LEON COUNTY SCHOOLS



|LEON COUNTY SCHOOLS |

| |

|PERFORMANCE EVALUATION FORM |

|NON-INSTRUCTIONAL EMPLOYEES |

|Employee | |PID | |School/Site |

|Name | | | | |

|Supervisor | |Length of Time With Supervisor : |Name of Person Completing Evaluation |

|Name/Title | | |( if other than Supervisor) |

|Employee Position/Classification: |Employee Length of Time in Position: |

|Period of Review |Type of Evaluation: Probationary ______________ First Year Annual ____________ |

|From: |Second Year Annual ___________ Third Year Annual __________ |

|To: |Permanent Status ______________ Special _______________ |

The employee is to be evaluated on each of the categories listed below on the following scale:

E = EXCEEDS EXPECTATIONS M = MEETS EXPECTATIONS N = NEEDS IMPROVEMENT U = UNSATISFACTORY

PLEASE NOTE: A rating level other than “Meets Expectations” (i.e., Exceeds Expectations, Needs Improvement or Unsatisfactory) for any category must be accompanied by an explanation on the back of this form or on an attached statement with the reason(s) for this rating (this documentation may include an Improvement Notice or other documentation that has previously been provided to the employee).

|___QUALITY OF WORK |___INITIATIVE |___PRODUCTIVITY |___JOB KNOWLEDGE |___INTERPERSONAL SKILLS |

| | | | | |

|Performs assignments competently and |Seeks to develop and improve job skills |Uses time and resources efficiently |Demonstrates proper use of information, |Contributes to group performance |

|timely | | |procedures, materials, equipments, | |

| |Identifies problems and proposes solutions|Produces necessary quantity of work |techniques, |Supports organizational goals |

|Work products are thorough, complete, | | |and skills | |

|and accurate |Self-motivated; able to work independently|Meets deadlines and schedules | |Adapts to changed circumstances |

| | | |Demonstrates working knowledge of job | |

|Follows written and oral directions |Takes action to meet work-related |Handles multiple assignments and adjusts | |Establishes and maintains effective |

| |objectives |to accommodate changes in priorities |Enhances job knowledge as needed |working |

|Performs work consistent with applicable | | | |relationships |

|policies and procedures |Demonstrates ability to learn new |Plans and organizes effectively |Effective use of technology | |

| |job-related | | |Interacts effectively with the public |

| |skills | | | |

| | | | |Responds appropriately to feedback |

| |Follows up on assigned tasks | | | |

| | | | |Demonstrates effective communication |

|___ATTENDANCE |___APPEARANCE |___CONFIDENTIALITY |___SAFETY |___SUPERVISION |

| | | | |(If applicable) |

|Complies with policies and procedures |Dresses appropriately for job and/or |Keeps in confidence personally |Consistently complies with policies and |Utilizes personnel and other resources to |

|regarding usage of time and leave |responsibilities |identifiable |procedures governing safety and health |effectively accomplish responsibilities |

| | |student or adult information obtained in | |assigned to the work unit |

|Maintains scheduled work and break times |Maintains and wears uniform consistent |the |Reports potentially unsafe conditions in the | |

| |with |course of carrying out job |manner provided in District policy and |Communicates work assignments clearly and |

|Reports absences for emergencies and |applicable policies and work rules |responsibilities |procedures |effectively |

|illness, | |unless disclosure is required in carrying | | |

|and requests leave, in a timely manner | |out |Exercises safe work habits and is attentive |Organizes work assignments in an effective|

| | |those responsibilities or is otherwise |and responsive to unsafe conditions |manner |

|Absences are not excessive as to affect the | |required | | |

|ability to maintain proper continuity of | |by law | | |

|work | | | | |

| | |Refrains from accessing or communicating | | |

| | |confidential and sensitive information | | |

| | |that | | |

| | |is not relevant to the employee’s job | | |

| | |responsibilities | | |

OVERALL EVALUATION: MARK ONE CATEGORY

|EXCEEDS EXPECTATIONS |MEETS EXPECTATIONS |NEEDS IMPROVEMENT |UNSATISFACTORY |

| | | | |

Please indicate below the supervisor’s explanation for ratings other than “Meets Expectations” in any ratings category. Attach any documents, including Improvement Notices, previously provided to the employee.

Category ________________________ Rating _______________

Written explanation for Rating other than “Meets Expectation” (also attach relevant documents provided to employee)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Category ________________________ Rating _______________

Written explanation for Rating other than “Meets Expectation” (also attach relevant documents provided to employee) ____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Category ________________________ Rating _______________

Written explanation for Rating other than “Meets Expectation” (also attach relevant documents provided to employee) ____________________________________________________________________________________________

____________________________________________________________________________________________

_____________________________________________________________________________________________

(Please attach written explanation and relevant documents for additional categories if needed)

AREA(S) OF EMPHASIS FOR EMPLOYEE DEVELOPMENT IN NEXT APPOINTMENT PERIOD:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

SUPERVISOR’S NAME AND SIGNATURE: _________________________________________________________

Print Name

_______________________________________________________________________________________________

Signature Date

EMPLOYEE’S NAME AND SIGNATURE: ___________________________________________________________

Print Name

_______________________________________________________________________________________________

Signature Date

The employee acknowledges that his/her signature indicates review of this evaluation but not necessarily agreement with it. Indicate if the employee has provided a written response to this evaluation and attach it. __________

YES/NO

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LCS-9843-1120

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