School Name	Type here
School Counselor Name	Type here	School Year	Type here
Small Group Title or Focus	Type here
Number of Sessions	Type here
Reason for this group:	Students in group need support with: (check all that apply Life-Readiness ☐ Learning Strategies ☐ Self-Management Skills ☐ Social Skills Academic Success ☐ Failing grades ☐ Meeting benchmarks ☐ Meeting promotion/graduation requirements ☐ Low test scores

For the issues checked above, indicate the baseline achievement data for students in the small group.

Issue	Number of Students

Failing grades	Type here
Low test scores	Type here
Not meeting graduation requirements	Type here
Not meeting benchmarks	Type here

Attendance Data (Use “NA” if no data applies.)
Type here
Discipline Data (Use “NA” if no data applies.)
Type here
Other Data (Use “NA” if no data applies.)
Type here

Session	Behavior Standard(s) from the ASCA Student Standards	Learning Objectives	Pre-/Post-Assessment Statements
1	B#	Type here	Students will	1. Type here
Text	2. Type here
2	B#	Type here	Students will	1. Type here
Text	2. Type here
3	B#	Type here	Students will	1. Type here
Text	2. Type here
4	B#	Type here	Students will	1. Type here
Text	2. Type here
5	B#	Type here	Students will	1. Type here
Text	2. Type here
6	B#	Type here	Students will	1. Type here
Text	2. Type here

Session 1 Focus:
Describe the teaching content for this session.	Type here
Describe how students will practice the content.	Type here

Session 2 Focus:
Describe the teaching content for this session.	Type here
Describe how students will practice the content.	Type here

Session 3 Focus:
Describe the teaching content for this session.	Type here
Describe how students will practice the content.	Type here

Session 4 Focus:
Describe the teaching content for this session.	Type here
Describe how students will practice the content.	Type here

Session 5 Focus:
Describe the teaching content for this session.	Type here
Describe how students will practice the content.	Type here

Session 6 Focus:
Describe the teaching content for this session.	Type here
Describe how students will practice the content.	Type here

END OF PLAN

Small-Group Data Report

Participation Data Results
Number of students at beginning of plan:	Type here
Number of students at end of plan:	Type here
If number of students changes from beginning to ending of plan, provide an explanation for the change.	Type here
Graphs If needed, use organizer on the final page to organize the data.
ASCA Students Standard(s) Data Results
Behavior Standards Addressed:	Type here
Type here
Type here
Type here

Insert graph(s) 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

How can you improve your small group? Consider timing, number and type of strategies, cultural responsiveness, student access and identified barriers.
Type here
How do the results inform future small groups or the school counseling program?
Type here

Optional Data Organizer

(Required for RAMP®)

Baseline Participation Data Number of students expected to participate in the small group:	Final Participation Data Number of students who actually participated in the small group:
Type here	Type here
Baseline ASCA Student Standards Data	Final ASCA Student Standards Data
ASCA Student Standards Pre-Assessment Results	ASCA Student Standards Post-Assessment Results
Type here	Type here
Type here	Type here
Type here	Type here
Type here	Type here
Baseline Achievement Data This data matches baseline achievement data in small group.	Final Achievement Data Report actual final achievement data
Type here
Percent Change from Baseline to Final Data:
Type here %

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