CENTINELA VALLEY UNION HIGH SCHOOL DISTRICT OBSERVATION FORM SOCIAL WORKER Evaluatee: Evaluator: Assignment Location: Date of Observation: Status: (Check One) Probationary Year 1 Probationary Year 2 Temporary Permanent Rating Scale 4 3 2 1 EXCEEDS DISTRICT MEETS DISTRICT PARTIALLY MEETS DOES NOT MEET STANDARDS STANDARDS DISTRICT STANDARDS DISTRICT STANDARDS Exceeds expected level of The expected level of Partial or inconsistent (UNSATISFACTORY) performance, demonstrating performance, demonstrating performance. Little or no competence. superb practice. practice excellence. Domain 1: Planning and Preparation The school social worker identifies school needs and organizes responses consistent with professional social work. Commendations/Recommendations/Evidence RATING: Component 1a: Conducts multi-tiered school needs assessment Examples: Assessing individual student needs Assessing classroom and small group needs Assessing school-wide or universal school needs SSWAA Practice 1, 2 SSWAA Key Construct 4 NASW Standard 3 Component 1b: Identifies scientifically Commendations/Recommendations/Evidence RATING: supported educational, behavioral, and mental health services to address school needs Examples: Using research evidence to inform practice Reviewing program and practice outcomes from previous school years to improve services SSWAA Practice 1, 2, 3 SSWAA Key Construct 2, 3, 4 NASW Standard 4, 5 NASW Guiding Principle 3 Component 1c: Identifies school and community Commendations/Recommendations/Evidence RATING: resources to meet school needs Examples: Surveying school and community resources Knowing eligibility requirements for services Monitoring linkages between students/families, and services Taking leadership in developing new resources to meet school needs SSWAA Practice 3 SSWAA Key Construct 1 NASW Standard 4
CENTINELA VALLEY UNION HIGH SCHOOL DISTRICT OBSERVATION FORM SOCIAL WORKER Evaluatee: Evaluator: Assignment Location: Date of Observation: Status: (Check One) Probationary Year 1 Probationary Year 2 Temporary Permanent Rating Scale 4 EXCEEDS DISTRICT STANDARDS Exceeds expected level of performance, demonstrating superb practice. 3 MEETS DISTRICT STANDARDS The expected level of performance, demonstrating practice excellence. 2 PARTIALLY MEETS DISTRICT STANDARDS Partial or inconsistent performance. 1 DOES NOT MEET DISTRICT STANDARDS (UNSATISFACTORY) Little or no competence. Domain 1: Planning and Preparation The school social worker identifies school needs and organizes responses consistent with professional social work. Component 1a: Conducts multi-tiered school needs assessment Examples: Assessing individual student needs Assessing classroom and small group needs Assessing school-wide or universal school needs SSWAA Practice 1, 2 SSWAA Key Construct 4 NASW Standard 3 Commendations/Recommendations/Evidence RATING: Component 1b: Identifies scientifically supported educational, behavioral, and mental health services to address school needs Examples: Using research evidence to inform practice Reviewing program and practice outcomes from previous school years to improve services SSWAA Practice 1, 2, 3 SSWAA Key Construct 2, 3, 4 NASW Standard 4, 5 NASW Guiding Principle 3 Commendations/Recommendations/Evidence RATING: Component 1c: Identifies school and community resources to meet school needs Examples: Surveying school and community resources Knowing eligibility requirements for services Monitoring linkages between students/families, and services Taking leadership in developing new resources to meet school needs SSWAA Practice 3 SSWAA Key Construct 1 NASW Standard 4 Commendations/Recommendations/Evidence RATING:
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