Professional School Counselor End-Of-Year Review to Be Completed by (Date)

/ Professional School Counselor (PSC) Evaluation Organizer
AY 2016-2017
PSC Name:
Evaluator Name: / Evaluator Title:
Select Type of Certification: / Full / Temporary – Working Toward Full / Temporary
PSC Element 1 – Engages students in career planning and development.
Provide evidence of support for career planning and development. Describe the activities you organized and student participation in them.
PSC Element 2 – Engages in individual student planning.
Provide evidence of individual student planning processes. Describe the types of guidance that you provide and give examples of activities you organized and strategies you usedwith students.
PSC Element 3 – Provides responsive services.
Provide evidence of responsive services, which may include individual counseling, small group counseling, consultation, and/or referral. Describe de-identified examples of services. Describe the processes and counseling theories used (e.g., solution-focused, behavior modification strategies) and the results of those processes.
PSC Element 4 – Provides school system support through program management.
Provide evidence of program management activities. This may include assisting with processes (e.g., scheduling and enrollment), participating in development and implementation of Individual Education Plans (IEPs) and/or 504 behavior plans, developing calendars and budgets, record keeping, conducting research and publishing, providing training and information on self-care techniques, or other duties as assigned.
PSC Element 5 – Provides school system support by collaborating with educators and other professionalsfrom within and outside the school community.
Provide evidence of collaboration.
PSC Element 6 – Provides school system support by contributing to a positive and safe school climate and culture.
Describe activities you have participated in to promote a safe school climate and culture (e.g., PBIS, safety plans).
PSC Element 7 – Provides school system support by contributing to building and school district initiatives.
Provide evidence of your contribution to meeting building and school district initiatives. Include any activities that you have participated in that contributed to meeting your building improvement plan (BIP).
PSC Element 8 – Devotes recommended percentage of time on four components of the guidance and counseling program.
Category / Percentage of Contracted Time (Total may equal more than 100%) / Recommended Percentages
Guidance and Counseling Curriculum / Elementary / 35-45%
Middle School / 25-35%
Secondary / 15-25%
Individual Student Planning / Elementary / 5-10%
Middle School / 15-25%
Secondary / 25-35%
Responsive Services / Elementary / 30-40%
Middle School / 25-35%
Secondary / 25-35%
System Support / Elementary / 10-15%
Middle School / 10-15%
Secondary / 15-20%
Other (Activities above and beyond the Comprehensive Guidance and Counseling Program) / Please list activities along with the percentage of time.
Describe any barriers to following the Comprehensive Guidance and Counseling program, including meeting the recommended time percentages.
Initial (Beginning of Year) Evaluation / Date:
PSC Signature: / Evaluator Signature:

Professional School Counselor – End-of-Year Review to be completed by (date)

PSC: School Year:

YES / NO
Does the PSC meet ethical standards?
Does the PSC meet school district policies?
Does the PSC meet legal requirements?
PSC End-of-Year Review Comments
PSC Signature: / Date:
Evaluator End-of-Year Review Comments
Evaluator Signature: / Date:

Additional Comments if Needed:

This document is aligned with the Missouri School Counselor Standards and Quality Indicators – Professional Continuum from the Missouri Department of Elementary and Secondary Education.