Semi Annual Employee Evaluation Form For Instructional I Teachers Page 5

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Commonwealth of Pennsylvania
DEPARTMENT OF EDUCATION
333 Market St., Harrisburg, PA 17126-0333
Evaluation:
I certify that the before named employee for the period beginning 08.22.2011 and ending 01.31.2012 has been evaluated
(month/day/year)
(month/day/year)
to have an overall level of proficiency that is:
Satisfactory;
Unsatisfactory
Signature of Supervisor (Evaluator)
Date
Signature of Executive Director
Date
Overall Justification for Evaluation
Commendations (optional)
Professional Development Areas:
Name of Employee
Signature of Employee
Date
5
PDE-426

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