1. GSSD Student Services Department - ANNUAL REPORT 2011/12
DUE June 18, 2012
Good Spirit School Division
Fairview Education Centre
63 King Street East
Yorkton, Saskatchewan S3N 0T7
Phone: 306.786.5500 Fax: 306.783.0355
Student Services Co-ordinators
Educational Psychologists
Speech-Language Pathologists
Occupational Therapists
School Counsellors
All Student Services personnel (PSPs) are required to submit the following information as
their ANNUAL REPORT for the 2011/12 school year.
A. Caseload/Referral Information
B. Activities Related to Professional Duties and Responsibilities
C. Reporting and Documentation
A. Caseload/Referral Information
Please submit caseload/referral information on each of the schools you serve. Other
relevant caseload information may also be submitted. Possible break down of caseload
vs. work load could also be included.
B. Activities Related to Professional Duties and Responsibilities
Please provide a list of specific activities related to your professional duties and
responsibilities that you were involved with during the 2011/12 school year. This may
include things such as professional development, workshops, seminars or other PD
activities that you conducted/attended, class presentations, PPP planning meetings,
contact with parents, consultation and collaboration with other team members,
participation on committees, other contributions to the school/division. Please pay
particular attention to our three C’s – Collaboration, Capacity Building and
Collaboration. How did you contribute to these 3 C’s this year? What was your
contribution to your PLC? Did you move closer to consistency of practice? If not, why
not?

2. GSSD Student Services Department - ANNUAL REPORT 2011/12
DUE June 18, 2012
Please submit one piece of evidence with a brief explanation related to one of the
items listed below. This can include things such as a copy of an agenda or handout form
a class presentation, workshop , a brochure or information provided to schools or
parents, certification or recognition earned, etc…. Preferably, you will link this item to
the 3 C’s.
C. Reporting and Documentation
Please submit one of the following: a sample report, a copy of your case management
notes, an example of your data/record keeping, an intervention plan, a joint report
developed with another PSP.
Please submit your completed ANNUAL REPORT information along with your Annual
Growth Plan to your area Student Services Co-ordinator on or before June 18th, 2012.