SCHOOL PSYCHOLOGY PORTFOLIO REVIEW
UNIVERSITY SUPERVISOR EVALUATION
University of Wisconsin - Stout
Student Name: _____________________________________
Review:
Benchmark 2 (Roles and Function)
University Supervisor: ___________________________
1.
2.
3.
4.
Date: _____________________
Benchmark 3 (Practicum)
Benchmark 4 (Internship)
University Supervisor Signature: ______________________________
INTERN: REVIEW OF SELECTED ARTIFACT THAT DEMONSTRATES A DIRECT, MEASURABLE, AND POSITIVE OUTCOME ON CHILDREN, FAMILIES, AND/OR SCHOOL.
Did the intern address a problem situation?
0
1
2
Did the intern implement (directly or indirectly) a research-based intervention/method?
0
1
2
Did the intern use a measurement technique which shows growth and change over time in the subject(s)? 0
1
2
Did the intern show data which determines change/growth or lack of?
0
1
2
Using the following performance-based stages as a guide, please rate the portfolio artifacts.
Novice
Advanced Novice
Emerging Practitioner
Established
Practitioner
Advanced Practitioner
Student demonstrates
the skills and behaviors
necessary to participate
in and contribute to
relevant activities and
functions; building
competence while
continuing to receive
substantial guidance
and supervision.
Student demonstrates
the skills and behaviors
necessary to
significantly participate
in and substantially
contribute to relevant
activities and functions;
continuing to build
competence while
requiring reduced
levels of direct
supervision. Continued
indirect supervision is
expected.
Student demonstrates
the skills and behaviors
necessary to work
independently;
expanding competence
and building fluency.
Continued indirect
supervision and regular
consultation is
expected.
Student demonstrates
the skills and behaviors
necessary to work
independently while
integrating and
applying the full range
of competencies.
Continued indirect
supervision and
occasional consultation
is expected.
Student demonstrates
the skills and behaviors
necessary to work
independently while
integrating and
applying the full range
of competencies.
Student shows a level
of knowledge, practice,
and leadership
consistent with a highly
reflective practitioner.
Occasional consultation
is expected.
Novice
NASP Domain 1: Data-Based Decision Making and
Accountability
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 2: Consultation and Collaboration
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 3: Interventions and Instructional
Support to Develop Academic Skills
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 4: Interventions and Mental Health
Services to Develop Social & Life Skills
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 5: School-Wide Practices to Support
Learning
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 6: Preventative and Responsive Services
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
Advanced
Novice
Emerging
Practitioner
Established
Practitioner
Advanced
Practitioner
Comments
Novice
Advanced
Novice
Emerging
Practitioner
Established
Practitioner
Advanced
Practitioner
Comments
NASP Domain 7: Family and School Collaborations
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 8: Diversity in Development and Learning
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 9: Research and Program Evaluation
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
NASP Domain 10: Legal, Ethical, and Professional
Practice
Reflection:
Yes
No
Artifact 1
Artifact 2
Artifact 3
Comments and Recommendations
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