Charts/Contracts |
| Description |
Form |
| Weekly
chart to assess in- and out-of-class conduct,
classwork, and homework. Has bear clip art
which makes it appropriate for younger kids. |
DailyProgReport.doc |
| Weekly
chart by day allows for up to three goals to
be rated S (satisfactory), N (needs improvement),
or U (unsatisfactory). Place for comments and
teacher and parent signatures. |
SNU
goal chart.doc |
| Weekly
chart by subject with space for two goals.
Appropriate for older kids. |
Student
success chart.doc |
| Daily
report shows completed areas of academic work,
with sentence completion for behavior and rating
of day. |
StudSubj.doc |
| Weekly
chart breaks subjects into lesson and activity
with colorful icons. Appropriate for younger
children who need smaller time units in behavior
plan. |
Success
chart icons.doc |
| Check
on Student |
| Description |
Form |
| Check
mark form for student who had academic difficulties
in previous year. |
Acad
Concern Student.doc |
| Check
mark form for student retained in previous
year. |
Ret
Student.doc |
| Brief
check mark form for teacher to report on student’s
mood, self-control, effort, friendships. |
SpecSpecStud.doc |
| Counselor
Audit |
| Description |
Document |
| Advisory
Council |
Advisory
Council.doc |
| Program
Agreement |
Program
Agreement.doc |
| Program
Audit 07-08 |
Program
Audit 07-08.doc |
| Crisis
Referrals |
| Description |
Form |
| A
way to document that you have offered Project
CLASS services to parents/guardians. |
Project
CLASS referral.doc |
| A
way to document that you have offered SAP to
parents/guardians |
SAP
referral.doc |
| Documentation |
| Description |
Document |
| List
of referred kids, grade, homeroom, referring
person, referral date, and concerns. Sized
to accommodate computer entry. |
Caseload-typed.doc |
| Same
as above but larger spaces for those who prefer
to write. |
Caseload-write.doc |
| Documents
conferences between counselor and parents |
Coun-parent
conf.doc |
| Documents
conferences between counselor and teacher. |
Coun-teacher
conf.doc |
| School
counselor’s client contact sheet,
sized for computer entry. |
CounsContactSheet-Type.doc |
| As above, for writers. |
CounsContactSheet-Write.doc |
| Weekly schedule, by day, in half-hour increments |
Counselor
Schedule.doc |
| Activity log overflow |
Daily
log-addendum.doc |
| Activity log set up for computer entry |
Daily
log-type.doc |
| Activity log set up for those who write |
Daily
log-write.doc |
| Shows attendance, permission
slip, evaluations, over eight sessions. Section
for comments/kid. Allows list of eight sessions’ topics. |
GrpCounsRec-2.doc |
| Shows attendance, permission slip, over eight
sessions. Topic, homework, followup by session.
Consolidates two forms. Set up for computer entry. |
GrpRecAllSes-Type.doc |
| As above, for writers. |
GrpRecAllSes-Write.doc |
| An optional form, designates student name,
time and date of call, whether message was left,
notes. |
Phone
Log.doc |
| Release of information form modeled after SCS
special education department release of information
form |
release
of information.doc |
| First and second semester plan for small groups
by grade, topic, and dates. |
Small
Grp Plan.doc |
| List students, reason for referral, referral
source, follow-up, long- and short-term. Set
up for computer entry. |
StudConfRec-Type.doc |
| As above, for writers. |
StudConfRec-Write.doc |
| Form to document anticipated
counselor duties throughout the year, by month.
This form is set up to type in materials. If
you prefer to write, simply delete typing designed
to be highlighted and replaced by data entry
in each month’s
block. |
Year
at a Glance.doc |
| Envelope
Labels |
| Labels
for permission form envelopes that direct parent/guardian/teacher
to return to school counselor. |
Please
return to generic.doc |
| Labels
for permission form envelopes that let you
designate student, teacher, and Activity (small
group name, peer tutoring, etc.) |
To
the parents generic.doc |
| Feedback
to Teacher |
| Description |
Form |
| Follow-up
to counseling visit for teacher. Full page,
more detail. |
Feedback
for Teacher.doc |
| Follow-up
to counseling visit for teacher. ½ page,
less detail. |
TeachFeedback2.doc |
| Needs
Assessments by Parents |
| Description |
Form |
| List
of potential parent meetings. Form to return
if interested. |
Parent
Mtg Interest.doc |
| List
of potential student and parent services. Form
to return if interested. |
ParentServicesRequest.doc |
| Four-point
Likert rating scale for multiple items |
StudNA
by Parents.doc |
| Needs
Assessments by Students |
| Description |
Form |
| Student
checklist of 12 potential concerns in areas
of self, friends, school. Space included for
other comments. |
IndStudNA.doc |
| Needs
assessment for middle school students. |
MS
NA.doc |
| Ten-item
needs assessment for younger students; designed
to be read aloud by counselor. |
StudNA
Primary.doc |
| Students
pick top five out of 36 possible concerns.
