Aiken County Public Schools
Formative Evaluation Process Log
INDUCTION CONTRACT
Speech-Language Therapists
Speech-Language
Therapist’s Name
Certificate No.
District
School
Grade level(s)/Subject area(s)
Academic year
Contract
Administrator/Chair
Certificate No.
Mentor
Certificate No.
Initial/Preliminary Cycle
The speech-language therapist received a comprehensive orientation to the formative
evaluation process. (ADEPT for Speech-Language Therapists Performance Dimensions)
Date
SpeechLanguage
Therapist’s
Initials
 Induction Speech-Language Therapists received a documented school orientation no
later than August 31, 2015.
Date
Mentor’s or
Administrator’s
Initials
Initial/Preliminary Cycle
The Speech-Language therapist was provided with the names of his/her assistance
team members (administrator, mentor and/or observer).
 The Speech-Language therapist should be informed of his/her assigned assistance team
Date
SpeechLanguage
Therapist’s
Initials
Second/Final Cycle
The Speech-Language therapist submitted the long range plan (PD1) for review to
mentor.
 Mentor’s/Observer’s Initials indicate he/she reviewed the long range plan prior to
submission to the assistance team chair.
Date
Mentor’s Initials
Second/Final Cycle
The Speech-Language therapist submitted the long range plan (PD1).
 The long range plan is due to the administrator by September 24, 2015.
Date
Assistance Team
Administrator’s
Initials
 Induction/New Educator Orientation
 Speech-Language therapists undergoing formative evaluation using the S.C. Department of Education
approved instrument, who did not attend the New Educator Orientation Day, will receive formative
evaluation orientation, no later than October 6, 2015.
members by September 8, 2015.
Initial/Preliminary Cycle
A Review of Records (PD 2) submitted to mentor for review prior to submission to
assistance team chair.
Date
Mentor’s Initials
Date
Assistance Team
Administrator’s
Initials
Date
Mentor’s Initials
Date
Assistance Team
Administrator’s
Initials
Date
Mentor’s Initials
Date
Assistance Team
Administrator’s
Initials
Mentor’s/Observer’s Initials indicate he/she reviewed Performance Dimensions and provided
formative feedback on the records prior to the assistance team administrator’s review of
records.
Initial/Preliminary Cycle
A Review of Records (PD 2) should be conducted no later than November 12, 2015
(PD2).
 The Review of Records is conducted by the assistance team members no later than November
12, 2015.
Initial/Preliminary Cycle
Interviews (PD 3 and 4) conducted and formative feedback given by mentor/observer
prior to interview being conducted by assistance team chair.
Mentor’s/Observer’s Initials indicate he/she reviewed Performance Dimensions and provided
formative feedback on the interviews prior to the assistance team administrator’s interviews.
Initial/Preliminary Cycle
Interviews conducted with speech-language therapist (PD3 and 4)
 The interviews are conducted by assistance team members no later than November 12, 2015.
Initial/Preliminary Cycle
Mentor’s/Observer’s provided formative feedback on the IEP meeting prior to the
assistance team administrator’s attending an IEP meeting. (PD3 and 4)
Mentor’s/Observer’s Initials indicate he/she reviewed Performance Dimensions and provided
formative feedback on the IEP meeting prior to the assistance team administrator’s attending
an IEP meeting.
Initial/Preliminary Cycle
A speech IEP meeting was attended (PD3 and 4)
 The assistance team members attended an IEP meeting conducted by the speech-language
therapist, on or before November 12, 2015..
Induction Educator Observation Documentation
 The chart below depicts the minimum number of observations for Induction Contract Educators during the evaluation
cycle. Additional observations may be conducted by the assistance team members (administrator, mentor or other
observer), based on the needs of the Induction Contract Educator.
 Documentation of walk-through observations for all administrators and/or additional observers may be used in
assessing the educator’s performance – in order to provide information on areas of support.
 Documentation for additional observations may not be noted below.
 Documentation of walk-through observations for mentors may not be used in assessing the educator’s performance.
Mentor/Induction Contract 2 Observer observations are for support and assistance.
