Performance Appraisal Worksheet

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					                                                                               Performance Appraisal Worksheet
                                            Summit Program Teacher’s Assistant 1
               Employee:                                                               Employee Number:



           Appraisal Date:                                 Last Appraisal Date:

  Purpose of Evaluation:

 Functions Rating Scale:
      1            Unsatisfactory - Performance on this element of your job is well below expected standards and there is question whether there is
                   potential and/or willingness to meet the minimum standards set.

      2            Marginal - Performance is somewhat below the minimum standard for this element of your job. There appears to be, however,
                   potential and willingness to improve.

      3            Satisfactory - Performance is at or above the standards required.

      4            Very Good - Performance in this area is consistently better than required standards.

      5            Outstanding - Performance is so successful at this element of your job that special note should be made.

     Assists teachers in specialized and/or mainstream education classroom in preparing and presenting a variety of instructional materials for the
     purpose of presenting and/or reinforcing learning concepts.
          Rating       Comments

     Assists assigned instructional staff in improving studentÆs learning skills, self care, and/or social development for the purpose of providing
     learning concepts and materials.
          Rating       Comments

     Communicates with teachers regarding assigned studentsÆ progress for the purpose of participating in needs assessments and/or assisting in
     evaluating progress.
          Rating       Comments

     Documents observations of student performance in academic and school activities (e.g. social skills, behavior, assignments, etc.) for the
     purpose of providing written records and/or complying with mandated requirements.
          Rating       Comments

Wednesday, October 15, 2008                                                                                                                 Page 1 of 4
                                                                             Performance Appraisal Worksheet
                                         Summit Program Teacher’s Assistant 1
     Guides students in personal interactions and/or specific student issues for the purpose of developing interpersonal skills and successful
     problem solving strategies.
           Rating       Comments

     Maintains a variety of manual and electronic instructional files and records for the purpose of providing written reference and meeting
     mandated requirements.
           Rating       Comments

     Monitors studentsÆ performance, under the direction of assigned classroom teacher, for the purpose of providing feedback to students,
     teachers and/or others involved in the provision of services in accordance with IEPs.
           Rating       Comments

     Obtains homework assignments for students at different academic levels for the purpose of addressing classroom requirements.

           Rating       Comments

     Performs other related duties as assigned for the purpose of ensuring the efficient and effective functioning of the work unit.

           Rating       Comments

     Provides communication and coordination between state agency personnel and parents for the purpose of ensuring student learning is
     conducted in accordance with program goals.
           Rating       Comments

     Tutors students outside of the school setting for the purpose of assisting in the achievement of objectives.

           Rating       Comments

 Competencies Rating Scale:
       1            Needs Improvement

       2            Satisfactory

       3            Very Good

  SKILLS are required to perform multiple tasks with a potential need to upgrade skills in order to meet changing job conditions. Specific skill-based
  competencies required to satisfactorily perform the functions of the job include: handling hazardous materials; operating standard office equipment
  including using pertinent software applications; and preparing and maintaining accurate records.

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                                                                               Performance Appraisal Worksheet
                                          Summit Program Teacher’s Assistant 1
        Rating      Comments

  KNOWLEDGE is required to perform algebra and/or geometry; read technical information, compose a variety of documents, and/or facilitate group
  discussions; and solve practical problems. Specific knowledge-based competencies required to satisfactorily perform the functions of the job
  include: child guidance principles and practices, especially as they relate to students with learning disabilities; the subjects taught in the District
  schools, including arithmetic, grammar, spelling, language and reading; instructional materials and techniques used in Special Education; safe
  practices in classroom and other activities; correct English usage, grammar, spelling, punctuation and vocabulary; reading and writing
  communication skills; record keeping techniques; and modern office practices and procedures.
        Rating      Comments

  ABILITY is required to schedule activities and/or meetings; gather and/or collate data; and use basic, job-related equipment. Flexibility is required
  to work with others in a variety of circumstances; work with data utilizing defined and similar processes; and operate equipment using standardized
  methods. Ability is also required to work with a diversity of individuals and/or groups; work with a variety of data; and utilize job-related equipment.
  Problem solving is required to identify issues and create action plans. Problem solving with data requires independent interpretation of guidelines;
  and problem solving with equipment is limited to moderate. Specific ability-based competencies required to satisfactorily perform the functions of
  the job include: learning the methods, procedures, functions and limitation of assigned duties; supervising and disciplining students according to
  approved policies and procedures; modeling appropriate social skills, social interaction and appearance; applying behavior modification
  techniques developed for classroom use; writing observations and document student behavior; intervening positively in, and diffusing potential
  confrontations among students; printing and writing legibly; making arithmetic calculations quickly and accurately; understanding and following oral
  and written directions; communicating effectively orally and in writing with children and adults; reading, interpreting and following rules, regulations,
  policies and procedures; establishing and maintaining effective and empathetic working relationships with others; maintaining confidentiality; and
  understanding the exceptional needs of special education students.
        Rating      Comments

  Responsibilities include: working under direct supervision using standardized procedures; leading, guiding, and/or coordinating others; and
  operating within a defined budget. Utilization of some resources from other work units may be required to perform the job's functions. There is a
  continual opportunity to have some impact on the Organization’s services.
        Rating      Comments

  Additional Factors:
     Employee observes work hours as established by supervisor and has consistent and predictable attendance.

        Rating      Comments


               Employee:                                                               Date:

               Supervisor                                                              Date:

                 Evaluator                                                             Date:

Wednesday, October 15, 2008                                                                                                                     Page 3 of 4
                                                                         Performance Appraisal Worksheet
                                       Summit Program Teacher’s Assistant 1
                              Signature confirms that this document has been received and reviewed by the employee.

Wednesday, October 15, 2008                                                                                           Page 4 of 4