Completed by. Xxx Xxxxxxxx 1 Cal. Gov. Code §§81000 et seq.; FPPC Regs. 18700.3 and 18704. 2 Chula Vista Municipal Code §§2.02.010-2.02.040. 3 Cal. Gov. Code §§53234, et seq.
Completed by. In year 1 of their evaluation cycle, Educator submits to Evaluator the PAC Evaluation Plan. October 1 In year 1 of their evaluation cycle, Evaluator meets with Educators to review Educator Plans (Educator Plan may be established at Summative Evaluation Report meeting in prior school year) October 15 In year 1 of their evaluation cycle, final PAC Evaluation Plan approval. October 30 Evaluator completes 1 announced and at least 2 unannounced observation(s) Any time during the 2- year evaluation cycle, but must be spread over the 2 years Educator should submit any applicable evidence of progress towards standards and goals May 15 of Year 1 Evaluator completes and delivers Formative Evaluation Report to Educator June 1 of Year 1 Formative Evaluation signed and Formative Evaluation Meeting held, if any. Meeting will occur if an Evaluator anticipates a negative change in the Educator’s rating. June 10 of Year 1 Educator should submit any applicable evidence of progress towards standards and goals The Friday following April school vacation Evaluator completes Summative Evaluation Report Evaluator conducts Summative Evaluation Meeting, if any. Meeting will occur if the rating is changed to Needs Improvement or Unsatisfactory. Seven days prior to the last day of school Evaluator and Educator sign and return Summative Evaluation Report, and provides any written response By the last day of school PROFESSIONAL STAFF EVALUATION TOOL
Completed by. Xxxx Xxxxxxx
Completed by. Initial/on-going assessment Indicator Yes No Details CONSIDER RISK Woman already has daughters who have undergone FGM – who are over 18 years of age Husband/partner comes from a community known to practice FG Grandmother (maternal or paternal) is influential in family or female family elder is involved in care of children Woman and family have limited integration in UK community Woman’s husband/partner/other family member may be very dominant in the family and have not been present during consultations with the woman Woman/family have limited/ no understanding of harm of FGM or UK law Woman’s nieces (by sibling or in-laws) have undergone FGM Please note:– if they are under 18 years you have a professional duty of care to refer to social care Woman has failed to attend follow-up appointment with an FGM clinic/FGM related appointment Family are already known to social services – if known, and you have identified FGM within a family, you must share this information with social services SIGNIFICANT OR IMMEDIATE RISK Woman/family believe FGM is integral to cultural or religious identity Woman already has daughters who have undergone FGM – who are under 18 years of age Woman is considered to be a vulnerable adult and therefore issues of mental capacity and consent should be triggered if she is found to have FGM ACTION: If one or more indicators are identified, refer to Social Services/CAIT team/ Police/MASH, in accordance with your local safeguarding procedures. If unsure whether the level of risk requires referral at this point, discuss with your named/ designated safeguarding lead. If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH URGENTLY In all cases:– •Share information of any identified risk with the patient’s GP •Document in notes •Discuss the health complications of FGM and the law in the UK Patient’s details Appendix 7: CHILD/YOUNG ADULT (under 18 years old) This is to help when considering whether a child is AT RISK of FGM, or whether there are other children in the family for whom a risk assessment may be required.
Completed by. Initial/on-going assessment Indicator Yes No Details CONSIDER RISK Xxxxx’s mother has undergone FGM Other female family members have had FG Father comes from a community known to practice FG A Family Elder such as Grandmother is very influential within the family and is/will be involved in the care of the girl Mother/Family have limited contact with people outside of her family Parents have poor access to information about FGM and do not know about the harmful effects of FGM or UK law Parents say that they or a relative will be taking the girl abroad for a prolonged period – this may not only be to a country with high prevalence, but this would more likely lead to a concern Girl has spoken about a long holiday to her country of origin/another country where the practice is prevalent Girl has attended a travel clinic or equivalent for vaccinations/anti-malarials FGM is referred to in conversation by the child, family or close friends of the child (see Appendix Three for traditional and local terms) – the context of the discussion will be important Sections missing from the Red book. Consider if the child has received immunisations, do they attend clinics etc Girl withdrawn from PHSE lessons or from learning about FGM - School Nurse should have conversation with child Girls presents symptoms that could be related to FGM – continue with questions in part 3 Family not engaging with professionals (health, school, or other) Any other safeguarding alert already associated with the Always check whether family are already known to social care SIGNIFICANT OR IMMEDIATE RISK A child or sibling asks for help A parent or family member expresses concern that FGM may be carried out on the child Girl has confided in another that she is to have a ‘special procedure’ or to attend a ‘special occasion’. Girl has talked about going away ‘to become a woman’ or ‘to become like my mum and sister Girl has a sister or other female child relative who has already undergone FGM Family/child are already known to social services – if known, and you have identified FGM within a family, you must share this information with social services ACTION: If one or more indicators are identified, refer to Social Services/CAIT team/ Police/MASH, in accordance with your local safeguarding procedures. If unsure whether the level of risk requires referral at this point, discuss with your named/ designated safeguarding lead. If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH ...
Completed by. Ongoing until contract is closed. Budget: $5000 (plus $1000 DPW match) Deliverables: 1. Final project work program.
