ࡱ> |~{U@ bjbj 8Z= JJGJGJG8G G _]HH:HHHHHHyS{S{S{S=SLX\$^Rg`]wKHHwKwK]HH]LLLwKLHHySLwKySLL)M)MHH  JGKd)M=M</]0_])Ma'LRa)M)Ma=MHhHIJLI<IHHH]]"$"yL$sacramento city unified school district EVALUATION: ITINERANT TEACHER, REMEDIAL PHYSICAL EDUCATION 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.Conducts individualized remedial physical education programs for assigned pupils in keeping with the district and State of California guidelines. 2.Assists in the development of appropriate programs of remedial physical education. 3.Assists in the identification of pupils needing remedial physical education. 4.Establishes and maintains contact with referring physicians. 5.Attends Educational Assessment Service and School Appraisal Team meetings for remedial physical education pupils. 6.Consults with parents of remedial physical education pupils when advisable. 7.Prepares pupil progress reports and maintains other necessary records. 8.Performs other related duties as required. Other Responsibilities Applicable to This Evaluation: 9. 10. 11. 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 01/19/05, Rev. A PSL-F123 Page  PAGE 4 of  NUMPAGES 4 (+fimt " d g o DbrKa=>DEFGIhiopqrvwCJmHnHu jCJUCJ0J j0JU>*5CJCJ55CJ5:@CJ6()*+fghiqrstXkd$$IflF4$$)    4 la$If$If$a$=?=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 $$D%)  ` 4 la$If     5 6 KA  $Ifkd$$Ifl֞ $$D%)  ` 4 la$If $$Ifa$6 L M N O P Q b KA  $Ifkd$$Ifl֞ $$D%)  ` 4 la $$Ifa$$Ifb c y z { | } ~ Kkd<$$Ifl֞ $$D%)  ` 4 la $$Ifa$$If~ Akdy$$Ifl֞ $$D%)  ` 4 la $$Ifa$$If  $If $d$Ifa$  d$If d$If ZXNXXA $ $Ifa$ &dPkd $$Ifl֞ $$D%)  ` 4 la D E F H K | $ $Ifa$$ `d^``a$Xkd $$IflFd)@ %    4 la $$Ifa$ 5Xkd $$IflFd)@ %    4 la $$Ifa$ $ $Ifa$Xkdh $$IflFd)@ %    4 la 6 7 8 : = Xkdn $$IflFd)@ %    4 la $$Ifa$ $ $Ifa$   $$Ifa$ $ $Ifa$$ `^``a$Xkd $$IflFd)@ %    4 la    P  $$Ifa$ $ $Ifa$$ `^``a$Xkdt $$IflFd)@ %    4 laP Q R T W  $$Ifa$ $ $Ifa$$ `^``a$Xkd $$IflFd)@ %    4 la  $$Ifa$ $ $Ifa$$ `^``a$Xkdz$$IflFd)@ %    4 la  $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la  $$Ifa$ $ $Ifa$$ `^``a$Xkd$$IflFd)@ %    4 la ~vv$If $$Ifa$ &dP$ `^``a$Xkd$$IflFd)@ %    4 la ! " #      $a$Xkd$$IflFd) @&    4 laQRSTUVWXYZ[\]^_`ar$a$rs~kkdA$$Ifl\dTt) P"4 la $x$Ifa$x$If  $x$Ifa$x$Ifkkd$$Ifl\dTt) P"4 laYxmxx $x$Ifa$x$If~kde$$IflrdTt) P4 laYZ[\]^ghi$Ifkkd"$$Ifl\dTt) P"4 laijk $$Ifa$kkd$$Ifl\d)P@ 4 la~~$If $]^a$kkdb$$Ifl\d)P@ 4 la  !6789:;j]]WW$If $]^a$EkdZ$$Ifl0dP4 la $$Ifa$Ekd$$Ifl0dP4 la;<=BCDEFGHIJjhhhhhhhEkd&$$Ifl0dP4 la $$Ifa$Ekd$$Ifl0dP4 la JK;<=HI 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$$If!vh555 5P"#v#v#v #vP":V l555 5P"4$$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  ! Z()*+fghiqrst 56LMNOPQbcyz{|}~DEFHK678:= PQRTW !"