Educational Support Therapist Skills Checklist Form
Review professional skills, recognize strengths, and plan development priorities.
Therapist Name
*
First Name
Last Name
Evaluator Name
*
First Name
Last Name
Evaluation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Educational Setting or Context
*
Skills Review
*
Rows
Needs Development
Developing
Proficient
Strength
Builds supportive relationships with learners
1
2
3
4
Communicates clearly and respectfully
5
6
7
8
Supports learner engagement and participation
9
10
11
12
Adapts strategies to individual learning needs
13
14
15
16
Promotes independence and self-advocacy
17
18
19
20
Collaborates with educators and families
21
22
23
24
Maintains professional boundaries and conduct
25
26
27
28
Reflects on practice and responds to feedback
29
30
31
32
Observed Strengths
*
Development Priorities
*
Examples or Evidence Supporting the Ratings
*
Agreed Development Goals
*
Follow-Up Review Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Review
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