ARTeacherExcellenceSupportSystem(TESS)

SCHOOL COUNSELOR FORMATIVE EVALUATION/ SELF-ASSESSMENT FORM

Counselor:Evaluator:

District:School/Building:SchoolYear:GradeLevel/Area:

ConferenceDate:

Track:Probationary/NoviceExperienced

2A

2B1(Year1)

2B2(Year2)

Intensive

Self-AssessmentFormativeEvaluation

DOMAIN1:PLANNINGANDPREPARATION
Unsatisfactory / Basic / Proficient / Distinguished
1a:
Demonstratingknowledgeofcounselingtheoryandtechniques / Counselordemonstrateslittle ornounderstandingof counselingtheoryand techniques. / Counselordemonstratesbasic understandingofcounselingtheory andtechniques. / Counselordemonstratesthorough understandingofcounselingtheoryand techniques. / Counselordemonstratescomprehensive understandingofcounselingtheoryand techniquesandusesknowledgetooffer differentiatedsupportappropriatetoeach situation.
1A / D /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
1b:
Demonstratingknowledgeofchildandadolescentdevelopment / Counselordisplayslittleorno knowledgeofchildand adolescentdevelopment. / Counselordisplayspartial knowledgeofchildandadolescent development. / Counselordisplaysaccurate understandingofthetypical developmentalcharacteristicsoftheage group,aswellasrecognizingexceptions tothegeneralpatterns. / Counselorusesaccurateknowledgeofthe typicaldevelopmentalcharacteristicsofthe agegroupandexceptionstothegeneral patternstodeterminewhichindividual studentsfollowthegeneralpatterns. The counselorthoroughlyconsiders,recognizes, andacquiresknowledgefromseveral sourcestoworkwithstudentswithindividual differences.
1B /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
1c:
Establishinggoalsforthecounselingprogramappropriatetothesettingandthestudentsserved / Counselorhasnocleargoals forthecounselingprogramor appropriategoalstoeitherthe situationortheageofthe students. / Counselor’sgoalsforthecounseling programareundevelopedand/or
arepartiallysuitabletothesituation
andtheageofthestudents. / Counselor’sgoalsforthecounseling programareclearandappropriatetothe school,theenvironment,andthe students. / Counselor’sgoalsforthecounseling programarehighlyappropriatetothe situation,theschool,andtotheageofthe students. Thegoalshavebeendeveloped followingcollaborationwithstudents, colleagues,andstaff.
1C /  /  /  / 

ArkansasTeacherExcellenceSupportSystemEvaluationForm-Counselor1AllrightsreservedtoCharlotteDanielson

