ࡱ> U@ bjbj 8viJ,TTT8LT XTd,$lUU:VVVVVV>b@b@b@b=}bgk$mRbokXVVXXkVVk@Y@Y@YXXVV>b@YX>b@Y@YRZRZVU `D ThXpRZRZk0$lRZ&pXR&pRZ,,&pRZVLNV6@YV,V`VVVkk,,(*$)*Y,,*sacramento city unified school district EVALUATION: TEACHER, VISUALLY HANDICAPPED (PHYSICALLY HANDICAPPED) Name: School or Office: Position:  Rating Scale:Check One:1 Outstanding2 CommendableTemporary3 Satisfactory1st Year Probationary4 Needs to Improve2nd Year Probationary5 Unacceptable3rd Year ProbationaryNA Not ApplicablePermanent 1.Teaches in accordance with the abilities and achievements of the pupils assigned to his or her classes, and in conformance with the district's philosophy, goals and objectives as expressed in the board's adopted courses of study or as otherwise directed. 2.Develops performance objectives and lesson plans which are consistent with established district goals and objectives. 3.Maintains a behavioral climate in his/her classroom conducive to learning, and works cooperatively with administrators in attempting to resolve problems of student behavior. 4.Communicates with pupils and parents regarding the educational and social progress of pupils. Prepares formal progress reports and provides other information appropriate for inclusion in the cumulative records of the pupils assigned to his/her classes. 5.Visits homes of pupils to counsel with parents and pupils. 6.Attends meetings of the Educational Assessment Services Team concerning his/her pupils. 7.Works cooperatively with regular classroom teachers. 8.Develops and maintains prescriptive teaching programs with teachers and other staff personnel. 9.Plans and coordinates the work of paraprofessionals, parents, and volunteers as assigned. 10.Assists in interpreting the program and goals of the school district to the community. 11.Maintains plan, seating charts, and instructional materials in such a way that they can be utilized by substitute teaching personnel when the need arises. 12.Assists in maintaining acceptable pupil behavior in school areas outside his/her classroom, such as the halls, grounds, auditorium, cafeteria, etc. 13.Prepares such forms, records, and reports as may be called for in the management of the class. 14.Works cooperatively with principals and other district administrators and supervisors in planning and implementing the educational program of the school. 15.Exercises supervision and care over all furniture, books, supplies, and equipment of the classroom and instructs pupils in the proper use and preservation of school properties. 16.Attends meetings called by order of the principal, superintendent, department chairperson, or other administrator authorized to call meetings. 17.Supervises extracurricular activities as directed. 18.Serves, as requested, on school and districtwide committees and project teams. 19.Attends and participates in required in-service training activities and works with the principal in planning his/her own in-service program. Other Responsibilities Applicable to This Evaluation: 20. 21. 22. Overall Evaluation (Use rating scale 1 - 5, as defined on page 1) Specific Recommendations Made to Employee for Improving Services (Required for any certificated employee who has been rated less than acceptable in the performance of any of the duties and responsibilities listed above.) Comments Regarding Outstanding Performance (Optional) Recommendation: I recommend this employee be: Continued in the service of the district.Released from the service of the district.Reassigned to:Check here if additional material is submitted as part of this evaluation