School Counselor/Administration

Partnership Agreement

Counselor’s Name: / Evaluator’s Name:

Student Assignment

Students will be assigned to the school counselor by:

Grade level / Grade: / Office Hours:
Alpha listing / Section: / CareerCenter Hours (if applicable):
Other: / List:

The school counseling plan will include programs and services for:

Staff:
Parents:
Community:

Support Services Staff

The school counseling secretary:
The clerk/receptionist:
The registrar:
The student aides:
The attendance clerk:
Parent Liaison:
Volunteers:
Others:

Accountability (these plans or reports may be departmental or individual):

Guidance Curriculum Action Plan (provide details or attach plan)
Guidance Curriculum Results Report (provide details or attach plan)
Closing the Gap Action Plan (provide details or attach plan)
Closing the Gap Results Report (provide details or attach plan)

Specific Individual Counselor Responsibilities

Programmatic Delivery Recommended Use of Time

Delivery / Elementary
School / Middle School / High School
Guidance Curriculum / 35%-45% / 25%-35% / 15%-25%
Individual Student Planning / 5%-10% / 15%-25% / 25%-35%
Responsive Services / 30%-40% / 30%-40% / 25%-35%
System Support / 10%-15% / 10%-15% / 15%-20%

In order to achieve the results planned, the school counselor will spend

% of time in guidance curriculum

% of time in individual planning

% of time with responsive services

% of time with system support

Professional Collaboration:

The school counselor will meet: (check all that apply)

As a school counseling department team weekly monthly yearly as needed

With the school staff weekly monthly yearly as needed

With the advisory council weekly monthly yearly as needed

With the strategic plan committee weekly monthly yearly as needed

With administration weekly monthly yearly as needed

With subject area departments weekly monthly yearly as needed

With the leadership team weekly monthly yearly as needed

With grade level teams weekly monthly yearly as needed

Other (specify below) weekly monthly yearly as needed

The School Counselor will participate in the following continued Professional Development: (List with specific activities)

______

Counselor’s Signature DateAdministrator’s Signature Date

Developed from the AmericanSchool Counselor Association National Model August, 2010