School Name
School Counselor Name	School Year

End date
Descriptors
Descriptor 1:
Descriptor 2:
Descriptor 3:	(if needed)
Achievement metric to decrease/increase
Baseline to projected final data
Achievement goal

Attendance Data (Use “NA” if no data applies.)
Discipline Data (Use “NA” if no data applies.)
Student/Partner Perspectives
Students
Family
Teacher(s)
School counselor(s)
Administrator
Other insights
Systemic Barriers (Use “NA” if no data applies.)
Which contributing factors will you address? (Use “NA” if not applicable.)

Behavior Standard(s) from ASCA Student Standards	Learning Objective(s)	Pre-/Post-Assessment Statements
1. Students will	1.
2.
2. Students will	1.
2.
1. Students will	1.
2.
2. Students will	1.
2.

Direct Student Service	Setting	Describe the strategy.
1.	☐ Instruction ☐ Appraisal & Advisement ☐ Counseling	☐ Small Group ☐ Individual
☐ Instruction ☐ Appraisal & Advisement ☐ Counseling	☐ Small Group ☐ Individual
☐ Instruction ☐ Appraisal & Advisement ☐ Counseling	☐ Small Group ☐ Individual
☐ Instruction ☐ Appraisal & Advisement ☐ Counseling	☐ Small Group ☐ Individual

Indirect Student Service	Describe the strategy.
☐ Referral ☐ Consultation ☐ Collaboration
☐ Referral ☐ P Consultation ☐ Collaboration
☐ Referral ☐ Consultation ☐ Collaboration
☐ Referral ☐ Consultation ☐ Collaboration

Reminder: Administer pre-assessment before delivering strategies.

END OF PLAN

Achievement Gap Data Report

Participation Data Results
Number of students at beginning of plan:
Number of students at end of plan:
If number of students changes from beginning to ending of plan, provide an explanation for the change.
Graphs If needed, use the data organizer on the final page to organize the data.
ASCA Students Standards Data Results
Behaviors Standards Addressed:	1.
2.
3.

Insert graph for data from the ASCA Student Standards pre- and post-assessment results for this plan.

Achievement Data Results

Insert graph for data reported in the baseline and final achievement data results for this plan.

Contributing-Factors Results Graphs (if applicable) When appropriate, insert graph(s) of baseline and final data such as attendance and discipline.

Systemic Focus What did you learn about any systemic barriers (new or previously identified)? Consider: The specific impact of the stated issue on the students in this goal Challenges and barriers that became more evident as you addressed this issue What might change in your school if this issue were successfully resolved What strategies can you use to address the barrier(s), such as leadership, advocacy, collaboration? Consider: Ways in which school counselors have addressed the identified systemic barrier(s)in the school The impact or result of school counselors’ work toward eliminating the systemic barrier
Plan Improvement How can you improve your achievement gap plan? Consider timing, number and type of strategies, culturally sustaining practice, student access and identified barriers.

Optional Data Organizer

(Required for RAMP®)

Baseline Participation Data Number of students expected to participate in the lesson:	Final Participation Data Number of students who actually participated in the lesson:
Baseline ASCA Student Standards Data	Final ASCA Student Standards Data
ASCA Student Standard Pre-Assessment Results	ASCA Student Standard Post-Assessment Results

Baseline Achievement Data This data matches baseline achievement data in goal statement.	Final Achievement Data Report actual final achievement data (may be different from projected final data)
Percent Change from Baseline to Final Data:
%

Baseline Attendance Data (when applicable)	Final Attendance Data (when applicable)
Baseline Discipline Data (when applicable)	Final Discipline Data (when applicable)