South Kitsap School District No. 402
PSYCHOLOGIST SUMMATIVE EVALUATION
School Year
Name:
(Last)
School:
(First)
Assignment:
Evaluator’s Name:
PREOBSERVATION CONFERENCE DATE:
PATTERN OF OBSERVATION SERIES:
Observation
Date
Date
Number
Planned
Held
1
Time
Begun
Time
Ended
Confer.
Date
Evaluator
Initial
Employee
Initial
2
3
4
Leave Replacement Employee
Post Retirement Employee
Provisional
Continuing Employee:
1.
Summative New Hire Year 1
Summative New Hire Year 3
Summative Cycle For One Year
Summative by Mutual Agreement
Summative New Hire Year 2
Summative New Hire Year 4
Summative at Psychologist Option
Other
2. And the psychologist will be placed on the following evaluation cycle for the
Summative New Hire Year 2
Summative New Hire Year 4
Summative at Psychologist Option
Other
FINAL 8-22-08
school year:
Summative New Hire Year 3
Summative by Mutual Agreement
Formative Year 1
EVALUATION SUMMARY
P: PROFICIENT1
S: SATISFATORY2
NI: NEEDS IMPROVEMENT3
U: UNSATISFACTORY4
*Ratings in the NI and U categories must be substantiated by comments and suggestions for improvement.
CRITERIA AND INDICATORS
RATING
1 – KNOWLEDGE AND SCHOLARSHIP
1.1 Demonstrates knowledge of Washington State and federal rules and regulations
governing special education.
1.2 Implements state and federal regulations according to district policies and
procedures.
1.3 Demonstrates knowledge about validity and reliability of the instruments and
techniques used.
1.4 Demonstrates knowledge of multiple assessment methods and interventions.
1.5 Utilizes current professional literature and research in practice.
.
EVIDENCE:
P
S
2 – SPECIALIZED SKILLS
2.1 Assessment:
2.1.1 Selects and administers appropriate assessment devices in a standardized
fashion.
2.1.2 Coordinates as team leader, assessing all necessary areas and involving
other appropriate staff.
2.1.3 Uses a wide variety of techniques to evaluate: academic skills, learning
aptitudes, personality and social development, social skills, learning
environment and school climate, and eligibility for special education.
2.1.4 Applies multiple assessment techniques and practices, that are researchbased, to reach assessment conclusions.
2.1.5 Completes functional behavior assessments that consider the antecedents,
consequences, functions, and potential causes of behavior problems.
2.2 Intervention:
2.2.1 Provides parents and teachers with interventions to cope with problems in
learning and behavior.
2.2.2 Develops interventions that are linked to assessment and are consistent with
data collection.
2.2.3 Assists with the development of behavioral interventions that are data-based.
2.3 Reporting:
2.3.1 Summarizes and interprets results in a written report which document
eligibility and assessment decisions/interventions that are data-based.
2.3.2 Communicates results in a language that can be readily understood.
2.3.3 Writes reports which include the necessary components as outlined by state
and federal law.
P
S
EVIDENCE:
FINAL 8-22-08
NI
NI
U
U
CRITERIA AND INDICATORS
RATING
3 – MANAGEMENT OF SPECIAL AND TECHNICAL ENVIRONMENT
3.1 Maintains confidentiality of student records as mandated by state and federal
regulations and outlined by district policies and procedures.
3.2 Manages time and environment effectively to insure that assessments and
reassessments are completed in a timely manner.
3.3 Coordinates an effective procedure at the building level which insures appropriate
processing of special education regulations.
3.4 Complies with laws pertaining to storage and disposal of records.
3.5 Complies with copy write laws pertaining to the use of assessment materials.
P
S
NI
U
P
S
NI
U
P
S
NI
U
EVIDENCE:
4 – PSYCHOLOGIST AS A PROFESSIONAL
4.1 Demonstrates an awareness of ethical guidelines outlined by WSASP and NASP.
4.2 Participates in in-service and/or educational opportunities for professional growth
and development.
4.3 Demonstrates awareness of strengths, weaknesses and professional skills –
offering only those services for which he/she is trained.
4.4 Demonstrates sensitivity, knowledge and skills to work with individuals and groups
from a variety of racial, cultural, ethnic, experiential, special needs, social/economic
and linguistic backgrounds.
4.5 Advocates and supports conclusions that are in the best interest of the student.
4.6 Works as a positive role model for expected workplace behavior.
EVIDENCE:
5 – INVOLVEMENT IN ASSISTING PUPILS, PARENTS, AND EDUCATIONAL PERSONNEL
5.1 Serves as a resource to other staff and parents in matters regarding students with
special needs.
5.2 Works cooperatively with staff, parents, and students in the ongoing process of
planning specialized programming for students.
5.3 Facilitates positive relationships between students, educators, parents and
community services.
5.4 Demonstrates sensitivity, knowledge and skills to work with individuals and groups
from a variety of racial, cultural, ethnic, experiential, special needs, social/economic
and linguistic backgrounds.
5.5 Works effectively with others at an individual, group and systems level; including
students, parents, school personnel, & outside agencies.
5.6 Develops positive and appropriate rapport with students.
5.7 Consults and collaborates with staff to establish and maintain student motivation,
maximize achievement, and plan instructional activities so that all students have
the opportunity to earn recognition for effort and accomplishment.
EVIDENCE:
FINAL 8-22-08
_______________________________ ___________
Signature of Evaluator
Date
__________________________
Signature of Employee
______________
Date
Section 8.2.7.2 The employee shall sign the final observation and evaluation (Summative Track Evaluation) report to
indicate that he/she has received a copy of the evaluation section and a conference was held. The signature of the
employee does not, however, necessarily imply that the employee agrees with the contents of the final evaluation.
Within five (5) days of the conference, the employee may submit signed comments concerning his/her evaluation
report. These signed comments shall be made a part of the official observation and evaluation report.
Definitions:
1Proficient-the
psychologist has mastered all of the indicators of the evaluative criteria and has been a model of
superior performance.
2Satisfactory-the psychologist is successful in meeting the indicators of the evaluative criteria.
3Needs Improvement-the psychologist has room for improvement to consistently meet the indicators of the evaluative
criteria.
4Unsatisfactory-the psychologist is not successful in meeting the indicators of the evaluative criteria.
FINAL 8-22-08