#     QRSTUVWXYZ[\]^_`arsYZ[\]^ghijk     ! 6 7 8 9 : ; < = B C D E F G H I J K ; < = H I 00000000 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 00 0 0 0 00 0 0 0 000000 0 0 0 00 0 0 0 00 0 0 0 00000 0 0 0 0000000000000000000000000000000000000000000000000 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 {00 {000 @0 {00 0TZ()*+fghiqrst 56LMNOPQbcyz{|}~DEFHK678:= PQRTW !"#     QRSTUVWXYZ[\]^_`arsYZ[\]^ghijk     ! 6 7 8 9 : ; < = B C D E F G H I J K ; < = G H I ;0 ;0 ;0 ;0;0 ;0 ;0 ;0 ;0 ;0]eF H   ;0 ;0 ;0 ;0 ;0 ;0%T ;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 Ba0 ;0  ;0  ;0  ;0  ;0  ;0  ;0 ( ;0 ;0 ;0 ;0 ;0 ;0 ;07u ;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 ;0Њ ;0 ;0 ;0 ;00Lh ;0 ;0 ;0 ;0Ԙ  ;0 ;0 ;0 ;0)  ;0 ;0 ;0 ;0؟L+h++ ;0! ;0! ;0! ;0!/... ;0# ;0# ;0# ;0# ;0% ;0% ;0% ;0%55646 ;0' ;0' ;0' ;0' ;0' ;0' ;0' ;0'7777 ;0) ;0) ;0) ;0)<t ;0+ ;0+ ;0+ ;0+__VV ;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/ ;01 ;01 ;01 ;01 ;03 ;03 ;03 ;03 ;03 ;05 ;05 ;05 ;05l: ;07 ;07 ;07 ;07 ;07 ;07 ;07`p%%% ;09 ;09 ;09 ;09((() ;0; ;0; ;0; ;0; ;0; ;0; ;0; ;0; ;0;4*P*l** ;0= ;0=˰˰˰˰ ;0? ;0? ;0? ;0?Ͱ0ͰLͰhͰ ;0A ;0Aΰΰΰΰ ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0 ;0{00DxC3DEv {00@0{00 0} IIIL  6 b ~  P rYi;J  !"#$%&'()*+,  +249DFL!!$% ;&D'| "(Q)l*Lu --I  '77Q 9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType8*urn:schemas-microsoft-com:office:smarttagsdate9*urn:schemas-microsoft-com:office:smarttagsState 1192005DayMonthYear= = G X Y c h r v \g9G= = G X Y c h r v 33+7< = = G I h r v =  Personnel ServicesPersonnel ServicesPersonnel ServicesSCUSDSCUSDj4ghiqrst 56LMNOPQbcyz{|}~DEFHK678:= PQRTW !YZ\]^ghijk    ! 6 7 8 9 : ; < = B C < = a0a0a0a0a0a0a0a0@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+~ .P6 P@UnknownGz Times New Roman5Symbol3& z Arial"hJ&*g:H&$48 8 @H*?.Itinerant Teacher, Remedial Physical EducationPersonnel ServicesSCUSDOh+'0 (4 P \ h t/Itinerant Teacher, Remedial Physical Education1tinPersonnel ServicesRers Normal.doteɫƵ.d5USMicrosoft Word 10.0@F#@^@%l7@ԗ ՜.+,0 hp  ɫƵn8 { /Itinerant Teacher, Remedial Physical Education Title  !"#$%&'()*+,-/0123456789;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijlmnopqrtuvwxyz}Root Entry Fص Data .1Table:aWordDocument8ZSummaryInformation(kDocumentSummaryInformation8sCompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q