Annual Agreement Template
School Counselor Year
School Counseling Program Mission Statement
School Counseling Program Goals
The school counseling program will focus on the following achievement, attendance and/or behavior goals this year.
Details of activities promoting these goals are found in the curriculum, small-group and closing-the-gap action plans.
Program Goal Statements
1
3
Use of Time
I plan to spend the following percentage of my time delivering the components of the school counseling program.
All components are required for a comprehensive school counseling program.
Planned Use Recommended
Direct School counseling core Provides developmental
Services to curriculum curriculum content in a
Students ____ systematic way to all students
percent
Individual student Assists students in the
planning development of educational,
____ career and personal plans
percent
80 percent
or more
Responsive services Addresses the immediate
____ concerns of students
percent
Indirect Referrals, consultation Interacts with others to
Services for and collaboration provide support for student
Students ____ achievement
percent
Program Foundation, management Includes planning and
Planning and and accountability and evaluating the school
School school support counseling program and
____ 20 percent
Support school support activities
percent or less
Advisory Council
The school counseling advisory council will meet on the following dates.
Planning and Results Documents
The following documents have been developed for the school counseling program.
Annual calendar Closing-the-gap action plans
Curriculum action plan Results reports (from last year’s action plans)
Small-group action plan
Professional Development
I plan to participate in the following professional development based on school counseling program goals and my
school counselor competencies self-assessment.
Caseload and School Counselor’s Responsibilities
Indicate how students are assigned to the school counselor’s caseload and the specific responsibilities assumed by the school
counselor.
Caseload Defined by: Alpha: last names beginning with __________ to __________
Grade level: students in grades: _______________________
All students in building
Other:
School Counselor Direct Student Services
Responsibilities School Counseling Core Curriculum
Academic Advisement
Individual Student Planning
Responsive Services
Individual Counseling
Small Groups
Crisis Response
Indirect Student Services
Referrals to Community Agencies
Special Programs
Other
Professional Collaboration and Responsibilities
Choose all that apply.
Group Weekly/Monthly Coordinator
School Counseling Team Meetings
Administration/School Counseling
Meetings
Student Support Team Meetings
Department Chair Meetings
School Improvement Team Meetings
District School Counseling Meetings
Other
Budget Materials and Supplies Annual budget: $
Materials and supplies needed:
School Counselor Availability/Office Organization
The school counseling office will be open for students/parents/teachers from to .
My hours will be from to (if flexible scheduling is used).
The career center will be open from to
Role and Responsibilities of Other Staff and Volunteers
School counseling department assistant
Attendance assistant clerk
Data manager/registrar
Career and college center assistant
Other staff
Volunteers
School Counselor Signature
Principal Signature
Date
