SCHOOL PSYCHOLOGIST PERFORMANCE APPRAISAL ______SCHOOL DISTRICT School Psychologist:

Date of Pre-Conference: Date of Summative Conference:

Assignment: Appraiser:

School psychologists are uniquely qualified members of school teams that support teachers' ability to teach and children's ability to learn. School psychologists help children and youth succeed academically, socially, behaviorally, and emotionally. They collaborate with educators, parents and other professionals to create safe, ,healthy, and supportive learning environments that strengthen connections between home, school, ,and the community for all students.

School psychological services in this School District are delivered as articulated under the domains of practice defined in the National Association of school Psychologist's "Model for Comprehensive and Integrated School Psychological Services."

Section 1 Practices that Permeate All Aspects of Service Delivery • Data-Based Decision Making and Accountability • Consultation and Collaboration

Section 2 Direct and Indirect Services for Children, Families, and Schools Student Level Services • Interventions and Instructional Support to Develop Academic Skills • Interventions and Mental Health Services to Develop Social and Life Skills District Level Services • School-Wide Practices to Promote Learning • Preventative and Responsive Services • Family-School Collaboration Services Section 3 Foundations of School Psychological Service Delivery • Diversity In Development and Learning • Research and Program Evaluation • Legal, Ethical, and Professional Practice

Performance Criteria Performance Performance Code Rubric Code ST This is an area of STRENGTH for this practitioner ME This practitioner MEETS EXPECTATIONS in this domain of practice RN This is a domain of practice in which REFINEMENT is NEEDED UN This practitioner’s performance in this domain of practice is UNSATISFACTORY Section 1

Practices that Permeate All Aspects of Service Delivery

I. Data Based Decision Making and Accountability: Performance Code Section Domain of Practice 1 Practices that Data-Based Decision Making and Accountability: As part Permeate All Aspects of Service of a systematic and comprehensive process of effective Delivery decision making and problem solving, school psychologists use psychological and educational assessment, data collection strategies and technology resources and apply the results to design, implement and evaluate response to services and programs. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______

0 II. Consultation and Collaboration

Performance Code Section Domain of Practice 1 Practices that Consultation and Collaboration: As part of a systematic Permeate All Aspects of Service and comprehensive process of effective decision making Delivery and problem solving, school psychologists demonstrate effective consultation, collaboration and communication skills with individuals, families, groups and systems to promote effective implementation of services. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______Section 2

DIRECT AND INDIRECT SERVICES FOR CHILDREN, FAMILIES AND SCHOOLS

Student-Level Services

I. Interventions and Instructional Support to Develop Academic Skills Performance Code Section Domain of Practice 2 Direct and Indirect Services for Student Level Services: Interventions and Instructional Children, Families and Schools Support to Develop Academic Skills: School psychologists use their knowledge of biological, cultural, and social influences on academic skills; human learning, cognition, and developmental processes; and evidence-based curricula and instructional strategies to support the education process for children. They use these skills in assessment and data collection methods to implement and evaluate services that support cognitive and academic skills. Evidence of Activities and Outcomes:

Appraiser’s Additional Comments:

II. Interventions and Mental Health Services to Develop Social and Life Skill

Performance Code Section Domain of Practice 2 Direct and Indirect Student Level Services: Interventions and Mental Health Services for Services to Develop Social and Life Skills: School Children, Families psychologists use their knowledge of biological, cultural, and Schools developmental and social influences on behavior and mental health, behavioral and emotional impacts on learning and life skills and evidence-based strategies to promote social-emotional functioning and mental health to support the learning and school functioning of students. Through collaboration with others, they use assessment and data-collection methods to implement and evaluate services that support socialization, learning and mental health. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______Systems-Level Services

III. School-Wide Practices to Promote Learning Performance Code Section Domain of Practice 2 Direct and Indirect Systems Level Services: School-Wide Practices to Promote Learning: School Services for Children, psychologists are in a unique situation to support school systems and Families and Schools learning due to their extensive background knowledge in school culture and systems theory. They work to implement practices and strategies to create and maintain effective and supportive learning environments for children and others district-wide.

School psychologists use this background to consult with teachers and administrators on school-wide practices such as data-based decision- making, promoting a respectful school climate and positive behavioral supports, designing and implementing universal screening for behavior and academics, and using research-based problem solving techniques at the school level. They consult with teachers and teams to improve learning environments to support resilience and academic growth, increase engaged academic time, and reduce barriers to learning. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______

IV. Preventative and Responsive Services

Performance Code Section Domain of Practice 2 Direct and Indirect Systems Level Services: Preventive and Responsive Services: School Services for Children, psychologists demonstrate skills and knowledge to promote services that Families and Schools enhance learning, mental health, safety, and physical well-being to support multi-tiered prevention, early intervention and evidence-based strategies for effective crisis response.

Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______V. Family-School Collaboration Services .. Performance Code Section Domain of Practice 2 Direct and Indirect Services Systems Level Services: Family-School Collaboration for Children, Families and Services: School psychologists have knowledge of Schools principles and research of how to facilitate family and school partnerships and interact with community agencies to enhance academic and social-behavioral outcomes for children.

Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______

Section 3

FOUNDATIONS OF SCHOOL PSYCHOLOGICAL SERVICE DELIVERY

Diversity in Development and Learning Perform-ance Code Section Domain of Practice 3 Foundations of Diversity in Development and Learning: School psychologists Service Delivery have knowledge of individual differences, abilities, disabilities, and other diverse student characteristics. They provide effective professional services that promote effective functioning and learning for all of these groups of students. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______

II. Research and Program Evaluation

Performance Code Section Domain of Practice 3 Foundations of Service Research and Program Evaluation: School psychologists have Delivery knowledge of research design, statistics, measurement, varied data collection and analysis techniques, and program evaluation for understanding research and interpreting data in applied settings. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______III. Legal, Ethical, and Professional Practice

Performance Code Section Domain of Practice 3 Foundations of Service Delivery Legal, Ethical, and Professional Practice: School psychologists demonstrate knowledge and skills to provide services using ethical, legal and professional standards. They engage in responsive, ethical, and professional decision-making, collaboration with other professionals, and apply professional work characteristics in their communication skills, interpersonal skills, responsibility, adaptability, initiative, dependability, and technology skills. Evidence of Activities and Outcomes: ______Appraiser’s Additional Comments: ______

RATING FOR PERFORMANCE APPRAISAL

Effective: .

Needs Improvement:

Unsatisfactory:

The teacher and appraiser shall sign the performance appraisal to indicate that it has been reviewed and discussed, not that the teacher necessarily agrees with the performance appraisal. Further, the teacher may submit additional comments within ______calendar days of the date of the teacher's signature on the appraisal. Those comments shall be appended to this performance appraisal.

______School Psychologist’s Signature Appraiser’s Signature

______

Date Date

This school psychology performance appraisal was adapted from the Amery WI School District 2014 performance appraisal