*The Annual Agreement can serve as an artifact during

a pre- or post-observation conference to capture

evidence for Components:1c-1f, 2c-2e and 4d.

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SCHOOL COUNSELOR/ADMINISTRATOR
ANNUAL AGREEMENT
2015-2016
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SCHOOL NAME:
Lake View

NETWORK:
2

NAME OF PRINCIPAL:

TYPE OF SCHOOL:

Scott M. Grens

Neighborhood

NAME OF SCHOOL COUNSELOR

COMPLETING THIS ANNUAL AGREEMENT*:

OTHER SCHOOL COUNSELORS IN YOUR BUILDING:

Tasha K. Young

Carmen Baker
Michael Biederman
Maria Jellissen

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INSTRUCTIONS:
*Please submit one Annual Agreement per counselor. Type your responses directly into this form and hit the
submit button at the end. Visit the Office of School Counseling and Postsecondary Advising (OSCPA)
Knowledge Center for more details and links to examples.

SUBMISSION DEADLINE: 5:00PM ON FRIDAY, OCTOBER 9, 2015

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SCHOOL COUNSELOR/ADMINISTRATOR
ANNUAL AGREEMENT 2015-2016

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Which REACH Framework will be used to conduct the evaluation of your performance?
X

Framework for School Counselors

Framework for Education Support Specialists

(Note: Administrators must submit a Google Form Request for Framework changes in the CPS Reflect & Learn
System in addition to completing the Framework Selection Form for Case Managers).
How are school counseling caseloads distributed at your school? (Specify your grade levels, homeroom
numbers, and number of students served where applicable)

I am the only counselor; my caseload is all students in the school, totalling _______ students.
I am the only counselor; my caseload is: __________ grade levels, totalling _______ students.
X Each counselor serves all grade levels, divided by last name or homeroom. I serve: 15 Homerooms:
601, 602, 603, 630, 706, 707, 708, 732, 809, 810, 832, 904, 905, and 906
Student caseloads are divided by grade level (counselors move up with the students each year). I
serve _______________________ grade levels.
Student caseloads are divided by grade level (counselors stay with the grade, not the students). I serve
_______________________ grade levels.
Other (not listed above):
What are your major roles and responsibilities?
Department Chair:
Develop, along with counseling team, an effective school counseling program that supports the schools
mission and core belief.
Coordinate, along with counseling team, the implementation of a comprehensive school counseling
program that promotes the academic, career, and personal/social development of all students.
Keep the administration appraised of the progress of the department and any problems encountered.
Establish and maintain an effective work climate within the school counseling department and school
community.
Promote innovative counseling practices by encouraging implementation of new procedures and
demonstrating those that are found to be effective
Prepare or supervise the preparation of reports, records, lists, and all other required information and
data.
Review school data frequently to ensure that the school counseling program is meeting the academic,
career, and personal/social development of all students.
1

SCHOOL COUNSELOR/ADMINISTRATOR
ANNUAL AGREEMENT 2015-2016

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Coordinate evening and summer registration period.

Plan, organize, and direct implementation of all school counseling activities.
Supervise and evaluate all school counseling activities and programs.
Work closely with school administration and master scheduler, as it relates to student scheduling.

Work collaboratively with other department chairs.

Serve with parents, faculty, and other student groups, as requested, in advancing educational and
related activities and objectives.
Disseminate information to school counselors in department.
Share information with other school personnel as appropriate.
Facilitate department meetings.
Maintain confidentiality in personnel matters.
Encourage teacher/parent communication and community involvement.
Meet and confer with students, parents, faculty and staff.
Provides services to students in the area of academic, personal/social and career development.
Counsels students individually and in small groups.
Conducts classroom guidance activities.
Adhere to deadlines.
Supervise counseling assistant
Maintain student records according to Chicago Public School Guidelines

SCHOOL COUNSELOR/ADMINISTRATOR
ANNUAL AGREEMENT 2015-2016

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Planned Time Distribution

In the table below, please specify what percentages of your full work day you plan to spend delivering the
components of the school counseling program required for a comprehensive school counseling program.
For more information, see p. 64 of the ASCA National Model: A Framework for School Counseling Programs, 3rd edition.

