Feedback Form School Counselors – Teacher: Observer: Grade level: Subject: Date: Domain 1 Consultation and Coordination Skills Components Unsatisfactory Basic Proficient Distinguished Counselor Counselor is inconsistently Counselor is positively engaged in enhancing Counselor consistently models a positive Fosters demonstrates a pattern involved in enhancing school school climate and is aware of his/her impact attitude and on a leadership role in Constructive and of harmful climate and is unaware on the school’s climate. creating opportunities to enhance school respectful climate interactions with staff of the ways in he/she is climate. within the school. and students. negatively impacting climate. Works Counselor is Counselor is moderately aware Counselor works effectively with others in Counselor initiates programs that address the constructively with conceptually unaware of and successful at developing resources for students. needs of students. other school of and unable to advocating for students. personnel, parents articulate the needs of and area resources the student. in planning and developing programs that meet the needs of the student. Counselor fails to Counselor makes appropriate Counselor referrals reflect sound judgment Counselor acts as a resource for colleagues make referrals when referrals inconsistently. Is and knowledge of resources. Maintains making referrals and acts as a liaison to appropriate appropriate. Unaware aware of and uses district and uses an up-to-date listing of community community referral sources. referrals. of potential referrals referral list. referral services. and resources. Coordinates Counselor is Counselor is inconsistent in Counselor works cooperatively to ensure that Counselor initiates, monitors, and adjusts the counseling and ineffective in coordinating programs. all students have access to guidance delivery of guidance services to respond guidance services coordinating Programs and services. to the needs of students and staff. with other programs. curricular and instructional programs. Assists students Counselor is Counselor completes some Counselor establishes a well-organized, Counselor annually reflects upon and and staff with ineffective in setting transition tasks. publicized, and executed transition program. ways to constructively improve the educational up and executing process. transitions. transition tasks. Feedback Form School Counselors – Teacher: Observer: Grade level: Subject: Date:
Feedback Form – School Counselors Teacher: Observer: Grade level: Subject: Date: Domain 1 Consultation and Coordination Skills Components Unsatisfactory Basic Proficient Distinguished Fosters Constructive and respectful climate within the school. Counselor demonstrates a pattern of harmful interactions with staff and students. Counselor is inconsistently involved in enhancing school climate and is unaware of the ways in he/she is negatively impacting climate. Counselor is positively engaged in enhancing school climate and is aware of his/her impact on the school’s climate. Counselor consistently models a positive attitude and on a leadership role in creating opportunities to enhance school climate. Works constructively with other school personnel, parents and area resources in planning and developing programs that meet the needs of the student. Counselor is conceptually unaware of and unable to articulate the needs of the student. Counselor is moderately aware of and successful at advocating for students. Counselor works effectively with others in developing resources for students. Counselor initiates programs that address the needs of students. appropriate referrals. Counselor fails to make referrals when appropriate. Unaware of potential referrals and resources. Counselor makes appropriate referrals inconsistently. Is aware of and uses district referral list. Counselor referrals reflect sound judgment and knowledge of resources. Maintains and uses an up-to-date listing of community referral services. Counselor acts as a resource for colleagues making referrals and acts as a liaison to community referral sources. Coordinates counseling and guidance services with other curricular and instructional programs. Counselor is ineffective in coordinating programs. Counselor is inconsistent in coordinating programs. Counselor works cooperatively to ensure that all students have access to guidance Programs and services. Counselor initiates, monitors, and adjusts the delivery of guidance services to respond to the needs of students and staff. Assists students and staff with educational transitions. Counselor is ineffective in setting up and executing transition tasks. Counselor completes some transition tasks. Counselor establishes a well-organized, publicized, and executed transition program. Counselor annually reflects upon and ways to constructively improve the process. Feedback Form – School Counselors Teacher: Observer: Grade level: Subject: Date:
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