report. (Signed)Principal or Administrator in ChargeDate Employee's Acknowledgment: I have read this report, but my signature does not necessarily signify agreement. I understand that any written statement I wish to make regarding this report will be attached to all copies of it. It is understood that I am accountable only to the extent that I have control over the factors which contribute to the reaching of these goals and objectives. Employees Signature Date Witness's Verification (to be used if employee is unwilling to sign). I certify that a copy of this report was presented to the employee named on the first page on (date). (Signed)___________________________________________________  PAGE 4 01/20/05, Rev. A PSL-F165 Page  PAGE 4 of  NUMPAGES 4 (+nqu| $UJtw!ijpqrsuCJmHnHu jCJUCJ0J j0JU>*5CJCJ55CJ5:@CJ6()*+Unopqyz{|Xkd$$IflF4$$)    4 la$If$If$a$i?=Xkd$$IflF4$$)    4 la$If$IfXkdu$$IflF4$$)    4 la $$Ifa$  $If$If ZTJTTAT $$Ifa$  $If$Ifkd{$$Ifl֞ $$D%)  ` 4 laTJA $$Ifa$  $Ifkd$$Ifl֞ $$D%)  ` 4 la$If # TJ  $Ifkd$$Ifl֞ $$D%)  ` 4 la$If# $ % & ' ( = > KA  $Ifkd$$Ifl֞ $$D%)  ` 4 la$If $$Ifa$> T U V W X Y j KA  $Ifkd$$Ifl֞ $$D%)  ` 4 la $$Ifa$$Ifj k Kkd<$$Ifl֞ $$D%)  ` 4 la $$Ifa$$If Akdy$$Ifl֞ $$D%)  ` 4 la $$Ifa$$If  $If $d$Ifa$  d$If d$If ZXNX:$ `d^``a$ &dPkd $$Ifl֞ $$D%)  ` 4 la 6 |$ `d^``a$Xkd $$IflFd)@ %    4 la $$Ifa$ $ $Ifa$6 7 8 : = 5Xkd $$IflFd)@ %    4 la $$Ifa$ $ $Ifa$Xkdh $$IflFd)@ %    4 la 2 Xkdn $$IflFd)@ %    4 la $$Ifa$ $ $Ifa$ 2 3 4 6 9  $$Ifa$ $ $Ifa$$ `^``a$Xkd $$IflFd)@ %    4 la  $$Ifa$ $ $Ifa$$ `^``a$Xkdt $$IflFd)@ %    4 la 5 $$Ifa$ $ $Ifa$$ `^``a$Xkd $$IflFd)@ %    4 la5679< $$Ifa$ $ $Ifa$$ `^``a$Xkdz$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la4 $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la4568< $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la= $$Ifa$ $ $Ifa$$ `^``a$Xkd $$IflFd)@ %    4 la=>?AE $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la !#' $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la  $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la $$Ifa$ $ $Ifa$$ `^``a$Xkd/$$IflFd)@ %    4 la    S~vv$If $$Ifa$ &dP$ `^``a$Xkd$$IflFd)@ %    4 laSTUV456789:;<=>?@AB$a$XkdQ$$IflFd) @&    4 laBCDEFGHIJx$If$a$kkd$$Ifl\dTt) P"4 lax$If $x$Ifa$./ $x$Ifa$x$Ifkkdm$$Ifl\dTt) P"4 la/0123xmxx $x$Ifa$x$If~kd$$IflrdTt) P4 la$Ifkkd$$Ifl\dTt) P"4 la $$Ifa$kkd\$$Ifl\d)P@ 4 laGHIJK~~$If $]^a$kkd$$Ifl\d)P@ 4 la KLMbcdefgj]]WW$If $]^a$Ekd$$Ifl0dP4 la $$Ifa$Ekd$$Ifl0dP4 laghinopqrstuvjhhhhhhhEkd$$Ifl0dP4 la $$Ifa$EkdZ$$Ifl0dP4 la vw*+ghitu 0*h^h`$da$%d&d'dOPQ%d'dOQ$%d'dOQa$$d%d'dNOQ 600 @&PP/ =!"#`$8% hs$$If!vh555#v#v#v:V l5554$$If!vh555#v#v#v:V l555/ 4$$If!vh555#v#v#v:V l555/ 4$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / /  / / 4$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / / / 4$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / / / 4;$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / / /  / / / 4;$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / / /  / / / 4;$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / / /  / / / 4I$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/  / / / /  / / / / 4$$If!vh55 55 5`5 5#v#v #v#v #v`#v #v:V l55 55 5`5 5/ / / /  / / 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ / 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ / 4$$If!vh55@5 %#v#v@#v %:V l55@5 %/ / 4$$If!vh55 5@&#v#v #v@&:V l55 5@&/ / 4$$If!vh555 5P"#v#v#v #vP":V l555 5P"4$$If!vh555 5P"#v#v#v #vP":V l555 5P"/ 4$$If!vh555 5P5#v#v#v #vP#v:V l555 5P5/ / 4$$If!vh555 5P"#v#v#v #vP":V l555 5P"/ 4$$If!vh55P55@ #v#vP#v#v@ :V l55P55@ / / 4$$If!vh55P55@ #v#vP#v#v@ :V l55P55@ 4k$$If!vh55P#v#vP:V l55P/ 4]$$If!vh55P#v#vP:V l55P4k$$If!vh55P#v#vP:V l55P/ 4]$$If!vh55P#v#vP:V l55P4<@< NormalCJ_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List .)