Initial/Preliminary Cycle
Mentor’s/Observer’s Walk-through Observation (PDs 5, 6, 7, 8, and 9) was
conducted
Date
 Conducted using the Speech-Language Therapists.
 The initial/preliminary evaluation period is September 23, 2015-December 9, 2015.
Initial/Preliminary Cycle
Speech-Language Therapist Reflection
Date
Mentor’s/
Observer’s
Initials
SpeechLanguage
 Complete and submit ADEPT Reflection (PD7) to mentor/observer within seven (7) days of
walk-through observation.
Initial/Preliminary Cycle
Follow-Up Conference
 Mentor will give feedback within five (5) calendar days following the walk-through
Therapist’s
Initials
Date
Mentor’s/
Observer’s
Initials
Date
Assistance Team
Administrator’s
Initials
Initial/Preliminary Cycle
Speech-Language Therapist Reflection
Date
SpeechLanguage
Therapist’s
Initials
Initial/Preliminary Cycle
Date
Mentor’s/
Observer’s or
Assistance Team
Administrator’s
Initials
Date
Assistance Team
observation
Initial/Preliminary Cycle
Assistance Team Administrator’s Walk-through Observation (PDs 5, 6, 7, 8, and
9) was conducted
 Conducted using Speech-Language Therapist observation form.
 The initial/preliminary evaluation period is September 23, 2015-December 9, 2015.
 Assistance team administrator or his/her designee will give feedback within five (5) calendar
days following the walk-through observation
 Complete and submit ADEPT Reflection (PD7) to assistance team administrator within
seven (7) days of walk-through observation.
Follow-Up Conference
 Assistance team administrator or his/her designee will give feedback within five (5) calendar
days after induction contract educator ADEPT Reflection (PD7). Assistance team
administrator may designate the mentor/observer to provide feedback following the walkthrough observation
Initial/Preliminary Cycle
The school leader or assistance team administrator submitted the professional
performance description (PD10).
 The professional performance description is due to the assistance team administrator by
Administrator’s
Initials
November 12, 2015.
The PD10 will only be used to provide formative feedback to the induction contract speech-language
therapist during the initial/preliminary conference.
Initial/Preliminary Cycle
The teacher submitted the professional self-report (PD 10) for review to Mentor.
Date
Mentor’s Initials
Date
Assistance Team
Administrator’s
Initials
Mentor’s/Observer’s Initials indicate he/she reviewed the professional self-report plan prior to
submission to the assistance team chair.
Initial/Preliminary Cycle
The Speech-Language therapist submitted the professional self-report (PD10)
 The professional self-report is due to the assistance team administrator by November 12,
2015.
The PD10 will only be used to provide formative feedback to the induction contract
Speech-Language therapists during the initial/preliminary conference.
Initial/Preliminary Cycle
Documentation/Verification Meeting was held with the school leader, assistance
team administrator (if an assistant principal is assigned as the lead), and/or other
observers (Summary/Documentation of Evidence for Speech-Language therapist)
Date
Assistance Team
Administrator’s
Initials
Date
School Leader’s
Initials
Initial/Preliminary Cycle
Initial/Preliminary Evaluation Conference
The initial/preliminary evaluation conference was held with the speech-language
therapist to discuss the results of the Evaluation Summary and all other
documentation.
 All initial/preliminary evaluation conferences must be held on or before December 9, 2015.
Date
School Leader’s
Initials
Initial/Preliminary Cycle
Submissions to Human Resources
Date
School Leader’s
or Assistance
Team
Administrator’s
Initials
 The school leader will ensure all mentor and observer responsibilities have been fulfilled.
 The school leader will receive feedback from all observers.
 Mentors/Observers are only permitted to give documentation of work with the speechlanguage therapist. Their input cannot be used as evidence for contractual decisions.
 The Professional Self Report and Professional Performance Description should be used to
guide discussions of support and assistance/develop improvement plans- not as evaluative
documentation.
 All documentation/verification meetings must be held on or before December 8, 2015.
 All initial/preliminary/initial cycle information for Induction Contract Educators must be
delivered to Human Resources by 5:00 P.M. on December 10, 2015.
