TLC Data Collection
Data Analysis: SEL sessions
Enter name of person providing session.
Student ID #:
Check off any other SST member working with student.
Social Emotional Behavior Referral
Check below all SEL behaviors that apply to student.
Defensive/Aggressive with adults/peers
Recent loss (death, divorce, friends)
Suspected gang involvement
Ran away from home/foster home
Check off SEL goals for your session with student or group of students.
SEL Competency 1: Awareness of Self and Others
Students aquire tools to form positive self-worth through recognition of personal qualities
Identify role within school community, classroom and/or home
Develop academic and personal growth strategies
Apply feedback to improve performance
Perceive and label feelings
Identify strengths and weaknesses to handle challenges
Accurately view the perspective of others
SEL Competency 2: Positive Attitudes and Values
Students acquire skills to build personal and social responsibility as well as respect for others.
Engage in safe and healthy behaviors
Apply honesty and fairness in dealing with others
Accept individual and group differences
Value the rights of all people
Contribute to the school community
SEL Competency 3: Responsible Decision Making
Students learn and apply skills to identify problems, set realistic goals and implement positive solutions to problems.
Identify situations that require a decision or solution
Assess the associated risks, barriers, and resources of problem
Critically evaluate cultural, social, and media messages pertaining to social norms
Set positive and realistic goals
Develop, implement and evaluate positive solutions to problems
SEL 4: Social Interaction Skills
Students learn verbal and non-verbal skills for active listening, expressive communication, cooperation, negotiation, and help seeking.
Increase attention capacity towards others to show understanding
Initiate and maintain conversation to clearly express one's thoughts and feelings
Increase capacity to take turns and share in pairs and groups
Increase capacity to consider all perspectives to reach a peaceful resolution
Increase ability and follow-through with clear "NO" statements to avoid peer pressure
Increase capacity to identify the need for support and ask for assistance
SEL Session Summary
Include a brief summary of today's session:
SEL Action Plan
Include a brief action plan with specific steps to be completed by (target date).
(Date of Session): Action plan...
I will . . . Student will . . . ***Include the date in this NOTES section.
SEL Session Survey
Assess SEL learning outcomes and lesson.
Rate each student using likert scales below.
Participation during SEL lesson
Very Active Participation
Disposition after SEL lesson
Appropriate Verbal Expression of feelings/ideas
No Verbal Expression
Very Appropriate Expression
Met the SEL competency goal (s) identified above for student.
Did not meet SEL goal
Met SEL goal
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