<p> Milan Special School District Support Services Evaluation Form</p><p>Name ______</p><p>Position ______School______</p><p>Date ______</p><p>Rating Scale: 5- Superior, 4 -Above Average, 3- Average, 2- Needs Improvement, 1- Unsatisfactory</p><p>Rating I. ATTENDANCE ______AVERAGE SCORE</p><p>______1. Punctual – is faithful in coming to work on time and conforming to work hours. ______2. On task – Limits personal activities during work hours.</p><p>II. PERSONAL QUALITIES ______AVERAGE SCORE</p><p>______1. Dependable – Does required jobs with a minimum of supervision.</p><p>______2. Health – Possesses the physical strength, vitality and mental alertness required to do the job.</p><p>______3. Appearance – Shows care in grooming; dresses appropriately.</p><p>______4. Enthusiasm - Demonstrates a high degree of interest in the job.</p><p>______5. Diplomatic – Knows what to do and say at the right time; maintains working relationships without arousing resentments.</p><p>______6. Confidentiality – Avoids discussion of confidential matters; does not participate in job gossip.</p><p>______7. Communication – is clear in expressing ideas; is a good listener; uses appropriate grammar.</p><p>______8. Relationship with coworkers – Works well with others whether as a leader or a follower; shares ideas; is open to suggestions.</p><p>______9. Self-improvement – Actively seeks to grow professionally and personally.</p><p>______10. Tolerant – is considerate and understanding of differences among children and adults.</p><p>______11. Self –Confident – is resourceful and self-reliant. III. QUALITY/QUANTITY OF WORK ______AVERAGE SCORE</p><p>______1. Job Knowledge – Has information and skills necessary to perform assigned duties.</p><p>______2. Accuracy of Work – Performs work correctly.</p><p>______3. Quality of Work – Produces an acceptable amount of work in the time provided and completes work assignments in a timely manner.</p><p>______4. Reliability – Does routing work well with minimal supervision.</p><p>______5. Organizational skills – Plans and structures work activities to achieve maximum efficiency.</p><p>______6. Responsibility – Demonstrates willingness and ability to perform task in unforeseen circumstances without direct instruction.</p><p>______7. Decision Making – Makes Reliable decisions based on the facts and circumstances involved.</p><p>______Overall Rating (Average to 2 decimal places)</p><p>Specific Strengths______</p><p>______</p><p>Specific Areas of Need______</p><p>______</p><p>Plans for Improvement______</p><p>______</p><p>Employee Comments______</p><p>______</p><p>Signed ______Signed ______Evaluator Date Employee Date</p><p>* If further space is needed, please use the back of this form.</p>