Updated 08/01/2013

Rev.2.0

DOMAIN1:PLANNINGANDPREPARATION(continued)
Unsatisfactory / Basic / Proficient / Distinguished
1d:
Planningthecounseling programwithappropriate resources / Counselorplanlacks coherenceandisdeveloped withoutinputfromconstituents orinclusionofindividual, school,anddistrictneeds. / Counselorplancontainsguiding principlesbutisnotconsistentwith individual,school,anddistrictgoals. Counselorseeksminimalinputfrom constituents. / Counselorplanprovidesservicesand seeksresourcesthatareconsistentwith individual,school,anddistrictgoalsand individualstudentneeds.Counselor activelycollaborateswithcolleaguesand staffinregardstodesigningplans. / Counselorplanprovidesextensiveknowledge ofresourcesincludingthoseavailable
throughtheschoolordistrictandinthe community. Counselorhasadeep understandingofthestudentneedsandthe bestpracticeandresourcesastomeeting thoseneeds.Counseloridentifiesall constituents,ensuringcollaborationwith themwhendesigningprogramofservices..
1D /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
1e:
Developing measures to evaluatethe counseling program / Counselorhasnotcreateda plantoevaluatetheprogram. / Counselorhasarudimentaryplanto evaluatethecounselingprogram. Theplanhaslimitedprovisionfor
theinclusionofinputfromothersor thecollectionofdatadesignedto assessthedegreetowhichgoals havebeenmet. / Counselor’splantoevaluatetheprogram involvesallconstituents. Theplanis organizedaroundcleargoalsandthe collectionofevidencetoindicatethe degreetowhichthegoalshavebeen
met. / Counselor’splantoevaluatetheprogramis highlysophisticated,withawide-varietyof sourcesofevidenceandaclearpathtoward improvingtheprogramonanongoingbasis. Theplanprovidesforactiveinvolvementof constituentsandcarefulcollectionofdataon programgoals.
1E /  /  /  / 
OVERALL DOMAIN1
RATING / Unsatisfactory / Basic / Proficient / Distinguished
 /  /  / 
COMMENTS:
DOMAIN2:ENVIRONMENT
Unsatisfactory / Basic / Proficient / Distinguished
2a:
Creatinganenvironment ofrespectandrapport / Counselordoesnotcreatea safeandinvitingenvironment.
Interactionsbetweencounselor andstudentsarenegative, inappropriate,orinsensitiveto theirculturalbackground. / Counselorcreatesanenvironment thatissafeandaccessible,with interactionsbetweencounselorand studentsbeinggenerallyappropriate andfreefromconflict. Theymaybe characterizedbyoccasionaldisplays ofinsensitivityorlackofresponses
toculturalordevelopmental differences. / Counselorcreatesanenvironmentthatis safe,accessible,andinviting,designed
toappealtothepopulationserved. Interactionsbetweenstudentsand counselorarerespectful. Interactions reflectgeneralwarmthandcaring,and areappropriatetotheculturaland developmentalcharacteristicsofthe populationserved.Thenetresultofthe interactionsispolite,respectful,and businesslike,thoughstudentsmaybe somewhatcautiousabouttaking emotionalrisks. / Counselorcreatesanenvironmentthatis alwaysinvitingandappealingreflecting sensitivitytotheculturalanddevelopmental characteristicsofthepopulation.Interactions reflectgeneralwarmthandcaring,andare appropriatetotheculturalanddevelopmental characteristicsofthepopulationserved. Individualstudentsseekoutthecounselor, reflectingahighdegreeofcomfortandtrust
intherelationship.Thenetresultisan environmentwhereallstudentsfeelvalued andarecomfortabletakingemotionalrisks.
2A /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
2b:
Establishingaculture forproductivecommunication / Counselormakesnoattemptto establishaculturefor
productivecommunicationin
thecounselingsettingbetween studentandcounselor. / Counselor’sattemptstopromotea cultureinthecounselingsettingfor productiveandrespectful communicationbetweenstudent andcounselor. / Counselorpromotesacultureinthe counselingsettingforproductiveand respectfulcommunicationbetween studentandcounselor / Counselorpromotesacultureinthe counselingsettingforproductiveand respectfulcommunicationwiththe expectationofmoreindepthresponsesand commitmenttothecounselingprocessfrom thestudent.
2B /  /  /  / 
DOMAIN2:ENVIRONMENT(continued)
Unsatisfactory / Basic / Proficient / Distinguished
2c:
Managingroutines andproceduresinthe counselingsetting / Counselor’sroutinesforthe counselingcenterorclassroom workarenonexistentorin disarray.Counselorisunable
toprioritizetime-sensitivetask. Counselordoesnothavean organizedplantoaddress emergencies. / Counselorhasrudimentaryand partiallysuccessfulroutinesforthe counselingcenterorclassroom. Counselorisinconsistentin prioritizingtasks.Counselorhasa rudimentaryplanforhandling emergencies. / Counselor’sroutinesforthecounseling centerorclassroomworkeffectively. Counselorconsistentlyprioritizestasks andhasadefinedplantohandle emergencies. / Counselor’sroutinesforthecounselingcenter orclassroomareseamless,andstudents assistinmaintainingthem. Counselor prioritizesalltasks.Counselordevelopsand communicatesanemergencyresponseplan collaboratingwithallconstituents.
2C /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
