SOUTHINGTON PUBLIC SCHOOLS

Southington, Connecticut

STIPEND POSITION EVALUATION (other than coaching)

NAME:
POSITION: / YEAR: Select Year:2004-20052005-20062006-20072007-20082008-20092009-20102010-20112011-2012
SCHOOL: / Select School:Southington High SchoolDePaolo Middle SchoolKennedy Middle SchoolAlternative EducationDerynoski Elem SchoolFlanders Elem SchoolHatton Elem SchoolKelley Elem SchoolPlantsville Elem SchoolSouth End Elem SchoolStrong Elem SchoolThalberg Elem School

CODE: 1 -Satisfactory

2 -Needs Improvement

3 -Unsatisfactory

NAP -Not Applicable

NOB -Opportunity to Observe

PERFORMANCE:

1. / Demonstrates knowledge of the position’s responsibilities. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
2. / Conducts an adequate number of activities to support job goal. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
3. / Prepares and submits reports and other materials in a correct and timely manner. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
4. / Manages necessary funding and finances. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
5. / Cares for equipment, materials and facilities that are involved in job activities. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
6. / Is successful in accomplishing the job’s objectives. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe

PROFESSIONAL AND PERSONAL RELATIONSHIPS:

1. / Understands and follows rules, regulations, requirements, certifications, etc., that are related to successful job functioning. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
2. / Supervises and relates to students in a fair and encouraging manner. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
3. / Works effectively with parents, teachers and others to bring about emotional, social and educational, growth of students. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
4. / Keeps administration informed. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
5. / Displays an enthusiastic, positive attitude. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
6. / Projects a professional appearance. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe

RELATED RESPONSIBILITIES:

1. / Participates and/or is a member in related associations, groups, etc. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
2. / Initiatives/participates in community functions that enhance the success of the job goals. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
3. / Maintains an interest and awareness in student’s academic progress. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe
4. / Assists students, teachers or counselors in other related concerns; i.e., selection of colleges, courses, workshops, conferences, etc. / Select Code:1-Satisfactory2-Needs Improvement3-UnsatisfactoryNAP-Not ApplicableNOB-No Opportunity to Observe

COMMENTS AND/OR RECOMMENDATIONS OF SCHOOL PRINCIPAL:

It is the principal’s intention, regarding the above indicated stipend position to:

Post and advertise the position for the Select Year:2005-20062006-20072007-20082008-20092009-20102010-2011 school year.
Recommend for continued employment in this position for the Select Year:2005-20062006-20072007-20082008-20092009-20102010-2011 school year.
School Principal’s Signature / Date
Teacher’s Signature / Date