Independent School District No. 621 Mounds View Public Schools Non-.Certified Staff Performan:ce Ap!ipraisalRe.port Form EG-5101-G Name: Building: Date: Position: Appraisal Period From to Purpose: 0 Mid-Probation 0 Probation 0 Annual 0 Other Directions: 1. The performance appraisal is provided as a counseling tool for the rating supervisor and the employee to assess and discuss job performance and to help the employee be aware of how well he or she is performing. Therefore, the employee and the supervisor must discuss the results of this appraisal. 2. Designate any performance factors which are not applicable to this position by placing an "X" in the "not applicable" box. 3. Rate the employee's typical level of performance over the entire appraisal period by marking an "X" next to the statement which best describes the employee's level of performance. Use the comment! goal section to support/clarify your assessment and/or to identify future goals. Contemplate only one trait at a time - exercise judgment independently from decisions made in appraising other traits. 4. The comment section at the end of the form should be used as a narrative summary of the evaluator's assessment of the employee's performance during the rating period. Attach additional sheet if necessary. 5. The employee and supervisor must sign and date the report. The completed form should be sent to Human Resources.
Knowledge of Job: Understanding job procedures, equipment and methods, responsibilities, and scope of duties. Knowing and applying skill requirements of position. Knowing the established work procedures. Being able to operate and maintain all equipment used on the job. Demonstrating the ability to make improvements in work procedures. Knowing appropriate techniques for working with students. D Thorough; completely informed; broad general knowledge of related work. D Well informed on all phases of job; decisions well thought out and effective. D Has good detailed knowledge of job procedures; follow-up on job activity occassionally needed. D Marginal knowledge of job procedures; regularly requires instruction and assistance. D Knowledge of job lacking; needs close supervision. Quality of Work: Completing work thoroughly, accurately, and according to specifications. Following instructions completely and accurately. Completing work with a minimum number of errors. Preparing and maintaining accurate records. D Does work of highest level. Work is very complete, almost errorless and is very practical. D Good; produces accurately; skillful; good attention to detail; very neat. D Average skill; careful; errors reasonable; meets standards. D Erratic; occasionally work does not meet standards. D Rework often required; sloppy and/or inaccurate. Work Productivity: Completing assigned tasks within specified time limits. Working at a steady efficient pace. Increasing work pace when necessary to meet a deadline. D Top producer; outstanding; works well under pressure. D Good output; rapid; often does more than own share. D Satisfactory. D Productivity marginal; less than acceptable. D Insufficient output; slow; usually behind with work. 2
U --n u- n- u ---uu - -- Attendance: Being consistently present at work. Arriving for work on time. Taking appropriate time for breaks. D Never late or absent. D Rarely late or absent., D Occasionallylate. Attendancerecordnottoo good. D Seldom on time. Absent often. Does not give appropriate notice when absent. Planning, Organizing and Coordinating: Using methods and arranging priorities as necessary to complete a task. Operational economy. Requesting or obtaining information needed to complete a job. Organizing and maintaining work area. Displaying flexibility in adjusting work priorities. Giving work direction to others (if applicable). D Excellent proficiency in arranging and prioritizing work for most timely and thorough completion. D Organizes work, methods and materials in a competent, adequately efficient manner. 0 Sometimes inefficient and disorderly resulting in wasted time. D Lacks orgainization in all aspects of work production. Problem Solving: Recognizing and responding successfully to problem situations. Selecting suitable alternative courses of action when confronted by some obstacle. Maintaining composure when confronted by unexpected mental and emotional stress on the job. Correctly diagnosing and communicating the cause of a problem situation to those involved. 0 Exceptionalabilityto makedecisions;innovativeandpracticalsolutionsto complexor unusualproblems. D Consistently uses good judgement in making decisions; can make sound practical solutions on a timely basis. D Satisfactory judgment; minor incorrect decisions with no negative impact on the work or staff. D Poor decisions; impulsive; needs close supervision; may result in complaints from others. 3
Interactions With Others: Displaying good interpersonal skills and rapport in maintaining smooth working relationships with people. Accepting work directionwillingly.cooperating withco-workers. Effectivelyrepresents Districtto parents and public. Displayingprofessionalism. Accepting and offeringconstructive criticismin a positivemanner. Displayingleadershipin areaof responsibility. D Develops excellent relations which greatly increases job effectiveness. D Gets along well with others. Fosters cooperation in others. D Usually gets along with others. D Frequently has difficulty with others. Sometimes causes uncooperativeness. Commitment to Job: Demonstrating a consistent, dependable work effort and a positive work attitude. Accepting and fulfilling assigned work. Demonstrating appropriate level of initiative. Accepting difficult jobs willingly. Displaying willingness to assist others during light work periods. Displaying flexibility regarding lunches, breaks, and work hours to complete work. Maintaining appropriate license (if applicable). Demonstrating interest in learning and improving job performance. D Likes to master new tasks and often makes suggestions. Willing to tackle difficult assignments. Offers to help others. D Learns new tasks easily. Accepts direction better than most. Willingly helps others when asked. D Accepts direction. Somewhat flexible. D Does minimum required. Accepts direction grudgingly. Somewhat inflexible. D Shows little desire to learn new tasks or take on additional tasks. Refuses to accept direction. Inflexible. D Not Applicable Health and Safety: Ensuring sanitation and safety of self and others through practicing safe work procedures and proper use and care of equipment. Handling and operating equipment in a careful manner. Keeping the worksite free of potential hazards. Completing work according to District safety policies and work procedures. Using universal precautions. D Is always safety conscious and imparts this to others. D Normally follows safe working practices and considers it important. D Follows some safety measures, but does not appear to consider this important. D Flagrant disregard of safety practices. A danger to self and others. 4
Student Interactions: Demonstrating positive interpersonal relationships with students. Encouraging students to be selfdisciplined. Promoting positive self-image in students. Treating students in a consistent and empathetic manner. Modeling appropriate behaviors. Maintaining confidentiality of student information. Engaging students in appropriate conversations and/or learning activities. Knowing appropriate techniques for working with students. 0 Develops excellent relations which greatly increase job effectiveness. 0 Gets along well with students. Gets good cooperation. 0 Usually gets along with students. 0 Frequently has difficulty with students. Sometimes causes uncooperativeness or acts inappropriately. 0 Not Applicable. Summary comments by supervisor: Employee Comments: Supervisor's Signature Date Adminstrator's Signature Date Employee's Signature * *This signature indicates that this appraisal has been reviewed and discussed with the employee 5 Date