2022 Application window opens 1/24/2022

The California PBIS Coalition (CPC) understands that these are trying times and schools have had to adapt to the ever-changing demands. In the event that your District/School Guidelines does not allow outside personnel, such as an Authorized CPC External Reviewer (ACER), to visit or observe your physical or virtual classroom to perform a walk-though, the CPC is providing this sample self-assessment for teachers to complete. 

• Teachers will base their self-assessment responses on either physical or virtual classroom practices. Responses should reflect the school’s status of virtual, in-person, or hybrid instruction.
• If your school has functioned in a virtual instructional environment all year, you may wish to modify the questions to only reflect virtual features. 
• Please be sure to obtain the correct number of self-assessment surveys that corresponds with the level of recognition for which the school is applying. 
• Should you have any questions please contact your ACER, Coach, or refer to the Recognition Application.

 To use the self-assessment, make a copy of the Google form and modify the directions to meet your local context.  Each external reviewer should keep a copy of the results and should share the results with the school site to facilitate action planning.