Northern Humboldt Union High School District
Certificated Student Assistance Counselor Observation Report
Name:
School:
Event Observed:
Observed Period:
Employment Status:  Temporary
MS: Meets Standards
 Probationary 1
PNI: Progress Needs Improvement
Standard One: Organizational and Managerial Skills
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
 Permanent
UPS: Unsatisfactory Progress Toward Meeting Standards
Comments
MS

PNI

UPS

Comments
MS

PNI

UPS

Comments
MS

PNI

UPS

Respects the cultural values of others
Works with all segments of the student population
Maintains professionalism during interaction with parents,
students and colleagues
Communicates effectively with students, families and other
appropriate outside audiences about student progress
Provides outreach and/or problem resolution counseling as
needed
Uses a variety of materials and methods in conducting
assessments to provide appropriate student support services
Collaborates in the design of short and long term
interventions to support student learning and assists with
the implementation of the intervention strategies
Provides support and assistance to colleagues as needed
Standard Three: Engages and Supports All Students
in Learning
o
Probationary 2
Devises and maintains efficient and effective methods for
meeting the roles and responsibilities of a crisis counselor
Maintains a professional physical environment that is
inviting to students, parents and colleagues
Responds to student’s, teacher’s and parent’s concerns in a
timely manner
Maintains up-to-date daily log
Completes MAA billing
Effectively manages daily triage as needed
Provides data regarding student services as required by
grant obligations
Standard Two: Interpersonal Skills and
Interventions
o
o
o
Date:
Connects student’s prior knowledge, life experiences,
strengths, weaknesses and interests with personal
development goals
Uses a variety of strategies and resources to respond to
students’ diverse needs
Make drug and alcohol classroom presentations as needed
Engages students in problem solving, critical thinking, and
other activities that support emotional growth and academic
success
Standard Four: Understands and Organizes
Resources for Student Guidance
o
o
o
o
o
o
o
o
o
MS

PNI

UPS

Comments
MS

PNI

UPS

Uses materials, resources and technologies to provide a
comprehensive emotional support system
Establishes and articulates goals for individual student
growth as needed
Participates on Student Assistance, Study and/or Review
Teams and IEP meetings as necessary
Standard Five: Implements Professional Counseling
Duties
o
Comments
Effectively plans, implements and communicates the
necessary details regarding providing crisis counseling
services to student
Utilizes effective communication skills for maintaining
public relations and conducting public presentations
Engages in the timely planning, effective communication
and conducting of any individual responsibilities for endof-year events
Meets with site admin to discuss and review students as
needed
Effectively responds to on-site situations and changes in a
timely and professional manner
Provides information, counseling, and support to students,
families, educational teams and others regarding students’
emotional needs
Provides drug and alcohol counseling to high school
students, including those on zero tolerance contracts.
MS: Meets Standards
PNI: Progress Needs Improvement
UPS: Unsatisfactory Progress Toward Meeting Standards
Professional Responsibilities:
Observation:
General:
Comments:
Overall Rating:
 Satisfactory
_______________________________ _________
Evaluator’s Signature
Date
 Needs Improvement
 Unsatisfactory
_______________________________ ___________
Certificated Crisis Counselor Signature*
Date
*Signature does not indicate agreement. Employee may attach a written ten days of receipt of evaluation.