ࡱ> xzwU@ 'bjbj 8V J,DDD8 E E,$Z F F:ZFZFZFZFZFZF>P@P@P@P=}PUY$[Rb]YhHZFZFhHhHYZFZFYIIIhHdZFZF>PIhH>PIIZJZJZFF  DHdZJZJY0$ZZJj^0IRj^ZJ,,j^ZJZFLF6IF,G`ZFZFZFYY,,$!P#!I,,P#sacramento city unified school district EVALUATION: SEVERELY HANDICAPPED - AUTISTIC CLASS TEACHER, SPECIAL EDUCATION, ELEMENTARY - SECONDARY 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.Provides individualized instructional programs emphasizing development of cognitive, affective and sensori-motor skills for each student. 2.Conducts inservice training for parents and provides for parent participation in the classroom program. 3.Reviews individual student profiles and established appropriate written instructional plans to meet each student's needs, daily and long term. 4.Established individual behavior modification for each student as needed and works with the student's parents to provide consistency between school and home. 5.Works with the professional staff in providing auxiliary services for individuals requiring special additional support. 6.Assumes other appropriate responsibilities relative to the (autistic) severely handicapped class as directed by the Administrative Specialist. Other Responsibilities Applicable to This Evaluation: 7. 8. 9. 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. 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