Based on the evidence

							                 Spring Collaborative Reflection Conference


Counselor Name: ________________________________ Date: ___________

School: ________________________________________

Respond to the following questions/statements. Use this page or transfer questions and
design your own page. If you use the on-line form, the response box expands in
relationship to content.

   1. How were you able to meet your goals?

   2. What data have you gathered that helps you know that?

   3. As you implemented your plan, was there evidence you needed to make
      adjustments in your goals or outcomes?

   4. Based on the evidence, how did it impact your classroom (job)?

   5. What strategies and skills did you use that facilitated greater learning in your
      classroom/job this year?

   6. What would you like to see next?


End of Year Conference:


Counselor Signature: ___________________________________    Date: ________________


Administrator Signature: ________________________________   Date: ________________




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