@. Page Number4 @4 Footer  !4@4 Header  !H"H  Balloon TextCJOJQJ^JaJv()*+Unopqyz{|  #$%&'(=>678:=234695679<4568<= > ? A E  ! # '        S T U V 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J ./0123GHIJKLMbcdefghinopqrstuvw*+ghiu000000000 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 000 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00 0 0 0 000000 0 0 0 00 0 0 0 00 0 0 0 00000 0 0 0 0000000000000000000000000000000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 00000000 0 0 0 0 0 000 0 0 0 0 0 0000000000000 {00t 1@00f()*+Unopqyz{|  #$%&'(=>678:=234695679<4568<= > ? A E  ! # '        S T U V 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J ./0123GHIJKLMbcdefghinopqrstuvw*+ghistu ;0 ;0 ;0 ;0;0 ;0 ;0 ;0 ;0 ;0 ;0emsu  ;0 ;0 ;0 ;0 ;0 ;0%\ ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0'3u ;0 ;0 ;0 ;0 ;0 ;0 ;05u ;0  ;0  ;0  ;0  ;0  ;0  ;0 ha0 ;0  ;0  ;0  ;0  ;0  ;0  ;0  ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 { ;0 ;0 ;0 ;0 ;0 ;0 ;0 { ;0 ;0 ;0 ;0 ;0 ;0 ;0|0| ;0 ;0 ;0 ;0d}}}} ;0 ;0 ;0 ;0~$@ ;0 ;0 ;0 ;0 ؓ ;0 ;0 ;0 ;0ȗ̖薛 ;0! ;0! ;0! ;0!8Tp ;0# ;0# ;0# ;0# ;0#a0' ;0% ;0% ;0% ;0%ȟ䟛8 / ;0' ;0' ;0' ;0'-T /p / / / ;0) ;0) ;0) ;0)-t//// ;0+ ;0+ ;0+ ;0+-/\r ;0- ;0- ;0- ;0-- /</X/t/ ;0/ ;0/ ;0/ ;0/-//// ;01 ;01 ;01 ;01-//8/T/ ;03 ;03 ;03 ;03-(Z/DZ/`Z/Z/ ;05 ;05 ;05 ;05-d]/]/]/]/ ;07 ;07 ;07 ;07q/`b/|b/b/ ;09 ;09 ;09 ;09-de/e/e/e/ ;0; ;0; ;0; ;0;-h/h/h/h/ ;0= ;0= ;0= ;0= ;0= ;0= ;0= ;0=-Dj/`j/|j/dm/ ;0? ;0? ;0? ;0?-m/m/m/m/ ;0A ;0A ;0A ;0A-p/p/p/p/ ;0C ;0C ;0C ;0C ;0C ;0C ;0C- @CQ3@A ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E ;0E-,y/Hy/dy/y/ ;0G ;0G ;0G ;0G-L|/h|/|/|/ ;0I ;0I ;0I ;0I ;0I-}/ ~/(~/D~/ ;0K ;0K ;0K ;0K-/,/H/d/ ;0M ;0M ;0M ;0M ;0M ;0M ;0M-L/h/// ;0O ;0O ;0O ;0O-/$/// ;0Q ;0Q ;0Q ;0Q ;0Q ;0Q ;0Q ;0Q ;0Q-`/ /|// ;0S ;0S-/̤/// ;0U ;0U ;0U ;0U-/$/@/\/ ;0W ;0W-//0/L/ ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0;0{00Ө@0 {00@0{00 0} IIIL # > j 6 2 54=SB/Kgv !"#$%&'()*+,-./0123456789: +249DFL!!J|JJJJ4 u '}8*urn:schemas-microsoft-com:office:smarttagsdate=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace 1202005DayMonthYear iis i w iis333+7hiisuiPersonnel ServicesPersonnel ServicesPersonnel ServicesPersonnel ServicesPersonnel ServicesPersonnel ServicesSCUSDSCUSDopqyz{|  #$%&'(=>678:=234695679<4568<= > ? A E  ! # '        S T ./0123HIJKLMbcdefghinoha0a0a0a0a0a0a0a0a0@HP LaserJet 5100 PCL 6LPT1:winspoolHP LaserJet 5100 PCL 6HP LaserJet 5100 PCL 6? od Xer.HP LaserJet 5100 PCL 62HxeP9/Q=c b_#"Nci%#L5j($~ٗ09wy7_kzneҵŵ|ILf.Y^:9j3 iDdMj'sG>Dvhôw!&xbx&p[Lz6mp3p@@ r+>D,ZF{~`m=ޠ:jJkT1h5\o^Er,'?N] qak)GI7PUNvI>,BF9ɘ=xS+~ .PHP LaserJet 5100 PCL 6? od Xer.HP LaserJet 5100 PCL 62HxeP9/Q=c b_#"Nci%#L5j($~ٗ09wy7_kzneҵŵ|ILf.Y^:9j3 iDdMj'sG>Dvhôw!&xbx&p[Lz6mp3p@@ r+>D,ZF{~`m=ޠ:jJkT1h5\o^Er,'?N] qak)GI7PUNvI>,BF9ɘ=xS+~ .PX%P@UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"hJ&*ƥ$4aa@H*?6Teacher, Visually Handicapped (Physically Handicapped)Personnel ServicesSCUSDOh+'0   0< X d p |7Teacher, Visually Handicapped (Physically Handicapped)eacPersonnel Servicesaers Normal.doteɫͼ.d4USMicrosoft Word 10.0@F#@@@ N7@q ՜.+,0$ hp  ɫͼ,a{ 7Teacher, Visually Handicapped (Physically Handicapped) Title  !"#$%&'()*+,-./0123456789:;=>?@ABCDEFGHIJLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry FPN Data <&1TableK&pWordDocument8vSummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q