COMMUNITY UNIT DISTRICT #5
Supplemental Checklist
for
Speech/Language Pathologist
Speech/Language Pathologist______
Evaluator______
Directions:
- Evaluator may or may not rate all items below.
- The rating scale for each standard is as follows:
A=Acceptable
NI=Needs Improvement
NA=Not Applicable
NO=Not Observed
Professional Skills:
____1. The speech/language pathologist screens kindergarten students, new students (as needed), and referred students to identify those who need further diagnostic testing.
____2. The speech/language pathologist performs individual speech/language evaluations to diagnose speech/language/hearing disorders.
____3. The speech/language pathologist interprets test findings and makes appropriate recommendations.
____4. The speech/language pathologist performs speech/language evaluations on students referred for related services.
____5. The speech/language pathologist rechecks and monitors the status of those students whose apparent communication disorders may change as a result of other variables.
____6. The speech/language pathologist provides and schedules therapeutic intervention as appropriate.
____7. The speech/language pathologist conducts conferences with parents as outlined in PL 94-142.
____8. The speech/language pathologist consults with professional staff and other school personnel to obtain or provide information regarding an individual’s communicative skills, associated behaviors, and/or management of case.
____ 9. The speech/language pathologist participates in multi-disciplinary staffings for students with speech/language/hearing disorders.
____10. The speech/language pathologist refers students as needed for appropriate services (i.e., otorhino-laryngologist, velopharyngeal consultation, audio-logical evaluation, hearing impaired consultation, etc.) and follow-up on said referrals.
____11. The speech/language pathologist attends out-of-the-building conferences and evaluations and appropriate meetings.
____12. The speech/language pathologist makes classroom observations as appropriate.
____13. The speech/language pathologist consults with colleagues in situations, which may require additional opinions or ideas pertaining to the handling of a particular case.
____14. The speech/language pathologist develops and Individualized Educational Plan (IEP) for each student placed in speech/language therapy.
____15. The speech/language pathologist maintains accurate files and records on students exhibiting communicative disorders.
____16. The speech/language pathologist handles correspondence relating to PL 94-142 management procedures, i.e., arranging for parent conferences, parental permission, child count updates cards, etc.
____17. The speech/language pathologist coordinates district speech/language therapy programs.
____18. The speech/language pathologist corresponds directly with the appropriate administrator regarding job responsibilities.
____19. The speech/language pathologist uses group or individual therapy when appropriate.
____20. The speech/language pathologist uses available student data in ascertaining needs, planning work, and guiding the learning process.
____21. The speech/language pathologist identifies students with specific learning problems and takes appropriate action.
____22. The speech/language pathologist arranges for differentiated experiences to meet needs and abilities of individual students.
____23. The speech/language pathologist sets clear student objectives at appropriate levels of difficulty.
____24. The speech/language pathologist monitors learning through a variety of evaluation methods.
____25. The speech/language pathologist begins instruction promptly.
____26. The speech/language pathologist provides materials essential to the lesson.
____27. The speech/language pathologist sets the stage for learning by focusing the students’ attention on class work.
____28. The speech/language pathologist provides clear and concise directions.
____29. The speech/language pathologist varies teaching techniques.
____30. The speech/language pathologist allows appropriate time when seeking student responses.
____31. The speech/language pathologist provides opportunities for group and individual practice.
____32. The speech/language pathologist provides specific praise and other forms of positive reinforcement.
____33. The speech/language pathologist assigns and checks comprehension of homework and seatwork.
____34. The speech/language pathologist provides timely and constructive feedback.
____35. The speech/language pathologist is punctual and consistent in reporting to work and to other specific duty assignments.
____36. The speech/language pathologist exhibits a professional attitude towards other educators, parents, and community members.
____37. The speech/language pathologist adheres to published policies and practices.
____38. The speech/language pathologist makes reasonable decisions and takes appropriate action.
____39. The speech/language pathologist uses and cares for materials, equipment, and facilities.
____40. The speech/language pathologist exercises care for health and safety of students and other school personnel.
____41. The speech/language pathologist assists in the maintenance of discipline in the schools including grounds.
Summary/Areas of Concern: