Durango School District 9-R Formal Observation
For Counselors
Teacher______________________
Topic____________________ # of Students_________
Observer______________________
Date of Observation________ Time ______
Length of Observation________
The following is a checklist of expected behaviors for a successful school counselor. Not all of the items may be
observed in any one observation; therefore a check mark in the “N/O” (Not Observed) column simply indicates
the behavior was not present at that time. A check in the “No” column or observation of exemplary behavior must
receive a written comment. These behaviors are aligned with the American School Counselors Association
(ASCA) school counselor performance standards and the district’s certified evaluation criteria. A pre-observation
conference is highly recommended for the use of this instrument.
Program Organization
Yes
No
N/O
___
___
___
___
___
___
___
___
No
N/O
___
___
___
___
___
___
Yes
No
N/O
___
___
___
___
___
___
___
___
___
Was a plan written that reflects the needs of the school,
organizes, and delivers a comprehensive counseling
program?
___
Did the school counselor demonstrate positive
interpersonal relationships with students?
___
Did the school counselor demonstrate positive
interpersonal relationships with educational staff? ___
Did the school counselor demonstrate positive
interpersonal relationships with parents/guardians? ___
Guidance Curriculum
Yes
Did the school counselor use effective instructional
skills and careful planning to teach guidance units?
___
Did the school counselor develop materials and
instructional strategies to meet student needs and
___
school goals?
Did the school counselor encourage staff involvement?
to ensure effective implementation?
___
Planning with Students
Did the school counselor collaborate with parents
to help students establish educational and career
goals, and develop and use planning skills?
Did the school counselor demonstrate accurate and
appropriate interpretation of assessment data, and
the presentation of relevant, unbiased information?
Did the school counselor provide opportunities for
students to develop self-understanding regarding
interests, abilities, and aptitudes as they relate
to future planning?
Comments
Comments
Comments
Revised Oct. 24, 2008
Response Services
Yes
No
N/O
___
___
___
___
___
___
___
___
___
___
___
___
Systems Support
Yes
No
N/O
Did the school counselor provide and manage a
comprehensive and balanced guidance program in
collaboration with school staff and other site-based
professionals?
Did the school counselor provide support for other
school programs, including assistance with class
scheduling?
___
___
___
___
___
___
Counselor/Administration Alignment
Yes
No
N/O
___
___
___
___
___
___
Yes
No
N/O
___
___
___
___
___
___
Yes
No
N/O
___
___
___
___
___
___
___
___
___
Did the school counselor counsel individual students
with identified needs/concerns/strengths?
Did the school counselor counsel groups of students
with identified needs/concerns/strengths?
Did the school counselor consult effectively with
parents, teachers, administrators, and other relevant
individuals?
Did the school counselor implement an effective
referral process with teachers, administrators, and
other relevant individuals?
Did the school counselor align the counseling
program action plan with administrative goals and
have administrative support?
Did the school counselor gain administrative support
for program results that will be obtained on the
action plans for the school year?
Use of Data
Did the school counselor use school data to make
decisions regarding program direction and emphasis,
student choice of classes, and special programs?
Did the school counselor use data from the counseling
program to make decisions regarding revisions to
the school counseling program?
Student Monitoring
Did the school counselor monitor the academic and
social/emotional progress of students?
Did the school counselor implement monitoring
activities appropriate to the school?
Did the school counselor collaborate in developing
appropriate interventions needed by students?
Comments
Comments
Comments
Comments
Comments
Revised Oct. 24, 2008
Master Calendar/Time
Yes
No
N/O
___
___
___
___
___
___
___
___
___
Yes
Did the school counselor develop a results evaluation
for the counseling program?
___
Did the school counselor collaborate with the counseling
team and principal to formulate the desired results?
___
Did the school counselor effectively collect and process
the data?
___
No
N/O
___
___
___
___
___
___
No
N/O
___
___
___
___
Yes
No
N/O
___
___
___
___
___
___
___
___
___
___
___
___
___
___
___
Did the school counselor use a master calendar
to plan activities throughout the year?
Did the school counselor effectively communicate
guidance activities to parents, students, and staff?
Did the school counselor analyze his/her time spent
In each of the four areas of the management system
(Guidance Curriculum, Planning with Students,
Response Services and Systems Support) to achieve
a balance of services as appropriate to the school’s
needs?
Results Evaluation
Program Audit
Yes
Did the school counselor provide an annual program
audit that included all the program components?
___
Did the school counselor use the audit to make changes
in the school counseling program?
___
Infusing Themes
Did the school counselor collaborate with teachers,
parents and the community to promote academic
success of students?
Did the school counselor promote equity and access
for every student?
Did the school counselor take a leadership role within
the counseling department, the school setting, and
community?
Did the school counselor understand reform issues
and work to close the achievement gap?
Did the school counselor use data to recommend
systemic change in policies and procedures that
limit or inhibit academic achievement?
Comments
Comments
Comments
Comments
Revised Oct. 24, 2008
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The following are not necessarily observed in the counseling setting, but are areas of on-going and
or/informal observation by the supervisor or are specific to complying with other requirements
Professional Behavior
Yes
No
N/O
Did the school counselor comply with district policies,
regulations, and procedures?
___
___
___
___
___
___
___
___
___
Did the school counselor care for district facilities
and resources?
Did the school counselor comply with building
regulations and procedures?
Professional Relationships
Yes
Did the school counselor demonstrate supportive and
cooperative relationships with colleagues?
___
Did the school counselor participate in school events?
___
Did the school counselor participate in school or district
projects?
___
No
N/O
___
___
___
___
___
___
Professional Development
Yes
No
N/O
___
___
___
___
___
___
___
___
___
___
___
___
Did the school counselor participate in professional
development?
Did the school counselor participate actively in assisting
other educators?
Did the school counselor participate in educational
technology?
Did the school counselor participate in informational
literacy?
Comments
Comments
Comments
General observation – Commendation – Recommendation (additional comments may be attached)
Observation of effective counseling is an ongoing process and data sources include, but are not limited to, the
behaviors in this instrument. These additional sources may be documented in this section.
Signatures acknowledge review of the observation, not necessarily agreement. Comments may be attached.
Teacher: ________________________________________________
Date: ___________________
Observer: _______________________________________________
Date: ___________________
Pre-conference date: ____________________________
Post-conference date: ____________________________
Revised Oct. 24, 2008
Counselor Summative Evaluation Instrument
Counselor:______________________ School:_________________ Date:__________
Date of Observation:________Length of Observation:________Date of Post Conf:_________
Date of Observation:________Length of Observation:________Date of Post Conf:_________
Date of Observation:________Length of Observation:________Date of Post Conf:_________
Other data sources: i.e. parent input forms, written notices of deficiencies, commendations, informal observations,
conferences, etc.
A rating of “unsatisfactory” or “exceeds district standards” must receive written comment.
EXCEEDS DISTRICT STANDARDS
MEETS DISTRICT STANDARDS/SATISFACTORY
BELOW DISTRICT STANDARDS /UNSATISFACTORY
NOT OBSERVED
=E
=S
=U
=N
1. CLASSROOM MANAGEMENT EVALUATION AREA
OVERALL = (E) (S) (U) (N)
Criteria:
Comments:
_____ A. Time Management
_____ B. Student Behavior
Data Source(s):
2. COMMUNICATION SKILLS EVALUATION AREA OVERALL = (E) (S) (U) (N)
Criteria:
Comments:
_____ A. Problem Solving
_____ B. Student-Teacher Communications
_____ C. Parent-Teacher Communications
_____ D. Student Needs
Data Source(s):
3. PROFESSIONAL BEHAVIOR EVALUATION AREA OVERALL = (E) (S) (U) (N)
Criteria:
Comments:
_____ A. Complies with District Policies
_____ B. Care of Facilities and Resources
Data Source(s):
Revised Oct. 24, 2008
4. POSITIVE CLASSROOM CLIMATE/MOTIVATION
EVALUATION AREA
Criteria:
_____ A. Encourages Students
OVERALL = (E) (S) (U) (N)
Comments:
_____ B. Demonstrates Understanding
_____ C. Positive Classroom Environment
_____ D. Caring Atmosphere
_____ E. Motivation Theory
Data Source(s):
5. KNOWLEDGE OF CONTENT AND LEARNING
EVALUATION AREA
Criteria:
_____ A. Up-to-date Knowledge
_____ B. Instructional Methods
_____ C. Curriculum
OVERALL = (E) (S) (U) (N)
Comments:
Data Source(s):
6. INSTRUCTIONAL SKILLS EVALUATION AREA OVERALL = (E) (S) (U) (N)
Criteria:
Comments:
_____ A. Lesson Design
_____ B. Learning Styles
_____ C. Student Learning
_____ D. Lesson Plans
_____ E. Instructional Planning
_____ F. Technology
Data Source(s):
7. ASSESSMENT OF STUDENT LEARNING
EVALUATION AREA
Criteria:
_____ A. Frequent and Varied
_____ B. Criteria and Format Knowledge
_____ C. Use of Results
OVERALL = (E) (S) (U) (N)
Comments:
Data Source(s)
Revised Oct. 24, 2008
8. INSTRUCTIONAL METHODS AND RESOURCES OVERALL = (E) (S) (U) (N)
EVALUATION AREA
Criteria:
Comments:
_____ A. Variety of Methods
_____ B. Current Events
_____ C. Collaboration
Data Source(s):
9. PROFESSIONAL RELATIONSHIPS
EVALUATION AREA
Criteria:
OVERALL = (E) (S) (U) (N)
Comments:
______ A. Relationships with Colleagues
_____ B. Service to the School
_____ C. Participation in Projects
Data Source(s):
10. PROFESSIONAL DEVELOPMENT
OVERALL = (E) (S) (U) (N)
EVALUATION AREA
Criteria:
Comments:
_____ A. Required Knowledge and Skill
_____ B. Service to Profession
_____ C. Educational Technology
_____ D. Information Literacy
Data Source(s):
11. COUNSELOR PERFORMANCE
OVERALL = (E) (S) (U) (N)
EVALUATION AREA
Criteria:
