A. Certificate of Every Continuing Education Course

Speech-Language Pathologist (SLP) Evaluation Organizer AY 2016-2017

SLP Name: Check One: SLP SLP Assistant Speech Implementer If SLP, are you supervising an SLP Yes No Assistant or Speech Implementer ? Select Type of Full Temporary – Working Toward Full Temporary Certification:

SLP Element 1 – The SLP demonstrates professional knowledge in speech-language pathology and related areas (e.g., literacy) through continuing education or participation in high-quality professional development* (HQPD). Provide evidence of activities completed in this academic year (e.g., credential documentation, a recently passed ASHA-approved continuing education units, listing of HQPD activities).

*HQPD refers to structured research-based practices delivered by the content expert.

SLP Element 2 – The SLP provides services compliant with state and federal regulations for children with Individualized Education Programs (IEPs). Provide evidence, such as an agreed-upon sample of randomly selected IEP files. SLP Element 3 – The SLP conducts comprehensive evaluations for students who may be experiencing a variety of communication disorders. Provide evidence, such as an agreed-upon sample of randomly selected evaluation reports. Note whether the assessments are the most current edition and if evaluations are in compliance with state standards and indicators.

SLP Element 4 – The SLP provides appropriate and educationally relevant services that reflect evidence-based practices. Provide evidence (e.g., schedule showing appropriate variation in frequency and location of SLP support services relevant to individual student needs, agreed-upon sample of randomly selected IEP files that show varied SLP support service delivery, frequency, and location).

SLP Element 5 – The SLP collaborates with the school community (teachers and other professionals). Provide evidence of linkage between therapy and classroom objectives or work on goals and activities in the classroom (i.e., outside the “speech room”). Examples of evidence include a therapy schedule that shows classroom-based services, RTI activities done with classroom teachers, logs showing consultation with the classroom teacher, collaboration regarding literacy achievement, help with curriculum planning, serving on school committees, and sharing of IEP goals and progress with teachers. It is expected that collaboration will be different depending on the assignment of the SLP (e.g., travel to different locations versus in-school). SLP Element 6 – The SLP collaborates with families. Provide evidence that parents are involved in services (e.g., asking parents for input on IEPs, scheduling parent meetings, sending materials to families about ways to practice SLP goals in the home, using parent communication logs or parent checklist, email correspondence with parents, or other indicators). Again, it is expected that collaboration will be different depending on the assignment of the SLP.

SLP Element 7 – The SLP contributes to various school building or school district initiatives. Provide evidence (e.g., serving on district committees, examples of RTI activities, presentations made to staff and/or parents, lists of resources and materials provided to staff, participating on a professional learning community team, covering student supervision while others participate in collaborative activities, etc.).

SLP Element 8 – The SLP documents contribution to student learning. Provide evidence of student learning (e.g., quarterly probes, benchmark data, student performance samples). This should be in compliance with school district, state, and Medicaid (if applicable) documentation requirements. Additional Professional Growth Discuss any aspects of your professional growth not covered elsewhere in this Evaluation Organizer that you want to highlight for your overall evaluation. (Bullet points are adequate.)

Important Note: You should systematically keep track of your documentation. You should maintain a folder of evidence. Your supervisor may ask to see the folder. This folder may include the following: a. Certificate of every continuing education course b. De-identified sample evaluation and IEP and tracking sheet (specifically, speech-only cases in which you are the case manager) c. Copy of your schedule d. Sample joint lesson plan e. Optional – Documentation of collaboration with teachers (not necessary if included in elsewhere in the organizer).

Mid-Year Review Date:

Evaluator Mid-Year Review Comments

SLP Signature: Evaluator Signature: Speech-Language Pathologist – End-of-Year Review to be completed by (date)

SLP: School Year: SLP End-of-Year Review Comments

SLP Signature: Date:

Evaluator End-of-Year Review Comments

Evaluator Signature: Date: Additional Comments if Needed: