PASADENA AREA COMMUNITY COLLEGE DISTRICT
Office of Human Resources
CLASSIFIED EMPLOYEE EVALUATION (POA)
Name Classification
Department Date Sent Due in Human Resources Probation
Ends
Annual Review Probationary: 3 mo. 6 mo. 10 mo. Unscheduled
INSTRUCTIONS TO THE RATER: When rating each factor, check the column you think most appropriate. Comment on ratings in the
“Needs Improvement” or “Outstanding” columns. If evaluation is probationary, recommend permanency, an extension, or termination
under remarks. The completed evaluation MUST be discussed with the employee, who may make comments in the section,
EMPLOYEE’S REMARKS. The department head is to review and sign the form in the proper space. After the employee signs the
form, this form should be returned to Human Resources to be placed into the employee’s file. The department should make one copy
for the employee and one copy for the department file.
CRITERIA EVALUATION COMMENTS OF RATER
If factor is not applicable, indicate N/A in
“Satisfactory” column
Acceptance of assignments
Compliance with instructions
Observance of work schedules
If applicable: Assesses outcomes (SLOs, SSOs,
unit) and uses assessments to make
improvements. Staff that are directly responsible
for student learning outcomes use the results of
the assessments to improve student learning.
ADDITIONAL REMARKS of Rater or Department Head
Rater has supervised employee yrs. mos. Signature of rater Date
COMMENTS of Department Head ______________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
______________________________________________________
Department Head’s Signature Date
EMPLOYEE’S REMARKS (Attach separate sheet if preferred)
By signing this form, the employee acknowledges that the rating was discussed with the rater, but that the employee may
not necessarily agree with the rating.
Signature of employee Date
Revised (10/15)
