ࡱ> U@ fbjbj 8f JMMM8N N4dNONO:OOOOOOZZZZ=Z_d$LeRg;dQOOQQ;dOOPdRRRQLOOZRQZRRpSpSOBO S MQdpSS,fd0dpSThFRRThpSpSThSOLO6R P,6P`OOO;d;d%'&R'sacramento city unified school district EVALUATION: DRUG, ALCOHOL, AND TOBACCO EDUCATION SPECIALIST Name: School or Office: Position:  Rating Scale:Check One:1 Outstanding2 CommendableTemporary3 Satisfactory1st Year Probationary4 Needs to Improve2nd Year Probationary5 Unacceptable3rd Year ProbationaryNA Not ApplicablePermanent 1.Assists in arranging and conducting area meetings and workshops on substance abuse prevention. 2.Monitors activities and serves as resource. 3.Works in conjunction with Staff Development/Curriculum/Media Department as DATE resource for co-curricular components and programs for school sites. 4.Attends and participates in district Prevention/Intervention Advisory Committee meetings. 5.Prepares reports for site-level compliance. 6.In cooperation with Student Outreach Worker, assists in arranging and scheduling forums and workshops on substance abuse prevention for parents and community people. 7.Serves as one of the liaisons with other community-based organizations, school sites, and the Pupil Services Department. 8.Participates in the preparation of the DATE Plan. 9.Assists in developing intervention strategies for high risk students. 10.Works in compliance with state and federal guidelines. 11.Serves as one of the consultants for school sites on drug, alcohol, and tobacco plans, policies, and regulations. 12.Assists in developing procedures, timelines, and activities. 13.Works closely with other area DATE Specialists. Other Responsibilities Applicable to This Evaluation: 14. 15. 16. Overall Evaluation (Use rating scale 1 - 5, as defined on page 1) Specific Recommendations Made to Employee for Improving Services (Required for any certificated employee who has been rated less than acceptable in the performance of any of the duties and responsibilities listed above.) Comments Regarding Outstanding Performance (Optional) Recommendation: I recommend this employee be: Continued in the service of the district.Released from the service of the district.Reassigned to:Check here if additional material is submitted as part of this evaluation report. (Signed)Principal or Administrator in ChargeDate Employee's Acknowledgment: I have read this report, but my signature does not necessarily signify agreement. I understand that any written statement I wish to make regarding this report will be attached to all copies of it. It is understood that I am accountable only to the extent that I have control over the factors which contribute to the reaching of these goals and objectives. Employees Signature Date Witness's Verification (to be used if employee is unwilling to sign). I certify that a copy of this report was presented to the employee named on the first page on (date). (Signed)___________________________________________________  PAGE 4 01/19/05, Rev. 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