Lausd/hr Form 1044-6 Initial Planning Sheet

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LOS ANGELES UNIFIED SCHOOL DISTRICT
EVALUATION OF CERTIFICATED
HUMAN RESOURCE DIVISION
MANAGEMENT PERSONNEL
INITIAL PLANNING SHEET
th
Work Copy (Must be completed by evaluatee and a copy furnished to evaluator prior to the 6
week of regular assignment
th
Planning Conference Copy (Must be completed prior to the end of 8
week of regular assignment basis. Signatures
Necessary below.)
Date of Conference_________________________
Name ________________________________________
Employee No. ___________
Status ________________
Location
School/Office __________________________________
Code ___________________
Years of
Class
service in
Position ______________________________________
Code __________________
Present position _______
OBJECTIVES
ACTIVITIES TO MEET OBJECTIVES
I. COMMUNICATION DIMENSIONS (Oral Communication, Written
Communication)
II. DECISION-MAKING DIMENSIONS (Analysis, Judgment,
Decisiveness, Extra-Organizational Sensitivity)
III. MANAGEMENT DIMENSIONS (Planning and Organizing,
Delegation and Follow-up)
IV. INTERPERSONAL DIMENSIONS (Development of Staff Members,
Leadership and Influence, Instructional Leadership)
V. PERSONAL DIMENSIONS (Initiative/Innovativeness)
Professional Development: List area(s) to serve as special focus for development efforts.
(For Planning Conference Copy, only)
The initial Planning Sheet
was
was not completed by mutual agreement. I acknowledge receipt of these activities which
will be
used for evaluation purposes.
_____________________________________________________________________
Date ________________________
Evaluatee’s Signature
Reviewed and
Approved by
_____________________________________________
_________________________ Date _________________________
Evaluator’s Signature
Position
LAUSD/HR FORM 1044-6 Revised 9/03

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