2d:Establishing expectations/normsfor student behavior inthe counselingsetting / Counselorhasestablishedno standardsofconductfor studentsduringcounseling sessionsandmakesnoeffort tomaintainanenvironmentof civilityintheschool. / Counselor’seffortstoestablish standardsofconductfor counselingsessionsarepartially successful.Counselorattempts, withlimitedsuccess,tocontribute tothelevelofcivilityintheschool asawhole. / Counselorhasestablishedclear standardsofconductforcounseling sessionsandmakesacontributiontothe environmentofcivilityintheschool. Counselorcommunicates,models,and encourageshighexpectationsforstudent behavior. / Counselorhasestablishedclearstandardsof conductforcounselingsessions,andstudents contributetomaintainingthem. Counselor makesasignificantcontributiontothe environmentofcivilityintheschool.Counselor collaborateswithallconstituentsandis responsivetointerventionneedsrelatedto studentbehaviorsastheyarise.
2D /  /  /  / 
OVERALL DOMAIN2
RATING / Unsatisfactory / Basic / Proficient / Distinguished
 /  /  / 
COMMENTS:
DOMAIN3:DELIVERYOFSERVICE
Unsatisfactory / Basic / Proficient / Distinguished
3a:
Communicatingwith studentstodeterminetheir needs / Counselordoesnotassess behaviororacademicstudent needs,ortheassessments resultininaccurate conclusions. Counselordoes
notcommunicateorcollaborate withcolleaguestoassess studentneeds. / Counselor’sassessmentsof studentbehaviororacademic needsarebasic.Counselor sporadicallycommunicatesand collaborateswithcolleagues regardingstudentneeds. / Counselorassessesstudentbehavioror academicneedsandknowstherangeof studentneedsintheschool. Counselor providesopportunitiesforallstudentsto beinvolvedinthecounselingprogram eitherthroughindividual,group,andor classroomcounseling. Counseloruses communicationwithcolleaguesaspartof theassessmentofstudentneeds. / Counselorconductsdetailedand individualizedbehaviorand/oracademic assessmentsofstudentneedstodevelop programplan. Counselorprovidesall studentswithopportunitiestobeinvolvedin thecounselingprogrameitherthrough individual,group,andorclassroom counseling.Counselorusescommunication withcolleagues,parents,andoutside communityagenciesaspartofthe assessmentofstudentneeds.
3A /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
3b:
Assistingstudentsinthe formulationofacademic, personal/social,andcareer plansbasedonknowledgeof studentneeds / Counselordoesnotattemptto helpstudentsformulate academic,personal/social,and careerplans. / Counselor’sattemptstohelp studentsformulateacademic, personal/social,andcareerplans. / Counselorhelpsstudentsformulate academic,personal/social,andcareer planswhileusingsomedataregarding studentneeds. / Counselorhelpsindividualstudentsand formulatesacademic,personal/social,and careerplanswhileusingdataregarding studentneeds. Counselorencourages studentstoactivelytakepartinthecreationof theiracademic,personal/social,andcareer plan.
3B /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
3c:
Deliveringcounseling servicesandresourcesto supportstudents / Counselordoesnotmake connectionswithother programsinordertomeet studentneeds.Counselordoes notprovideappropriate
servicesandisunawareof resourcesordoesnotmake appropriatereferrals. / Counselor’seffortstocollaborate serviceswithotherprogramsinthe schoolarepartiallysuccessful. Counselorhasbasicunderstanding ofservicestobedeliveredbut makesuseofminimalresources andmakesappropriatereferrals inconsistently. / Counselorcollaborateswithother colleaguesandprogramswithinthe schoolordistricttomeetstudentneeds. Counselorprovidesappropriateservices usingresourcesavailableandmakes appropriatereferralsconsistently. / Counselorcollaborateswithothercolleagues andprogramsandagenciesbothwithinand beyondtheschoolordistricttomeetindividual studentneeds.
Counselorfullyutilizesresourcesavailableto provideappropriateservicesandmakesthe mostappropriatereferralsincollaborationwith schoolservicepersonnelbaseduponthe individualstudentneedsonaconsistentbasis.
3C /  /  /  / 
DOMAIN3:DELIVERYOFSERVICE(continued)
Unsatisfactory / Basic / Proficient / Distinguished
3d:
Usingassessmenttoguide counselingservices / Counselordoesnotevaluate studentprogressorconsult withteammemberstomeet students’needs. / Counselorinconsistentlyevaluates studentprogressorconsultswith teammemberstomeetstudents’ needs. / Counselorconsistentlyevaluatesstudent progressandconsultswithteam memberstomeetstudents’needs. / Counselorconsistentlyevaluatesstudent progressusingmultiplemeasuresand consultswithteammembers. Students demonstratesomeself-assessment techniquesandself-advocacy.
3D /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
3e:
Demonstratingflexibility andresponsiveness / Counselordoesnotadjustand prioritizeroutinestomeet studentneeds. / Counselormakesminorrevisions andadjustmentsintheirdaily scheduleasneeded.Counselor attemptstomodifyprioritiesto meetstudentandbuildingneeds
throughuseoftechnologyandbest practice. / Counselorisawareofstudentneedsand makesrevisionsandadjustmentsintheir dailyscheduleasneeded. Counselor routinelymodifiesprioritiestomeet studentandbuildingneedsthroughuse
oftechnologyandbestpractice. / Counselorproposeschangesandquickly incorporatesnewdevelopmentsthatwillbest serveneedsofstudents.Counseloris continuallyawareofstudentneedsand proactivelyadjustsdailyroutinestoserve studentneeds.
3E /  /  /  / 
OVERALLDOMAIN3
