School Psychologist Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience
1 = Beginner Level: Less than one year of experience
2 = Intermediate Level: One to Five years of experience
3 = Advanced: Five or more years of experience

Please rate your experience / frequency within the last year

0 = No Experience

1 = Beginner Level: Less than one year of experience

2 = Intermediate Level: One to Five years of experience

3 = Advanced: Five or more years of experience

Please rate your experience / frequency within the last year
0 = No Experience
1 = Beginner Level: Less than one year of experience
2 = Intermediate Level: One to Five years of experience
3 = Advanced: Five or more years of experience

MM slash DD slash YYYY

Ages/Grades Worked with

Birth to 3
Ages 3-5
K-6th grade
7th-12th grade
Adults

Disability Categories/Types of students worked with

Autism
Behavior
Blind/Visual Impairment
Deaf or Hard of Hearing
Developmental Delay
Emotional Disturbance
Hearing Impairment
Intellectual Disability
Mild to Moderate Disability
Moderate to Severe Disability
Multiple Disabilities
Orthopedic Impairment
Other Health Impairment
Speech and Language Impaired
Traumatic Brain Injury

Experience with the following tasks:

Attending an IEP Meeting
Conducting a Functional Behavior Assessment (FBA)
Conducting an assessment to determine eligibility
Counseling students individually
Counseling students in small groups
Leading an IEP Meeting
Observing a student in a classroom setting or home setting
Providing Social Skills Lessons
Writing a Behavior Intervention Plan (BIP)
Writing an assessment report for an initial IEP
Writing an assessment report for a re-evaluation