Standard 4- Family–School Collaboration Services Level IV□ Level III Level II Level I □ □ □ Domain 3- Interventions & Supports Standard 5- Interventions and Instructional Support IV□ Level III Level II Level I □ □ □ Standard 6- Interventions and Mental Health Services Level IV□ Level III Level II Level I □ □ □ Domain 4- System Level Services Standard 7- School-Wide Practices to Promote Learning Level IV□ Level III Level II Level I □ □ □ Standard 8- Preventive and Responsive Services IV□ Level III Level II Level I □ □ □ Domain 5- Core Principles & Professional Responsibilities Standard 9- Diversity in Development and Learning Level IV□ Level III Level II Level I □ □ □ Standard 10- Legal, Ethical, and Professional Practice Level IV□ Level III Level II Level I □ □ □ II or Level I ratings require the school psychologist to develop a plan with supervisors to improve skill areas and documentation detailing the rationale for the ratings must be attached. needing development: Data or evidence reviewed: Personal development plan: Signatures: (School Psychologist) (Evaluator) Appendix D School Psychologist Evaluation Instrument End of Year Summative Evaluation Psychologist: Evaluator: Schools Served: School Year: Date of End of Year Review: Domain 1- Data Analysis & Application Standard 1- Data-Based Decision Making and Accountability IV□ Level III Level II Level I □ □ □ Standard 2- Research and Program Evaluation Level IV□ Level III Level II Level I □ □ □ Domain 2- Collaborative Partnering Standard 3- Consultation and Collaboration Level IV□ Level III Level II Level I □ □ □ Standard 4- Family–School Collaboration Services Level IV□ Level III Level II Level I □ □ □
Standard 4- Family–School Collaboration Services □ Level IV□ Level III □ Level II □ Level I Domain 3- Interventions & Supports Standard 5- Interventions and Instructional Support □ IV□ Level III □ Level II □ Level I Standard 6- Interventions and Mental Health Services □ Level IV□ Level III □ Level II □ Level I Domain 4- System Level Services Standard 7- School-Wide Practices to Promote Learning □ Level IV□ Level III □ Level II □ Level I Standard 8- Preventive and Responsive Services □ IV□ Level III □ Level II □ Level I Domain 5- Core Principles & Professional Responsibilities Standard 9- Diversity in Development and Learning □ Level IV□ Level III □ Level II □ Level I Standard 10- Legal, Ethical, and Professional Practice □ Level IV□ Level III □ Level II □ Level I II or Level I ratings require the school psychologist to develop a plan with supervisors to improve skill areas and documentation detailing the rationale for the ratings must be attached. needing development: Data or evidence reviewed: Personal development plan: Signatures: (School Psychologist) (Evaluator) Appendix D School Psychologist Evaluation Instrument End of Year Summative Evaluation Psychologist: Evaluator: Schools Served: School Year: Date of End of Year Review: Domain 1- Data Analysis & Application Standard 1- Data-Based Decision Making and Accountability □ IV□ Level III □ Level II □ Level I Standard 2- Research and Program Evaluation □ Level IV□ Level III □ Level II □ Level I Domain 2- Collaborative Partnering Standard 3- Consultation and Collaboration □ Level IV□ Level III □ Level II □ Level I Standard 4- Family–School Collaboration Services □ Level IV□ Level III □ Level II □ Level I
cobbschoolpsychologistevaluationinstrument.docx