Complete all sections. You and each of your eligible Employees must establish a SIMPLE IRA to accept SIMPLE contributions under this Plan. Contact your Investment Professional for help completing this Adoption Agreement. In the event a section that indicates an elective feature of the Plan is left blank and you elect “adopts” in Section 6, the default provision for your Plan will be the provision that appears in the box of each section, unless otherwise stated. In the event a section that indicates an elective feature of the Plan is left blank and you elect “amends” in Section 6, the default provision for your Plan will be the provision that appears on the most recent Adoption Agreement on file with the Custodian. Type on screen or fill in using CAPITAL letters and black ink.
Complete all sections. 1) Identify the significant accomplishments employee has achieved since previous evaluation: 2) Employee's progress on goals and/or objectives from previous evaluation. Were goals/objectives for employee achieved since previous evaluation period? Yes [ ] No [ ] If no, answer 2a and 2b below. a. What action has been taken by supervisor to assist in the achievement of those goals and/or objectives? b. What action has been taken by employee to assist in the achievement of those goals and/or objectives? 3) Identify areas for continued growth and/or a goal or objective in the next evaluation cycle. Classified Evaluation Short Form EVALUATOR’S RECOMMENDATION [ ] Step increase [ ] No step increase available EMPLOYEE CONFERENCE/SIGNATURE: In signing the Classified Evaluation Short Form, the employee acknowledges having seen and discussed the report. The employee's signature does not necessarily indicate agreement with the conclusions of the evaluator. The employee may submit a response to this report, in writing, to the evaluator with a copy to the Office of Human Resources within ten (10) working days from the date of this report. That copy will be attached and filed with the Evaluation Report Form (Section 87031, California Education Code). Signature of Supervising Administrator Date Signature of Employee Date Title of Supervising Administrator Signature of Reviewer Date Title of Reviewer This page intentionally left blank. SANTA XXXX JUNIOR COLLEGE POLICE Sonoma County Junior College District 0000 Xxxxxxxxx Xxx Xxxxx Xxxx, XX 00000 (707) 527-1000 APPENDIX C.4 EMPLOYEE: DATE: JOB TITLE: Police Officer FROM: TO: PURPOSE OF EVALUATION: Annual Performance Measures and Evaluation Rating Scale
Complete all sections. 1) Identify the significant accomplishments employee has achieved since previous evaluation: 2) Employee's progress on goals and/or objectives from previous evaluation. Were goals/objectives for employee achieved since previous evaluation period? Yes [ ] No [ ] If no, answer 2a and 2b below. a. What action has been taken by supervisor to assist in the achievement of those goals and/or objectives? b. What action has been taken by employee to assist in the achievement of those goals and/or objectives? 3) Identify areas for continued growth and/or a goal or objective in the next evaluation cycle. Classified Evaluation Short Form NAME: DATE: TITLE: DEPARTMENT: -- To be Completed by SUPERVISOR --
