June 2003

BILLINGS PUBLIC SCHOOLS

Evaluation Form

SPEECH/LANGUAGE PATHOLOGIST / SCHOOL
PRE-CONFERENCE DATE / OBSERVATION DATE(S)
Overall Evaluation
(indicate one): / SATISFACTORY / UNSATISFACTORY

I. SPEECH/LANGUAGE THERAPY

/ SELECT SATISFACTORY OR UNSATISFACTORY
A.  Planning and Preparation / SatisfactoryUnsatisfactory
B.  SLP/Student Relationships / SatisfactoryUnsatisfactory
C.  Student Management / SatisfactoryUnsatisfactory
D.  Instructional Time/Presentation / SatisfactoryUnsatisfactory
E.  Evaluation/Reporting / SatisfactoryUnsatisfactory
F.  Monitoring Student Performance / SatisfactoryUnsatisfactory

II. INTERPERSONAL/PROFESSIONAL RESPONSIBILITIES

A.  Communicating with Families / SatisfactoryUnsatisfactory
B.  Maintaining Accurate Records / SatisfactoryUnsatisfactory
C.  Contributing to the School and the District / SatisfactoryUnsatisfactory
D.  Showing Professionalism / SatisfactoryUnsatisfactory

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June 2003

III. SUMMARY:

The following signatures indicate the data has been read and discussed.

______

LP’s Signature Date Administrator’s Signature Date

Copy: SLP

Administrator

SLP Personnel File

The SLP has the option of presenting a written rebuttal to the administrator within twenty working (20) days.

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June 2003

I. SPEECH/LANGUAGE THERAPY

A.  Planning and Preparation

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  Demonstrates knowledge of the normal development of communication skills / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Demonstrates knowledge of speech and language disorders/delays / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Individualizes a therapy plan specific to student’s communication needs / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Designs long term goals and short term objectives that are clear and measurable / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Determines clear objectives for each therapy session / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Utilizes or designs appropriate materials, resources, activities and techniques to accomplish objectives and motive students / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

B.  SLP/Student Relationships

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  Demonstrates the ability to gain respect and cooperation from students / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Demonstrates positive attitude and openness to students / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Personalizes the instructional program to accommodate student’s learning / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

C.  Student Management

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  Creates a stimulating, organized, and productive environment for learning / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Establishes procedures that elicit appropriate student responses during different types of activities / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Demonstrates the flexibility to adjust and personalize instruction (therapy) as needed for student success / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Maintains a disciplined environment by monitoring student behavior and stopping inappropriate behavior promptly and consistently, while maintaining the dignity of the student / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

D.  Instructional Time/Presentation

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  Demonstrates awareness of student skills, abilities, and learning styles / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Utilizes direct therapy time efficiently / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Provides activities which develop critical thinking and problem solving abilities / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Implements appropriate activities based on student’s age and needs / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

E.  Evaluation/Reporting

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  Conducts required screening in compliance with child find procedures / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Uses a variety of assessment tools appropriately / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Completes evaluations within a reasonable amount of time / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Writes reports clearly and concisely / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Develops and maintains appropriate records / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Communicates effectively during CST/IEP meetings, conferences, and other meetings / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

F.  Monitoring Student Performance

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  Maintains appropriate data to measure and assess student progress / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  Meets deadlines for required paperwork and reports / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

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II. Interpersonal/Professional Responsibilities

A.  Communicating with Families

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  SLP participates in school activities and processes for parent communication / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP provides information to parents about the instructional, behavioral, and attendance program and the student’s progress on a regular basis / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP responds to parent concerns in a professional manner / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

B.  Maintaining Accurate Records

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  SLP’s system for maintaining information on student completion of assignments, student progress, behavior, and attendance is effective / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

C.  Contributing to the School and the District

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  SLP maintains professional working relationships with staff including supervisor / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP cooperates with colleagues to fulfill school required duties / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP participates in school events when assigned (e.g. Open House) / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP actively and constructively participates in and makes a contribution to school or district projects / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

D.  Shows Professionalism

/ Select: Satisfactory, Growth Needed, Unsatisfactory, or Not Observed
·  SLP shows respect for students, parents, peers and administration by being punctual and prepared for class, work and meetings / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP shows respect for students, peers, parents and administration through his/her words and actions / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP participates in activities that will enhance his/her professional skills / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP addresses and/or reports student language, bullying, harassing, hostile, prejudicial or belittling statements and/or behaviors / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
·  SLP follows the policies, regulations, and procedures of the school district / SatisfactoryGrowth NeededUnsatisfactoryNot Observed
Strengths:
Recommendations for Improvement and/or Professional Development:

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