5th-8th |
StudNA
Top 5.doc |
| This
and “#2” below check into 12 potential
concerns with open-ended questions and request
for appointment. Some overlap. This one has
question assesses careers; #2 checks out more
personal/social/emotional realms. Appropriate
for use with 3rd- – 6th-grade students. |
StudNA3-6#1.doc |
| See
above. |
StudNA3-6#2.doc |
| Nine
potential concerns, with open-ended “Other:” Can
request appt. |
StudNeeds-list.doc |
| Students
check off any concerns from list of 14. Can
request appt. Use with grades 4-6. |
StudNeeds4-6.doc |
| Key
to use with worksheet, below. |
Key
StudNPic1-3.doc |
| Yes/No
format worksheet taps eight needs areas. Use
with grades 1-3. |
StudNeedsPic1-3.pdf |
| Needs
Assessments by Teachers |
| Teacher
needs assessment for classroom guidance. |
CG
NA by Teach |
| Four-point
Likert rating scale for multiple items |
StudNA
by Teachers.doc |
| Teacher
input regarding importance of various counselor
functions. |
TeachNA
RoleCounProg.doc |
| Permission
Forms |
| Description |
Form |
| Permission
form for Anger Management Small Group |
AngMgtSmGrp.doc |
| Permission
form for Divorce Small Group |
DivSmGrp.doc |
| Permission
form for Individual Counseling |
IndCounsePerm.doc |
| Permission
form for Study Skills Small Group |
StudySkillsSmGrp.doc |
| Program/Activity
Evaluations by Parents |
| Parent
evaluation of your work with their child in
individual counseling |
Ind
Couns Parent Eval.doc |
| Parent
evaluation of program with yes/no and open-ended
questions |
Parent
Eval Couns Prog.doc |
| Another
variation of parent program evaluation; yes/no
with opportunity for comments |
Parent
prog eval.docc |
| Parent
evaluation of child’s small group experience
|
Small
Groups Parent Eval.doc |
| Program/Activity
Evaluations by Students |
| Student
evaluates individual counseling experience
|
Ind
Couns Stud Eval.doc |
| Student
evaluates small group counseling experience |
Sm
Grp Stud Eval.doc |
| Students
evaluate an activity. Use for small groups
or class. 3rd-grade and up. |
StudActivityEval.doc |
| Student
evaluation of counselor, 3rd-5th grade level. |
StudCounsEval
3-5.doc |
| Student evaluation of counselor, 6th-8th grade
level. |
StudCounsEval
6-8.doc |
| Student evaluation of counselor, K-2nd grade
level. |
StudCounsEval
K-2.doc |
| Students evaluate lesson. Scaling. Maybe 3rd,
4th and up. |
StudLessonEval.doc |
| Counselor/program awareness and evaluation. |
StudProg
Eval 5-8.doc |
| Program/Activity
Evaluations by Teachers |
| Teacher
evaluation of your work with their student
in individual counseling |
Ind
Couns Teacher Eval.doc |
| Teacher
evaluation of student’s small group experience |
Sm
Grp Eval Teach.doc |
| Likert-scale
teacher evaluation of program at year’s
end |
Teach
Prog Eval.doc |
| Same
as above though administered at mid-year |
TeachMid-yrEval.doc |
| Referral
to Counselor |
| Description |
Form |
| Very
basic. Teacher checks personal, school, or
academic with room for additional comments |
Couns
Ref Basic.doc |
| Teacher
request for counselor to provide specific services.
Includes section to return to teacher with
feedback. |
CounsRef.doc |
| Detailed
overview of issues |
DetailedCounsRef.doc |
| Another
version of the same. |
SchCounsRefForm.doc |
| Another
counselor referral form. Describes problem,
attempted interventions, teacher’s suggestions. |
Teach
Refer to Couns.doc |