_____ A.
Comments:
Program Action Plan
______B. Program Audit
______C. Counseling Team
______D. Use of Counseling Data
Data Source(s):
SUMMARY COMMENTS DENOTING STRENGTHS AND WEAKNESSES unless specifically
included in previous comments: (required by statute)
Revised Oct. 24, 2008
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
NOTE: FAILURE TO HAVE AN OVERALL “SATISFACTORY” PERFORMANCE IN ANY TWO
EVALUATION AREAS MUST RESULT IN THE DEVELOPMENT OF A REMEDIATION PLAN.
FAILURE TO CORRECT DEFICIENCIES UNDER A REMEDIATION PLAN MAY RESULT IN A
RECOMMENDATION FOR DISMISSAL UNDER C.R.S. 22-63-30
RECOMMENDATION:
_____
Professional Growth Plan (required for every evaluation)
_____
Plan for Improvement needed to correct unsatisfactory performance in one or more criteria or in several criteria in
different evaluation areas
Specific criteria to be addressed are:
_____
Plan for Improvement required to correct unsatisfactory performance in one evaluation area
Specify evaluation area to be addressed:
_____
Remediation Plan to correct unsatisfactory performance in two or more evaluation areas
Specify areas to be addressed:
_____
Continued remediation
_____
Dismissal
_____
Non-renewal
Signature of Employee: __________________________________
Date: ___________
Signature of Evaluator: __________________________________
Date: ___________
Evaluator’s Supervisor (designee): _____________________
cc:
Date: __________
Personnel file
Evaluator
Employee
Revised Oct. 24, 2008
Professional Growth Plan for Counselors
Name: _______________________________________
Note: The Professional Growth Plan must be tied to the Ends, and must utilize the rubrics in the Certified
Evaluation Process Rubric. If there is a Remediation Plan or Plan for Improvement in place, the Growth Plan
must be tied to that plan.
Professional growth objectives:
Activities to accomplish the objectives:
Revisions or notations made during the evaluation cycle:
Signature of Employee: ______________________________
Date: ___________
Signature of Evaluator: _____________________________
Date: ___________
cc:
Personnel file
Evaluator
Employee
Revised Oct. 24, 2008
Plan for Improvement for Counselors
Name: _______________________________________
Area(s) identified for improvement: (suggestion: to be identified in collaboration with employee)
Be specific regarding evaluation area and or criteria to be addressed referencing those noted under “Recommendation”
Activities to achieve improvement and measure(s) of progress:
Revisions and/or notations of achievement of activities for improvement during evaluation cycle:
Signature of Employee: ______________________________
Date: ___________
Signature of Evaluator: _____________________________
Date: ___________
cc:
Personnel file
Evaluator
Employee
Revised Oct. 24, 2008
Remediation Plan for Counselors
Name: ______________________________________
Date: ________________
INSTRUCTIONS: Evaluators are to observe the findings presented in the employee’s evaluation report.
Specifically, the information must identify strengths and weaknesses; the date(s) when formal
observations were made. The Plan for Remediation shall include, but not be limited to:





Objective(s) for improvement
Process to assist the accomplishment of the objective(s)
Reasonable timelines for accomplishment
Provisions for monitoring of progress
Method(s) for assessing attainment of the objective(s) C.R.S. 22-9-106(2.5)
Additional pages may be added
Revisions and/or notations of achievement of activities for improvement during evaluation cycle:
Signature of Employee: ______________________________
Date: ___________
Signature of Evaluator: _____________________________
Date: ___________
Signature of Supervisor of Evaluator: _______________________________________
Date: ___________
cc:
Personnel file
Evaluator
Employee
Revised Oct. 24, 2008