School Psychologist (093) Certificate Page 8
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114. Based on your review of the applicant's professional work, please rate the applicant in the following areas,
using a five point Likert Scale. (NOTE: Compare the applicant to entry level professionals in the same
field of school psychology).
Excellent
Above Average
Average
Below Average
Unacceptable
Not Applicable
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N/A
_____ Assessment
_____ Oral reporting of assessment results and recommendations
_____ Written reporting of assessment results and recommendations
_____ Consultation
_____ Behavior management
_____ Social skills training
_____ Group counseling
_____ In-service training
_____ Research
_____ Other:______________________________________________
_____ Overall Rating
7. In your opinion, does this person have:
Check if yes, leave blank if no
_____ f. High moral and ethical standards
_____ g. Sense of commitment to student welfare
_____ h. Knowledge of own limits, and willingness to function within them
_____ i. Personal problems that significantly impair his/her functioning
_____ j. Significant deficiencies in training, such that a certificate as a school psychologist should be restricted
or denied.
8. To the best of your knowledge, has the applicant:
Check if yes. leave blank if no
_____ h. Completed an accredited and adequate graduate program in psychology
_____ i. Obtained a masters degree
_____ j. Obtained a doctoral degree
_____ k. Completed a graduate program in school psychology
_____ l. Sufficient knowledge of basic science of school psychology
_____ m. Sufficient knowledge of applied/professional area of psychology
_____ n. ___________________________________________________________
7. Would you have any reservations about this person being certified as a school psychologist?
Yes
No
If yes, please explain: _______________________________________________
___________________________________________________________________________
8. Any additional comments that would be helpful to us? ___________________________________
___________________________________________________________________________
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