Types of Services

Direct
Services to
Students

Indirect
Services to
Students

Definition

In-person
interactions
between school
counselors and
students

Interacting with
others to provide
support for
student
achievement

Examples
School Counseling Core Curriculum:
Planned, written instructional program delivered to every
student that is comprehensive in scope, preventative in
nature, and developmental in design. Enables students to
attain the desired standards (knowledge, attitudes, and
skills) appropriate for their developmental level.

10 %

Individual Student Planning:

Ongoing systemic activities designed to assist students in
evaluating and establishing personal goals, making
decisions, and developing immediate and long-range
plans.

30 %

Responsive Services:
Activities designed to meet students immediate needs
and concerns, including individual or small-group
counseling and crisis response.

15 %

Referrals:
Directing students, parents, and families to school and
community resources for additional assistance within the
three domains.

10%

Consultation:
Sharing strategies that support student achievement with
parents, teachers, other educators, and community
organizations. Serving as student advocates to promote
student development within the three domains..

10%

Collaboration:
Teaming, partnering, resource sharing, serving on
committees and advisory boards.

Program
Planning and
Support

Planned Time
ASCA
Distribution
Recommended

Planning, management, and evaluation of the school

Program
counseling program.
management and
Fair share responsibilities - activities that all
school support
members of the school staff take equal turns doing to
services
ensure the schools smooth operation.

80%
or more

5%
15 %
5%

20%
or less

SCHOOL COUNSELOR/ADMINISTRATOR
ANNUAL AGREEMENT 2015-2016

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TOTAL:

100%

100%

Professional Development Commitments

In the tables below, indicate the professional learning opportunities you commit to attending during this school year.
Include both CPS opportunities and external opportunities.

Date
9/18/2015
10/23/2015
12/11/2015
01/22/2015
02/26/2016

PD
U of Chicago Counselor/Coach
Collaboration
U of Chicago Counselor/Coach
Collaboration
U of Chicago Counselor/Coach
Collaboration
U of Chicago Counselor/Coach
Collaboration
U of Chicago Counselor/Coach
Collaboration

Date

PD

5/19/2016

U of Chicago Counselor/Coach
Collaboration

11/06/2015

CPS Network Meeting

11/13/2015

CPS Counseling Toolking

11/4/2015

U of Chicago Leadership Training

01/13/2016
U of Chicago Leadership Training
&03/23/2016

Professional Collaboration Responsibilities

Indicate all committees/teams/external partnerships in which you will participate, specifying how often the group meets
and whether you are a leader or member of the team.

Committee/Team
Counseling Team
Department Leaders
LSC

Meeting
Frequency
Weekly
Bi-Weekly
Monthly

Are You a Leader or

Member of this Team?
Yes
No
No

SCHOOL COUNSELOR/ADMINISTRATOR
ANNUAL AGREEMENT 2015-2016

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Record evidence of collaboration between the school counselor/counseling team and administration for review
and articulation of the annual agreement below.
Date of meeting:
October 2, 2015 with Meghan Sovell
Additional discussion highlights and/or outcomes from meeting (optional):

Principal Signature (Required):

Counselor Signature (Required):

CLICK HERE TO COMPLETE A 1-MINUTE SURVEY ABOUT THE NEW ANNUAL AGREEMENT FORM!
_____________________________________________________________________________________
Resources/Guidance for completing the Annual Agreement may be accessed on the Office of School Counseling and
Postsecondary Advising Knowledge Center.

Questions? Please Contact:

Barbara Karpouzian, Executive Director, Office of School Counseling and Postsecondary Advising,
bakarpouzian@cps.edu
Whitney Triplett, K-12 School Counseling Specialist, wdtriplett@cps.edu

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