Evaluation Form:
Supporting Services Professional Growth System
Office of Human Resources and Development (OHRD)
Department of Professional Growth Systems
MONTGOMERY COUNTY PUBLIC SCHOOLS
Rockville, Maryland
Negotiated Agreement between SEIU Local 500, CTW, and the Board of Education of Montgomery County
Name ___________________________________________________ Employee ID # Date
□ *Permanent Status Evaluation □ Scheduled Evaluation □ **Off-cycle Evaluation □ PAR Follow-UP □ ***Interim Evaluation
Department/School
Position
Notes: *** If this is a Permanent Status Evaluation, probationary employees should be able to demonstrate their potential to meet the
general and technical Knowledge of Job core competency performance criteria.
*** An Off-cycle Evaluation can be used:
• as a tool to work with underperforming employees to let them know the status of their current performance
• as a way to call attention to exceptionally good work
• following the end of the 90-day special evaluation within the Performance Improvement Process
*** An Interim Evaluation is prepared if there is a change of supervisor or if employees transfer prior to the time for their
regularly scheduled performance evaluation. (See Article 30, paragraph B2 of the Negotiated Agreement between SEIU
Local 500, CTW, and the Board of Education of Montgomery County.)
Roles and Responsibilities
• The evaluator is the direct line supervisor. The reviewer is a higher level supervisor, if one exists. Montgomery County Education
Association (MCEA) employees do not write evaluations and are not evaluators or reviewers, but may provide indirect feedback.
(See Supporting Services Professional Growth System (SSPGS)—then link to: http://www.montgomeryschoolsmd.org/departments/
professionalgrowth/supporting/default.aspx Handbook for clarification.)
Providing Examples and Evidence
•
In the “Examples/Evidence” section, provide specific examples/evidence of how employees have demonstrated or not demonstrated
meeting competency. Narratives written in the Claim, Examples/Evidence, Impact, Judgment (CEIJ) format are preferred.
Completing the Form
• Evaluator completes all parts of the form. Reviewer reviews and signs the form. No section of the form should be left blank.
• Evaluator discusses the evaluation with the employee.
• Evaluator and employee sign the evaluation.
• One copy is kept in the employee’s local file, one is given to the employee, and one is sent to the OHRD Department of
Professional Growth Systems.
Due Dates
• Permanent Status Evaluation: Due no later than six months after the date of hire.
• Scheduled Evaluation:
• Meets Competency: Submit by the last instructional day for students.
• Does Not Meet Competency: Submit by first Friday in March.
• Peer Assistance and Review (PAR) Follow-Up: Due one year after completing PAR.
MCPS Form 430-90
January 2018
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