Template #2c

1. Template #2c: Building the SSO-Final
Template #2c: Building the SSO
Professional’s Name:_____________________ Office Location: ___________________ Date: ______________
District Name: __________________________ Supervisor’s Name: ____________________________________
SectionI
-Setting-
Guiding Statement: “Let me begin by describing the setting of my support services.”
1.1 Service Area
1.2 Service
Location
1.3 Grade
Level
1.4 Total
Recipients
1.5 Average
Case Size
1.6 Service
Frequency
1.7 Service
Setting
1.8 Service
Interval
SectionII
-Goal-
Guiding Statement: “Here is a primary service to my clientele.”
2.1 Goal Statement
2.2 Targeted
Professional
Standards
2.3 Implementation
Strategy
SectionIII
-Objectives-
Guiding Statement: “My clientele need to achieve these performance targets to be successful.”
3.1 Starting
Point
(Baseline)
3.2 Objectives
(All Clients)
OBJ #1:
OBJ #2:
OBJ #3:
3.3 Objectives
(Focused
Clients)
3.4 End Point
(Combined)
Unsatisfactory
0% to ____%
of clients will meet
the learning objectives
Emerging
___% to ___%
of clients will meet
the learning objectives
Effective
___% to ___%
of clients will meet
the learning objectives
Distinguished
___% to 100%
of clients will
meet the learning
objectives

2. Template #2c: Building the SSO-Final
SectionIV
-PerformanceMeasures-
Guiding Statement: “These measures are best suited to evaluate my clientele.”
4.1 Name
PM #1:
PM #2:
PM #3:
4.2 Purpose
PM #1:
PM #2:
PM #3:
4.3 Professional Standards
PM #1:
PM #2:
PM #3:
4.4 Performance Targets
PM #1:
PM #2:
PM #3:
4.5 Metric
Growth (change in performance across two or more points in time)
Mastery (attainment of a defined level of performance)
Growth and Mastery
4.6 Administration
PM #1:
PM #2:
PM #3:
4.7 Scoring Tools
PM #1:
PM #2:
PM #3:
4.8 Results
Evaluated
(Total)
Meeting Target
(Count)
Meeting Target
(Percent)
 PM #1
 PM #2
 PM #3
Grand Totals
SSO Rating
Distinguished
Effective
Emerging
Unsatisfactory
Notes and Explanation
Specialist’s Signature ___________________________________________________ Date_______
Supervisor’s Signature ___________________________________________________ Date_______