EVALUATION FORM FOR PSRP and CUB MEMBERS

EMPLOYEE DATA

Name / Union / Review Date
Job Title / Employee # / Org #

SUPERVISOR DATA

Name

PERFORMANCE MANAGEMENT PHILOSOPHY STATEMENT

Baltimore City Public Schools recognizes that all employees are essential to the district’s overall success. This success is achieved by empowering employees to perform to the best of their abilities. The performance management system will foster a work environment that will attract, support, and retain effective employees committed to increasing student achievement.

CORE COMPETENCIES AND RATINGS

Instructions: The core competencies listed below are defined by suggested indicators of performance criteria. Describe the employee’s contributions and professional strengths or development opportunities in each of the competencies below. Illustrate specific, detailed examples of goals, results and job related behavior since the last review.

There are three possible ratings for each indicator:

3 – Highly Effective: Consistently demonstrates the attributes of the indicator

2 – Effective: Most often demonstrates the attributes of the indicator

1 – Developing: Sometimes demonstrates the attributes of the indicator

Rate each competency according to the scale. Use examples and comments to support the ratings and subtotal the ratings under each Competency. When you are finished, calculate the Overall Rating using the Ratings Table.

Areas of Performance Competence / Indicators / Rating
(1-3)
Communications / 1.Communicatesinanopen,respectfulandconsistentmanner.
2.Speakseffectivelyandwritesclearlywhencommunicatingwithallstakeholders.
3.Maintainstheconfidentialityof writtenandverbalcommunications.
4.Keepsstakeholdersinformedaboutissuesthatmayaffectthemoroperationswithin theirschool,departmentororganization.
5.Gathersanddeliversinformationeffectivelyonthephone,inemail.
Specific Examples, Comments: / Subtotal:
Critical Thinking / 1.Anticipatesandaddressesconcernsofallstakeholders.
2.Conductsresearchandaskskeyquestionstogatherinformation.
3.Activelyanticipatesandidentifiesissuesandtheirimplications.
4.Formulatesalternativesorcreativesolutionstoproblems.
5.Accessesandusesresourcesappropriately.
Specific Examples, Comments: / Subtotal:
Effectiveness and Efficiency / 1.Demonstratesanunderstandingofhowthejobcontributestooverallstudent learningandachievement.
2.ProvidescustomerservicereflectiveofCitySchools’values,includingshowingconcernfor students,beingresponsiveandrepresentingCitySchoolsinapositivelight.
3.RecognizesanddemonstratesthevaluesandmissionofCitySchools.
4.Focusesonachievingresultsandtakesinitiativetofollowthroughon work.
5.Initiatesandprioritizesworkassignments.
Specific Examples, Comments: / Subtotal:
Job Knowledge / 1.Possessesrequiredjobknowledge,includingknowledgeofregulations,policiesandprocedures.
2.Identifies andusesappropriatematerials,equipment andotherresourcestoachieve objectives.
3.Comprehendsandfollowsinstructions.
4.Learnsandappliesnewskills,methodsandprocedurestogetworkdonemoreeffectively.
5.Completesworkinatimelyfashion.
Specific Examples, Comments: / Subtotal:
Professionalism / 1.Takesresponsibilityfororganizingworkinapracticalwayandgetsthingsdone.
2.Establishesandmaintainssoundworkingrelationshipswithallstakeholders.
3.Arrivesto workontime;isconscientious,thorough,accurateandreliablewhen completingjobtasks.
4.Respondstoallstakeholdersappropriatelyandinatimelymanner.
5.Maintainsaneatandprofessionalappearance.
Specific Examples, Comments: / Subtotal:
Teamwork / 1.Cooperateswithco-workerstoachievesharedandteam goals.
2.Takesresponsibilityforhis orherindividualroleintheworkandisopentofeedback toimprovethatwork.
3.Acceptsandreadilyadaptstochangingpriorities,strategies,proceduresandmethods.
4.Maintainstransparencybysharinginformationopenlyandconsistentlywithteam membersandco-workers.
5.Resolvesbarriersandconflictstoaccomplishtasksandgoals.
Specific Examples, Comments: / Subtotal:

RATING TABLES

Areas of Performance Competence / Subtotal from Each Competency
Communications
Critical Thinking
Effectiveness and Efficiency
Job Knowledge
Professionalism
Teamwork
Total
Score Range / Individual Annual Evaluation Rating
90-70 / Highly Effective
69-50 / Effective
49 and below / Developing

I have seen and reviewed the evaluation information listed above.

Employee’s Signature: ______Date: ______

Supervisor’s Signature: ______Date: ______

Office of Human Capital 1Last Updated 2014