Speech Language Therapist-Evaluation LOG

Speech Therapist______Contract Level______

Academic Year______School ______

District _Beaufort County______Grade Level ______

Evaluator 1/Chair______Evaluator 2______

Preliminary Evaluation Period (PEP) / Date
The SLTreceived a comprehensive orientation.
Preliminary Evaluation Period (PEP) / Date
The SLT submitted onelong-range plan.
Preliminary Evaluation Period (PEP) / Date
The SLT submitted one therapy work sample.
Preliminary Evaluation Period (PEP) / Date
Integral classroom observation #1 for the PEP was conducted.
Preliminary Evaluation Period (PEP) / Date
The SLT submitted the reflection on PEP observation #1.
Preliminary Evaluation Period (PEP) / Date
Integral classroom observation #2 for the PEP was conducted.
Preliminary Evaluation Period (PEP) / Date
The SLT submitted the reflection on PEP observation #2.
Preliminary Evaluation Period (PEP) / Date
Post IEP meeting Interview for the PEP was conducted.
Post IEP meeting Interview for the PEP was conducted. / Date
Preliminary Evaluation Period (PEP) / Date
Review of Due Process, IEPs and Medicaid records conducted;Easy Trac
Preliminary Evaluation Period (PEP) / Date
The professional performance description was submitted.
Preliminary Evaluation Period (PEP) / Date
The SLT submitted the professional self-report.
Preliminary Evaluation Period (PEP) / Date
The evaluation team consensus meeting was held.
Preliminary Evaluation Period (PEP) / Date
The preliminary evaluation conference was held with the SLT.

Comments and/or description of other evaluationrelated activities (e.g., additional integral classroom observations, additional reflections, and walk-through observations) conducted during the preliminary evaluation period. (Optional)

*Assistance Plan written, as appropriate: ______

Final Evaluation Period (FEP) / Date
The SLT submitted onelong-range plan.
Final Evaluation Period (FEP) / Date
The SLTsubmittedonetherapy work sample.
Final Evaluation Period (FEP) / Date
Integral classroom observation #1 for the FEP was conducted.
Final Evaluation Period (FEP) / Date
The SLT submitted the reflection on FEP observation #1.
Final Evaluation Period (FEP) / Date
Integral classroom observation #2 for the FEP was conducted.
Final Evaluation Period (FEP) / Date
The SLT submitted the reflection on FEP observation #2.
Final Evaluation Period (FEP) / Date
Post IEP meeting Interview for the FEP was conducted.
Post IEP meeting Interview for the FEP was conducted.
Final Evaluation Period (FEP) / Date
Review of Due Process, IEPs and Medicaid records conducted;EasyTrac
Final Evaluation Period (FEP) / Date
The professional performance description was submitted.
Final Evaluation Period (FEP) / Date
The SLT submitted the professional self-report, if required.
Final Evaluation Period (FEP) / Date
The evaluation team consensus meeting was held.
Final Evaluation Period (FEP) / Date
The final evaluation conference was held with the SLT.

Comments and/or description of other evaluation related activities (e.g., additional integral classroom observations, additional reflections, and walk-through observations) conducted during the final evaluation period. (Optional)

*Assistance Plan written, as appropriate: ______

By signing below, I verify the accuracy of the above evaluationlog.

Evaluator ______Date ______

Evaluator ______Date ______

Speech Therapist ______Date ______

Beaufort County School District

Updated 7/2016