SCSC Special Education Employee Annual Evaluation Form

Overseeing Agencies

	Select One
Ineffective 1 - Demonstrates little or no knowledge or understanding of agency requirements. Makes little or no effort to adhere to regulations.
Progressing 2 - Seeks to understand and attempts to meet requirements and follow regulations. Examples may pursue training and/or technical assistance in areas of needs.
Effective 3 - Meets expectations and exemplifies knowledge of agency requirements and regulations.
Highly Effective 4 - Works with coordinator and all involved to meet agency requirements and regulations program wide. *Areas within staff control.
Not Available

Relationships and Advocacy

	Select One
Ineffective 1 - Demonstrates little or no attempt to create relationships with stakeholders such as community, parents, district and/or co-workers.
Progressing 2 - Demonstrates effort in seeking relationships with stakeholders to strengthen program and effectiveness.
Effective 3 - Evidence of communication between stakeholders in efforts to strengthen program and effectiveness.
Highly Effective 4 - Shared projects and/or partnerships with stakeholders which strengthen and support overall program.
Not Available

Overall knowledge and implementation of practice.

	Select One
Ineffective 1 - Planning and practice lack of understanding of pedagogy and development of children with special needs and considerations.
Progressing 2 - Plans and practice reflect understanding of children with special with special needs and understanding of early childhood special education.
Effective 3 - Children are routinely engaged in meaningful individualized age appropriate experiences which is reflective of planning.
Highly Effective 4 - Interactions with children, parents and others reflect sound knowledge and implementation as determined by program.
Not Available

Professionalism

	Select One
Ineffective 1 - Practice reflects lack in maintaining professionalism. Examples may include: Inaccurate records, missed data submission deadlines, breach of confidentiality.
Progressing 2 - Demonstrates some effort to maintain professionalism. Example may include: Demonstrates effort to keep and maintain accurate files and data and meets most important deadlines, respects privacy of child sharing information on need to know only basis.
Effective 3 - Maintains professional standards consistently. Examples may include: Submits accurate records and files timely, maintains confidence of program, children and families served.
Highly Effective 4 - Adheres to the highest professional standards extending that of program.
Not Available

Rating: (1) Ineffective, (2) Progressing, (3) Pedagogy, (4) Highly Effective

	Rating
Overseeing Agencies
Relationships and Advocacy
Overall knowledge and implementation of practice.
Professionalism
Not Available

Overall Rating
Comment, Suggestion, and Feedback
South Central Service Cooperative Employee Completion of Evaluation Confirmation
SUPERVISOR’S STATEMENT:

I testify that each of the items listed as criteria of the evaluation within, was discussed and that specific suggestions for needed improvement were recommended if needed.
Supervisor's Signature

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Date

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EMPLOYEE’S STATEMENT:

I acknowledge that each of the items listed as criteria of the evaluation listed within, was discussed and that specific suggestions were recommended if needed. I understand that my signature below does not necessarily mean that I agree with the evaluation. I also understand that I have the right to discuss my status with the Director of South Central Service Cooperative.
Employee's Signature

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Director's Signature

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Date

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RENEW CONTRACT

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Should be Empty:

Employee Evaluation