GC- Formative Observation Form-OPGES
 
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Observation Date *
MM
/
DD
/
YYYY
Observation Start Time *
Time
:
Employee's Full Name *
Employee's E-mail address *
Evaluator's Name *
Evaluator's E-mail address *
Building *
Component 2A: Creating an Environment of Respect and Rapport
Please check all of the following items observed and related to component 2A.
2A - Observer Evidence:
Type any observations you would like to share with the Counselor.
2A - Component Score
Ineffective
Exemplary
Clear selection
2B: Establishing a Culture for Productive Communication
Please check all of the following items observed relating to component 2B.
2B - Observer Evidence:
Type any observations you would like to share with the Counselor.
2B - Component Score
Ineffective
Exemplary
Clear selection
2C: Managing Routines and Procedures
Please check all of the following items observed related to component 2C.
2C - Observer Evidence:
Type any observations you would like to share with the Counselor.
2C Component Score
Ineffective
Exemplary
Clear selection
2D: Establishing standards of conduct and contributing to the culture for student behavior throughout the school
Please check all of the following items observed related to component 2D.
2D - Observer Evidence:
Type any observations you would like to share with the Counselor.
2D Component Score
Ineffective
Exemplary
Clear selection
2E: Organizing Physical Space
Please check all of the following items observed related to component 2E.
2E - Observer Evidence:
Type any observations you would like to share with the Counselor.
2E Component Score
Ineffective
Exemplary
Clear selection
DOMAIN 2:  ENVIRONMENT- OVERALL SCORE
Ineffective
Exemplary
Clear selection
3A: Assessing student needs
Please check all of the following items observed related to component 3A.
3A - Observer Evidence:
Type any observations you would like to share with the Counselor.
3A Component Score
Ineffective
Exemplary
Clear selection
3B: Assisting students and teachers in the formulation of academic personal social and career plans based on knowledge of student needs
Please check all of the following items observed relative to component 3B.
3B - Observer Evidence:
Type any observations you would like to share with the Counselor.
3B Component Score
Ineffective
Exemplary
Clear selection
3C: Using counseling techniques in individual and classroom programs
Please check all of the following items observed related to component 3C.
3C - Observer Evidence:
Type any observations you would like to share with the Counselor.
3C Component Score
Ineffective
Exemplary
Clear selection
3D: Brokering resources to meet needs
Please check all of the following items observed related to component 3D
3D - Observer Evidence:
Type any observations you would like to share with the Counselor.
3D Component Score
Ineffective
Exemplary
Clear selection
3E: Developing Flexibility and Responsiveness
Please check all of the following items observed related to component 3E.
3E - Observer Evidence:
Type any observations you would like to share with the Counselor.
3E Component Score
Ineffective
Exemplary
Clear selection
DOMAIN 3: INSTRUCTION- OVERALL SCORE
Ineffective
Exemplary
Clear selection
1A:  Demonstrating Knowledge of Counseling Theory and Techniques
Please check all of the following items observed related to component 1A.
1A - Observer Evidence:
Type any observations you would like to share with the Counselor.
1A Component Score
Ineffective
Exemplary
Clear selection
1B:   Demonstrating Knowledge of child and adolescent development
Please check all of the following items observed related to component 1B.
1B - Observer Evidence:
Type any observations you would like to share with the Counselor.
1B Component Score
Ineffective
Exemplary
Clear selection
1C:  Establishing goals for the counseling program appropriate to the setting and the students served
Please check all of the following items observed related to component 1C.
1C - Observer Evidence:
Type any observations you would like to share with the Counselor.
1C Component Score
Ineffective
Exemplary
Clear selection
1D:  Demonstrating knowledge of state and federal regulations and of resources both within and beyond the school and district
Please check all of the following items observed related to component 1D.
1D - Observer Evidence:
Type any observations you would like to share with the Counselor.
1D Component Score
Ineffective
Exemplary
Clear selection
1E:  Plan in the counseling program integrated with the regular school program
Please check all of the following items observed related to component 1E.
1E - Observer Evidence:
Type any observations you would like to share with the Counselor.
1E Component Score
Ineffective
Exemplary
Clear selection
1F:  Developing a plan to evaluate the counseling program
Please check all of the following items observed related to component 1F.
1F - Observer Evidence:
Type any observations you would like to share with the Counselor.
1F Component Score
Ineffective
Exemplary
Clear selection
DOMAIN 1: PLANNING & PREPARATION- OVERALL SCORE
Ineffective
Exemplary
Clear selection
4A:  Reflecting on Practice
Please check all of the following items observed related to component 4A.
4A - Observer Evidence:
Type any observations you would like to share with the Counselor.
4A Component Score
Ineffective
Exemplary
Clear selection
4B:  Maintaining records and submitting them in a timely fashion
Please check all of the following items observed related to component 4B.
4B - Observer Evidence:
Type any observations you would like to share with the Counselor.
4B Component Score
Ineffective
Exemplary
Clear selection
4C:  Communicating with Families
Please check all of the following items observed related to component 4C.
4C - Observer Evidence:
Type any observations you would like to share with the Counselor.
4C Component Score
Ineffective
Exemplary
Clear selection
4D:  Participating in a Professional Community
Please check all of the following items observed related to component 4D.
4D - Observer Evidence:
Type any observations you would like to share with the Counselor.
4D Component Score
Ineffective
Exemplary
Clear selection
4E:  Engaging in professional development
Please check all of the following items observed related to component 4E.
4E - Observer Evidence:
Type any observations you would like to share with the Counselor.
4E Component Score
Ineffective
Exemplary
Clear selection
4F:  Showing Professionalism
Please check all of the following items observed related to component 4F.
4F - Observer Evidence:
Type any observations you would like to share with the Counselor.
4F Component Score
Ineffective
Exemplary
Clear selection
DOMAIN 4: PROFESSIONALISM- OVERALL SCORE
Ineffective
Exemplary
Clear selection
Observation Completion Time *
Time
:
Additional Information or Directives:
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