<p> Cobb County School District Cobb Keys School Social Worker Annual Performance Evaluation</p><p>I. IDENTIFICATION</p><p>School Social Worker Employee ID Location School Year </p><p>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.)</p><p>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.</p><p>Not Evident Emerging Proficient</p><p>(CS1): The School Social Worker provides opportunities for developmentally appropriate and proactive individual counseling. </p><p>(CS2): Skill-building or support groups/activities are provided. </p><p>(CS3): Effectiveness of individual counseling or group activities is data driven and evaluated.</p><p>Commentary </p><p>B. Social Work Services Standard (SWS): Works effectively with students, parents, and school personnel to serve the needs of all students.</p><p>Not Evident Emerging Proficient</p><p>(SWS1): Information flow/delivery of services among home, school, and community are coordinated. </p><p>(SWS 2): Adherence to applicable education, compulsory attendance,</p><p>Page 1 and related social service laws/policies/protocol is fostered. </p><p>Commentary </p><p>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.</p><p>Not Evident Emerging Proficient</p><p>(CPD1): System/staff, parents, and community are consulted about issues and concerns. </p><p>(CPD 2): The development of strategies for improving students learning and/or behavior through community resources and/or</p><p> initiatives is demonstrated. </p><p>Commentary </p><p>D. Data Collection and Technology (DCT): The School Social Worker monitors, evaluates, and disseminates relevant attendance data utilizing appropriate technology.</p><p>Not Evident Emerging Proficient</p><p>(DCT 1): Departmental compliance with social work related services, technology and statistical data is demonstrated. </p><p>Commentary </p><p>Page 2 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.</p><p>Commentary (Required to address all “N” or “U” ratings): </p><p>Duties and Responsibility Summary Rating: Check one.</p><p>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”)</p><p>III. OVERALL PERFORMANCE RATING </p><p>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</p><p>Unsatisfactory Emerging Proficient</p><p>Dates(s) of Observations: Dates(s) of Feedback Conference(s): </p><p>IV. SIGNATURES (Required) Page 3 Evaluator Date </p><p>Position </p><p>Principal (If not Evaluator) Date </p><p>SSW ______Date (Receipt acknowledged. Signature does not indicate agreement or disagreement.)</p><p>V. SSW’S COMMENTS (Optional. Principal/Supervisor must receive comments, if provided, within 10 school days of receipt date above.)</p><p>Created: 5/07; Revised 7/07, 11/08, 7/09, 9/12, 8/16</p><p>Page 4</p>