RATING / Unsatisfactory / Basic / Proficient / Distinguished
 /  /  / 
COMMENTS:
DOMAIN4: PROFESSIONALRESPONSIBILITIES
Unsatisfactory / Basic / Proficient / Distinguished
4a:
Reflectingoncounseling practice / Counselordoesnotreflect, adjust,orevaluateonpractice. / Counselor’sreflection,adjustment, andevaluationonpracticeare moderatelyaccurateandobjective. Counselormakesgeneral suggestionsastohowthe counselingprogrammightbe improvedbasedonsomedata sources. / Counselor’sreflection,adjustment,and evaluationprovideanaccurateand objectivedescriptionofthepracticeand processofevaluation.Counselormakes somespecificsuggestionsastohowthe counselingprogrammightbeimproved basedonmultipledatasources. / Counselor’sreflection,adjustment,and evaluationprovideahighlyaccurateand perceptivedescriptionofthepracticeand
processofevaluation.Counselormakesdetailed suggestionsastohowthecounselingprogram mightbeimprovedbasedonmultipledata sources.
4A /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
4b:
MaintainingAccurate
Records / Counselor’sreports,records, anddocumentationare missing,late,orinaccurate, resultinginconfusion. / Counselor’sreports,records,and documentationaregenerally accuratebutareoccasionallylate. / Counselor’sreports,records,and documentationareaccurateandare submittedinatimelymanner. / Counselor’sapproachtorecordkeepingishighly systematicandefficientandcouldservesasa modelforothercolleagues.
4B /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
4c:Communicatingwith
Families / Counselorprovidesno informationtofamilies,either aboutthecounselingprogram andaffiliatedstudentservice programsoraboutindividual students. / Counselorprovideslimited informationtofamiliesaboutthe counselingprogramandtheir studentandaffiliatedstudent serviceprograms. / Counselorprovidesthoroughandaccurate informationtofamiliesaboutthe
counselingprogram,affiliatedstudent
serviceprograms,andindividualstudents. / Counselorconsistentlyandregularlyprovides thoroughandaccurateinformationtofamilies aboutthecounselingprogramandaffiliated studentserviceprograms. Counselors communicatewithfamiliesinavarietyofways andincludeothercolleagueswhennecessary.
4C /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
4d:
Participatingina
ProfessionalCommunity / Counselor’srelationshipswith colleaguesarenegativeorself- serving,andcounseloravoids beinginvolvedinschooland districteventsandprojects. Counselordoesnotsupport
andhasnoinvolvementin
implementationofthedistrict mission. / Counselorparticipatesinschool anddistrictmeetingsandevents whenspecificallyrequestedtodo so.Counselor’srelationshipswith colleaguesarecordial,and counselorsupportsthedistrict missionandissomewhatinvolved initsimplementation. / Counseloractivelyparticipatesinschool anddistrictmeetingsandeventsand maintainspositiveandproductive relationshipswithcolleagues.
Counselorissupportiveofthedistrict missionandactivelyengagedinits implementation. / Counselorassumesaleadershiproleandmakes asubstantialcontributiontoschoolanddistrict meetingsandeventsandcreatespositiveand productiverelationshipswithcolleagues. Counselorishighlysupportiveofthedistrict missionandactivelyinvolvedinits implementation.
4D /  /  /  / 
DOMAIN4: PROFESSIONALRESPONSIBILITIES(continued)
Unsatisfactory / Basic / Proficient / Distinguished
4e:
Growinganddeveloping professionally / Counselordoesnotparticipate inprofessionaldevelopment evenwhentheneedisevident. / Counselor’sparticipationin professionaldevelopmentactivities islimitedtothosethatare convenientorarerequired. / Counselor seeks additional opportunities for professionaldevelopmentto enhance best practiceand contentknowledgeand pedagogy. / Counseloractivelyprovidesaleadershiprole inseekingoutprofessionaldevelopment opportunitiesforincreasingdistrict
counselingservices.Counselormakesa substantialcontributiontotheprofessionand takesonaleadershiproleandpresents informationlearnedtocolleaguesinorderto improvecurrentpractices/counseling program.
4E /  /  /  / 
Unsatisfactory / Basic / Proficient / Distinguished
4f:
ShowingProfessionalism / Counselordoesnotdisplay honesty,integrity,and confidentialityininteractions withcolleagues,students,and thepublic.Counselordoesnot adheretodistrict,stateand federalregulations. / Counselordisplayshonesty, integrity,andconfidentialityin- interactionswithcolleagues, students,andthepublic.
Counselorisinconsistentin adherencetodistrict,stateand federalregulations. / Counselordisplayshighstandardsof honesty,integrity,andconfidentialityin interactionswithcolleagues,students, andthepublic.
Counseloradvocatesforstudentswhen needed.Counselor’spracticereflects highprofessionalandethicalstandards
aswellasadherencetodistrict,stateand federalregulations. / Counselorconsistentlymaintainsthehighest standardsofhonesty,integrity,and confidentialityaswellasadherenceto
district,state,andfederalregulations.
Counseloradvocatesforallstudents. Counselormodelsprofessionalismwith colleagues.
4F /  /  /  / 
OVERALLDOMAIN4
RATING / Unsatisfactory / Basic / Proficient / Distinguished
 /  /  / 
COMMENTS:

SummaryofCommendationsRecommendedArea(s)ofGrowthExpectations

COUNSELOR’S SIGNATUREDATE EVALUATOR’S SIGNATUREDATE