Psychologist Performance Profile and Rating (Form 2B)
1a: Demonstrating knowledge of the profession of psychology, including
professional, ethical, and legal standards and regulations that guide the
practice of psychology in education
1b: Demonstrating knowledge
of child and adolescent characteristics, including knowledge of
development, cultural diversity, and psychopathology
1c: Demonstrating knowledge of assessment, including selecting and using
a range of psychological instruments to evaluate students, linked to
assessment concerns and potential interventions
1d: Demonstrating knowledge of procedures and resources, including
district procedures, state and federal regulations, resources within and
beyond the school and district, and the continuum of services available to
students
1e: Designing a cohesive service delivery system that solves school-wide
problems, meets the needs of individual students, and includes prevention
1f: Demonstrating knowledge of research-based instructional, behavioral,
and mental health interventions
Domain 2: The Environment
2a: Maintaining an environment of respect and rapport in professional
relationships and
with students
2b: Supporting a culture of learning and achievement in classrooms, by
promoting data-based decision-making and research-based interventions
2c: Implementing clear procedures for referrals and for working with the
building-level child study process
2d: Establishing procedures for analyzing student behavior and providing
positive behavioral supports
2e: Organizing physical space, including appropriate testing space, space
to consult with teachers and parents, and maintaining confidential storage
for test materials and files
Highly
Effective
Effective
Developing
Ineffective
Highly
effective
Continuing
Effective
Probationary
Domain 1: Planning and Preparation
Developing
Status:
Final Summative
Due No Later Than March 31
Date:
Ineffective
Evaluator:
Spring Summative
Observation Experience #2
Date:
Highly
Effective
School Year:
Effective
School/Dept:
Fall Summative
Observation Experience #1
Developing
EIN:
Ineffective
Employee:
Domain 3: Delivery of Services
3a: Communicating effectively by responding in a timely manner to
referrals, parent requests, and re-evaluation schedules; consulting regularly
with teachers and administrators
3b: Gathering information systematically from multiple sources, using test
instruments appropriately, and considering the context for assessment and
intervention
3c: Serving as case manager of the evaluation team, maintaining contact
with other professionals throughout the assessment process, and writing
integrated MET reports
3d: Addressing social-emotional needs of students by providing social
skills training, counseling, and/or behavioral coaching, and working with
teachers and/or parents to plan and implement interventions
3e: Demonstrating flexibility and responsiveness
Domain 4: Professional Responsibilities
4a: Reflecting on practice
4b: Maintaining accurate records
4c: Communicating with families
4d: Participating in professional communities, including those established
at assigned schools and with school psychologist colleagues
4e: Growing and developing professionally
4f: Demonstrating professionalism
Final Summative Specialist Performance Rating
Ineffective (0)
3 or more Ineffective ratings
Developing (1)
Highly Effective (3)
Effective (2)
1 or 2 Ineffective ratings
or
4 or more Developing ratings
Zero Ineffective ratings and fewer
than 4 Developing ratings
At least 7 Highly Effective ratings
and
Zero Ineffective and Developing ratings
Final Specialist Evaluation Rating
Evaluator’s Printed Name
Specialist’s Printed Name
Fall Summative
Evaluator’s Signature
Specialist’s Signature
Date
Date
Spring and Final Summative
Evaluator’s Signature
Specialist’s Signature
Date
Date