Completed by. May 2004 Budget: $5000 (plus $2000 DPW match) Deliverables: 1. 100% complete designs and specifications
Completed by. Your Learning Schedule For you to benefit from this e-learning, there must be a commitment from both yourself and your manager. Discuss and agree on a learning schedule in regard to when you can learn and how much time weekly / monthly is expected for you to meet your set learning goals. • To ensure privacy while learning please use the banner tape provided, switch your phone to voicemail, and avoid casual interruptions by asking people to respect your learning time • Utilize your e-mail calendar to schedule a regular learning ‘appointment,’ set up a reminder and if you can’t make it, reschedule another time • Remember you can access the e-learning at a time convenient to you and from home if appropriate • It is recommended that students complete one hour of learning at a time to maximize retention My e-Learning day/s of the week will be: Time: Your Learning Goals By developing a learning schedule and setting goals you will be closer to meeting your commitment to this program. Discuss and agree on your learning goals and expected outcomes with you manager to ensure the learning is relevant, timely, and workplace oriented. Learning Objective (what is the aim of this learning) Expected Outcomes (how will you display the new skills acquired) Signed: Participant Signed: Manager Date: / / Date: / / Please Note: • You will be notified by email once you have been registered as a user, this will take up to one week. • Your access to e-learning will be monitored by your: Circle one: Manager HR Skillsoft Administrator • This document will be taken into consideration during your performance appraisal and career development discussions.
Completed by. Evaluator meets with educator to assist in self-assessment & goal setting process. Educator submits self-assessment and proposed goals October 1 Evaluator meets with educators in teams or individually to establish Educator Plans (Educator Plan may be established at Summative Evaluation Report meeting in prior school year October 15 (November 1 for 2013 – 2014 school year) Evaluator completes Educator Plans November 1 (November 7 for 2013 – 2014 school year) Evaluator completes unannounced observation(s) Any time during the 2- year evaluation cycle Educator submits evidence on parent outreach, professional growth, progress on goals (and other standards, if desired) Any time during the first year of the 2-year evaluation cycle, but prior to May 1 Evaluator completes Formative Evaluation Report June 1 of Year 1 Evaluator conducts Formative Evaluation Meeting at request of Evaluator or Educator June 1 of Year 1 Educator submits evidence on parent outreach, professional growth, progress on goals (and other standards, if desired) Any time during the 2- year evaluation cycle, but prior to April 15 of the second year Evaluator completes and delivers Summative Evaluation Report May 15 of Year 2 Evaluator meets with educators whose overall Summative Evaluation ratings are Needs Improvement or Unsatisfactory June 1 of Year 2 Evaluator meets with educators whose overall Summative Evaluation ratings are proficient or exemplary at request of Evaluator or Educator June 10 of Year 2 Educator signs Summative Evaluation Report and adds any response June 15 of Year 2 Self-Directed Growth Plan: Educators with PTS on One-Year Plan: • Educators who have been rated proficient or exemplary and after 2013-2014 whose impact on student learning is low. ACTIVITY COMPLETED BY: Evaluator meets with educator to assist in self-assessment & goal setting process Educator submits self-assessment and proposed goals, one of which must address low outcomes. October 1 Evaluator meets with Educators in teams or individually to establish Educator Plans (Educator Plan may be established at Summative Evaluation Report meeting in prior school year October 15 (November 1 for 2013 – 2014 school year) Evaluator completes Educator Plans November 1 (November 7 for 2013 – 2014 school year) Evaluator completes unannounced observation(s) Any time during the evaluation cycle Educator submits evidence on parent outreach, professional growth, progress on goals (and other standards, if desired) January 15 Evalu...
Completed by. Date: Completed monitoring forms and a copy of the invoice can be returned electronically via: Email: xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxx.xxx.xx Invoices and monitoring forms should be received no later than 10 working days following the final day PLEASE NOTE: Invoices without relevant monitoring forms or incomplete forms will cause delay in payment. Please ensure ALL forms are sent together Q1 (Apr-Jun) Q2 (Jul - Sept) Q3 (Oct - Dec) Q4 (Jan - Mar) LEVEL 2 SMOKING CESSATION SERVICE 2017-2018 RETURN FORM Please tick quarter to which this form relates: Provider Name: Provider Code: PLEASE ENSURE ALL QUESTIONS ARE RESPONDED TO FULLY. All Clients Socio-economic Classification Pharmacotherapy Treatment Received Intervention Received Client No Partial Post Code Age at Quit Date Gender Ethnicity Quit Date Set Successfully Quit Not known/ lost to follow- up CO validation less than 10 ppm Socio-economic Status Treatment Type Intervention Type Intervention Setting 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 Gender Male Female Ethnicity British Irish Any other White background White and Black Caribbean White and Black African White and Asian Any other Mixed background Indian Pakistani Bangladeshi Any other Asian background Caribbean African Any other Black background Chinese Any other Black background Socio-economic Groups Manual/Routine Workers Pregnant Women Mental Health Other Pharmacotheraphy Treatment Champix NRT Zyban Other Intervention Type Intervention Settings 1 to 1 Session Community Setting Group Session GP Pharmacy Other 1 | P a g e