 Hard copy of ADEPT for Speech-Language therapist Evaluation Summary and the
Documentation of Evidence with results for PD2, PD3 and PD4
 PD 2 Complying with Guidelines and Regulations
 PD 3 Short Range Planning of Therapy
 PD 4 Short-Range Planning of Assessment
 Hard copy of ADEPT for Speech-Language therapist Evaluation Summary page with
signatures
 Please make a copy of the original signed Evaluation Summary Page to submit to
Human Resources and retain the original at your location to be submitted with
final signatures at the end of the Second/Final Cycle.
Note: All initial/preliminary cycle information for Induction Contract Educators must be delivered to Human
Resources by 5:00 P.M. on deadline.
Date
Mentor’s Initials
Second/Final Cycle
The Speech-Language therapist submitted the long range plan (PD1), if required.
 The long range plan is due to the administrator by January 6, 2016, if required.
Date
Assistance Team
Administrator’s
Initials
Second/Final Cycle
A Review of Records (PD 2) submitted to mentor for review prior to submission to
assistance team chair, if required.
Date
Mentor’s Initials
Second/Final Cycle
The Speech-Language therapist submitted the long range plan (PD1) for review to
mentor. (if required)
 Mentor’s/Observer’s Initials indicate he/she reviewed the long range plan prior to
submission to the assistance team chair.
Mentor’s/Observer’s Initials indicate he/she reviewed Performance Dimensions and provided
formative feedback on the records prior to the assistance team administrator’s review of
records.
Second/Final Cycle
Review of Records (PD 2), if required.
 The Review of Records should be conducted by no later than February 12, 2016 with two
Date
Assistance Team
Administrator’s
Initials
weeks’ notice.
Induction Educator Observation Documentation
 The chart below depicts the minimum number of observations for Induction Contract Educators during the evaluation
cycle. Additional observations may be conducted by the assistance team members (administrator, mentor or other
observer), based on the needs of the Induction Contract Educator.
 Documentation of walk-through/integral observations for all administrators and/or additional observers may be used in
assessing the educator’s performance. Documentation for additional observations may not be noted below.
 The integral classroom observation, reflection and observation conference should be held between the mentor and the
teacher prior to the administrator’s integral classroom observation.
 Documentation of integral classroom observations for mentors may not be used in assessing the educator’s performance.
Mentor/Induction Contract 2 Observer observations are for support and assistance.
Date
Mentor’s/
Observer’s
Initials
Second/Final Cycle
Speech-Language Therapist Reflection
Date
SpeechLanguage
Therapist
Initials
Second/Final Cycle
Follow-Up Conference
 Mentor/Observer will give feedback within five (5) calendar days after the induction speech-
Date
Mentor’s/
Observer’s
Initials
Second/Final Cycle
Mentor’s/Observer’s Integral Observation (PDs 5, 6, 7, 8, and 9) conducted using
ADEPT for speech-language therapist instrument.
 The observation period for mentors is December 11, 2015– January 22, 2016.
 Complete and submit ADEPT Reflection (PD7) to mentor/observer within seven (7) days of
integral observation.
language therapist submits reflection.
Note: Assistance Team Administrators are only required to complete one integral classroom observation and do not
hold feedback conferences during the second/final cycle.
Second/Final Cycle
Administrator’s Integral Observation (PDs 5, 6, 7, 8, and 9) was conducted using
ADEPT for speech-language therapist instrument
Date
Assistance Team
Administrator’s
or School
Leader’s Initials
Second/Final Cycle
Speech-Language Therapist Reflection
Date
Assistance Team
Administrator’s
Initials
Second/Final Cycle
Administrator’s Integral Observation, if required (PDs 5, 6, 7, 8, and 9) was
conducted using ADEPT for speech-language therapist instrument.
 The final evaluation period is is January 23, 2016 – March 4, 2016.
Date
Administrator’s
Initials
The final evaluation period is January 23, 2016 – March 4, 2016.
 Complete and submit ADEPT Reflection (PD7) to mentor/observer within seven (7) days of
integral observation.
Date
Administrator’s
Initials
Date
Mentor’s Initials
Second/Final Cycle
Interviews conducted with speech-language therapist (PD3 and 4), if required.
