Cobb County School District

School Counselor/Administration

Annual Partnership Agreement

Counselor’s Name : / Evaluator’s Name: / Year
Mission Statement for the School Counseling Program:

School Counseling Program Goals

The school counseling program will focus on the following achievement, attendance, behavior and/or school safety goals this year. Details of activities promoting these goals are found in the curriculum, small-group and/or closing-the-gap action plans.

Program Goal Statements
1
2
3

Planning and Results Documents (Attached)

One or more of the following action plans have been developed for the school counseling program.These plans or reports may be departmental or individual.

Closing-the-Gap Action Plans Results Reports (from last year’s action plans if applicable)

Curriculum Action Plan

Small-Group Action Plan

Programs and Services for

Staff:
Parents:
Community:

Materials and Supplies Needed

Advisory Council

The school counseling advisory council will meet during the following month(s) this year.

School Counselor Office Organization/Availability

Students will be assigned to the school counselor by:

Grade level / Grade: / Office Hours:
Alpha listing / Section: / Career Center Hours (if applicable):
Other: / List: / My hours (if flexible scheduling):

Role and Responsibilities of Other Staff and Volunteers (if applicable)

The school counseling secretary:
The clerk/receptionist:
The registrar:
The student aides:
The career and college center assistant:
The attendance clerk:
Parent Liaison:
Volunteers:
Others:

Use of Time

I plan to spend the following percentage of my time delivering the components of the school counseling program. All components are required for a comprehensive school counseling program.

Planned Use / Recommended
Direct Services to Students / % / of time delivering school counseling core curriculum / Provides developmental curriculum content in a systematic way to all students / 80%
or more
% / of time with individual student planning / Assists students in the development of educational, career and personal plans
% / of time with responsive services / Addresses the immediate concerns of students
Indirect Services for Students / % / of time providing referrals, consultation and collaboration / Interacts with others to provide support for student achievement
Program Planning and School Support / % / of time with foundation, management and accountability and school support / Includes planning and evaluating the school counseling program and school support activities / 20%
or less

Specific Individual Counselor Responsibilities

Professional Development

I plan to participate in the following professional development based on school counseling program goals and my school counselor competencies self-assessment.

Professional Collaboration and Responsibilities(Choose all that apply.)

Group / Weekly/Monthly/Annually/As Needed / General Coordinator
  1. School Counseling Team Meetings

  1. Administration/School Counseling Meetings

  1. Student Support Team Meetings

  1. Department Chair Meetings

  1. School Improvement Team Meetings

  1. District School Counseling Meetings

  1. (Other)

______

Counselor’s Signature DateAdministrator’s Signature Date

Developed from the American School Counselor Association National Model Revised 2013