Theory and Techniques

 Counselor demonstrates thorough understanding of counseling theory and techniques.

1B. Demonstrating Knowledge of Child and Adolescent Development

 Counselor displays understanding of the typical developmental characteristics of the age group and exceptions to the general patterns, as well as displaying the knowledge of the extent to which individual students follow the general patterns.

1C.Establishing Goals for the Counseling Program Appropriate to the Setting and the Students Served  Counselor’s goals for the counseling program are clear and appropriate to the situation in the school and to the age of the students.

1D.Demonstrating Knowledge of State and Federal Regulations and of Resources Both Within and Beyond the School and District  Counselor displays awareness of governmental regulations and of resources available through the school, district and in the community.

1E. Planning the Counseling program, integrated with the Regular School Program  Counselor has developed a plan that that serves individuals and groups of students as well as the broader educational program.

1F. Developing a Plan to Evaluate the Counseling Program

 Counselor has a plan to evaluate the program organized around clear goals and the collection of evidence to determine effectiveness of the program and support continuous improvement.

1 of 5 August 2014 2E. 2D. 2C. 2B. 2A.  PhysicalSpace Organizing   Beh Student theCulture Contributing for to of and Conduct Standards Establishing  Proceduresand Routines Managing  CultureforProductiveCommunicationa Establishing   ofEnvironmentRapportand anRespect Creating activities. plannedinvitingconduciveare arrangementsand the classroomto center Counseling or civilityoftheto environment school.significantlyin Counselor contributes sessions. counseling conductof for standards Counselor has established clear work the classroomeffectively. center counseling for routines or Counselor’s studentsamongteachers. and between communicationproductiverespectful school and for culturethe a throughout Counselor promotes student-student positiveinteractions. Counselor actively promotes positive arerespectful. and studentsinteractions Counselor’s with avior Throughout the the aviorThroughoutSchool DOMAINTheEnvironment 2:

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Proficient

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Not Observed

Goal 3 3 3 3 3A. E. D. C. B.  ResponsivenessandFlexibility Demonstrating  Resourcesto NeedsMeet Brokering  ClassroomPrograms Techniquesin Individual and CounselingUsing  Needs of Career Student &Knowledge Based on Plans Personal/Social, Formulationof Academic, Teachers andinthe Students Assisting  Needs Student Assessing from students, teachers, and parents.teachers, and students, from wellneeds asas the improve program counseling based input on Counselor seeks continually to needs. student meet individual community to districtinwithin schooland other the or withprograms the Counselor coordinates future and planning.solvingwithstudents for other problem interactions making both and instudents skills decision techniques helpacquire counseling to of range Counselor uses a students.individual and groups both for career plans personal/social, and academic, students teachers formulate Counselor helpsand school.the withinstudentofrange needs and the student individual understands Counselor assesses needs DOMAIN 3: Delivery ofDOMAINDelivery Service 3: 3 of of 5

factoryUnsatis-

Proficient

guishedDistin- August 2014

Not Observed

Goal 4 4 4 4 4 4A. F. E. D. C. B.  Professionalism Showing  DevelopmentinProfessional Engaging  Community Professional in a Participating  with FamiliesCommunicating  Timely inaSubmitting Them Mannerand records Maintaining   Practice on Reflecting and the public; advocates for students public;needed. foras advocates the and withconfidentialityin and colleagues, students,interactions Counselor displaysintegrity, honesty, need.assessment of an individualdevelopment based professional on opportunities for Counselor seeks out withproductive and relationships colleagues. projectsmaintains andandevents in positive schooldistrict Counselor actively participates wholeabout students.a and individual as the familiesaccurate information program to counseling thorough and about Counselor provides submitted in timely accurate andmanner.area documentation records, and reports, Counselor’s on reflection. program counseling based seeksimprove individualneeded to and strategies foras Counselor seeks students alternative characteristics. positive bothnegative citesand specific and is accurate, reflection objective and Counselor’s DOMAIN 4: Professional Responsibilities DOMAINProfessional 4:

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Proficient

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Not Observed

Goal Teacher Strengths:

Areas for Improvement:

Other Comments:

Employee signature indicates that they have read and received a copy of this form. Should the employee want to attach a response, they may do so.

Teacher Signature Date Administrator Signature Date

Completion: Minimum of three observations for probationary staff and one observation for continuing contract staff on high cycle prior to the end of the school year.

Original: Attach to completed/signed Summative Evaluation Form and submit to Human Resources for inclusion in personnel file.

Copies:  Teacher  Administrator

5 of 5 August 2014