Cobb County School District s6

Cobb County School District Cobb Keys School Social Worker Annual Performance Evaluation

I. IDENTIFICATION

School Social Worker Employee ID Location School Year

II. PERFORMANCE STANDARDS (Each Standard Element must be marked with a Not Evident, Emerging, or Proficient rating. Commentary is required and should specifically address performance levels assigned to the Standard Elements.)

A. COUNSELING SERVICES STANDARD (CS): The School Social Worker will plan, organize and provide individual, group counseling, skill building, therapeutic or support activities for students who are experiencing similar needs.

Not Evident Emerging Proficient

(CS1): The School Social Worker provides opportunities for developmentally appropriate and proactive individual counseling.

(CS2): Skill-building or support groups/activities are provided.

(CS3): Effectiveness of individual counseling or group activities is data driven and evaluated.

Commentary

B. Social Work Services Standard (SWS): Works effectively with students, parents, and school personnel to serve the needs of all students.

(SWS1): Information flow/delivery of services among home, school, and community are coordinated.

(SWS 2): Adherence to applicable education, compulsory attendance,

and related social service laws/policies/protocol is fostered.

Commentary

C. Consultation and Program Design (CPD): The School Social Worker creates a system of program strategies that result in appropriate community referrals, consultations, interventions, and programs to improve students presenting problems.

(CPD1): System/staff, parents, and community are consulted about issues and concerns.

(CPD 2): The development of strategies for improving students learning and/or behavior through community resources and/or

initiatives is demonstrated.

Commentary

D. Data Collection and Technology (DCT): The School Social Worker monitors, evaluates, and disseminates relevant attendance data utilizing appropriate technology.

(DCT 1): Departmental compliance with social work related services, technology and statistical data is demonstrated.

Commentary

E. PROFESSIONAL DUTIES AND RESPONSIBILITIES: Select S if performance is “Satisfactory”; N if “Needs Improvement”; U if “Unsatisfactory”. U N S 1. Reports to work on time and able to be located throughout the work day by cell or school location. U N S 2. Demonstrates professional behavior within peer group. U N S 3. Return phone calls and e-mails by the end of the next business day. U N S 4. Maintains confidentiality regarding student and records information U N S 5. Assumes responsibility for professional learning and certification requirements. U N S 6. Maintains and submits absence reports, electronic calendar, travel reports, etc. on time. U N S 7. Demonstrates ethical behavior as outlined in the PSC Code of Ethics. U N S 8. Interacts in a respectful, civil, and professional manner with students, families, staff, school leaders and supervisor. U N S 9. On time attendance and participation in supervision groups, staff meetings and other assigned meetings/activities U N S 10. Seeks consultation with supervisor and/or Lead Social Worker to address individual performance concerns. U N S 11. Adheres to all Standard Operating Procedures.

Commentary (Required to address all “N” or “U” ratings):

Duties and Responsibility Summary Rating: Check one.

UNSATISFACTORY (More than 3 “N’s” OR 2 or more “U’s”) PDP Required NEEDS IMPROVEMENT (3 “N’s” OR one “U”) PDP Required SATISFACTORY (No more than 2 “N’s” AND no “U’s”)

III. OVERALL PERFORMANCE RATING

1) Unsatisfactory = 2 or more “Not Evident” Standards Ratings or “Unsatisfactory” Summary Rating on Duties and Responsibilities 2) Emerging = Fewer than 6 “Proficient” Standards Ratings (no more than 1 “Not Evident”) and “Satisfactory” or “Needs Improvement” Summary Rating on Duties/Responsibilities. 3) Proficient= 6 or more “Proficient” Standards Ratings with no “Not Evident” ratings and a “Satisfactory” Summary Rating on Duties and Responsibilities

Unsatisfactory Emerging Proficient

Dates(s) of Observations: Dates(s) of Feedback Conference(s):

IV. SIGNATURES (Required) Page 3 Evaluator Date

Position

Principal (If not Evaluator) Date

SSW ______Date (Receipt acknowledged. Signature does not indicate agreement or disagreement.)

V. SSW’S COMMENTS (Optional. Principal/Supervisor must receive comments, if provided, within 10 school days of receipt date above.)

Created: 5/07; Revised 7/07, 11/08, 7/09, 9/12, 8/16