Date
Assistance Team
Administrator’s
Initials
Second/Final Cycle
Mentor’s/Observer’s provided formative feedback on the IEP meeting prior to the
assistance team administrator’s attending an IEP meeting. (PD3 and 4)
Date
Mentor’s Initials
Second/Final Cycle
A speech IEP meeting was attended (PD3 and 4)
Date
Assistance Team
Administrator’s
Initials
Second/Final Cycle
The professional performance review was submitted (PD10).
 The professional performance review is due to the assistance team administrator by February
Date
Assistance Team
Administrator’s
Initials
Date
Mentor’s Initials
Second/Final Cycle
Speech-Language Therapist Reflection
 Complete and submit ADEPT Reflection (PD7) to mentor/observer within seven (7) days of
integral observation.
Second/Final Cycle
Interviews (PD 3 and 4) conducted and formative feedback given by mentor prior to
interview being conducted by assistance team chair, if required.
Mentor’s/Observer’s Initials indicate he/she reviewed Performance Dimensions and provided
formative feedback on the interviews prior to the assistance team administrator’s interviews.
 The interviews are conducted by assistance team members no later than no later than
February 12, 2016 with two weeks’ notice.
Mentor’s/Observer’s Initials indicate he/she reviewed Performance Dimensions and provided
formative feedback on the IEP meeting prior to the assistance team administrator’s attending
an IEP meeting.
 The assistance team members attended an IEP meeting conducted by the speech-language
therapist, no later than February 12, 2016.
12, 2016.
Second/Final Cycle
The teacher submitted the professional self-report (PD 10) for review to Mentor.
Mentor’s/Observer’s Initials indicate he/she reviewed the professional self-report plan prior to
submission to the assistance team chair.
Second/Final Cycle
The Speech-Language therapist submitted the professional self-report (PD 10)
 The professional self-report is due to the assistance team administrator by February 12, 2016.
Date
Assistance Team
Administrator’s
Initials
Second/Final Cycle
Documentation/Verification Meeting was held with the school leader (if an assistant
principal is assigned as the lead), mentor and/or other observers. (ADEPT for speechlanguage therapist Summary and Documentation of Evidence.)
Date
Assistance Team
Administrator’s
Initials
Date
School Leader’s
Initials
Second/Final Cycle
Second/Final Evaluation Conference
The final evaluation conference was held with the speech-language therapist to discuss
the results of the Evaluation Summary and all other documentation/verification.
 All final evaluation conferences must be held on or before March 9, 2016.
Date
School
Leader’s
Initials
Second/Final Evaluation Cycle
Submissions to Human Resources
Date
Assistance
Team
Administrator’s
or School
Leader’s
Initials
 The school leader will ensure all mentor and observer responsibilities have been fulfilled
 The assistance team administrator will receive feedback from all observers
 Mentors/Induction 2 Observers are only permitted to give documentation of work with the
teacher. Their input cannot be used as evidence for contractual decisions.
 All documentation/verification meetings must be held on or before March 8, 2015.
 All Final/Second Evaluation Cycle information for Induction Contract Educators must be
delivered to Human Resources by 5:00 P.M. on March 10, 2016.
 PD 5, 6, 7, 8, 9 and 10 results submitted to the District Office, if required, PD1, 2, 3 and
4.
 Hard copy of ADEPT for speech-language therapist Evaluation Summary and the
Documentation of Evidence with results for PD1, PD2, PD3 and PD4
 Use the original ADEPT Evaluation Summary Page to complete the second/final
evaluation cycle
 Remember to transfer all “MET” rating for PD2, 3 and 4, if the Speech-Language
therapist’s performance was acceptable during the initial/preliminary cycle
 Hard copy of the Evaluation Summary Page with signatures from Initial/Preliminary Cycle
 Induction/Mentoring End of Year Summary
 Formative Evaluation Log with original signatures (Induction Only)
Note: All final information must be delivered to Human Resources by 5:00 P.M. on March 10, 2016.
By signing below, I verify the accuracy of the above Formative Assessment Process Log for SpeechLanguage Therapists.
Administrator
Date
Mentor
Date
Speech-Language
Therapist
Date