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CITY OF DELRAY BEACH
EMPLOYEE PERFORMANCE EVALUATION r�
PARAMEDIC
EMPLOYEE: NAME: Jac ueiine Sandoval
EMPLOYEE# 588594
POSITION: Paramedic
GRADE: 223
DEPARTMENT: Titre SICK HOURS USED: p TARRIES:
REVIEW PERIOD: 11 A 7/14-05/17/15 -
TYPE: ANNUAL 13PR08ATIONARY 1J B omonlh
NOTE: Pursuant to federal regulation, absences designated as FMLA leave are not to be relied upon in
assessing an employee's attendance/reliability, or in otherwise disciplining or counseling the empinvee,
PERFORMANCE FACTORS CHECK ONE: Please provide comments for all sig Performance
Factors.
1. QUALITYMOB KNOWLEDGE:
R Meets Expectations ❑ Does Not Meet Expectations
Understands job requirements, demonstrates
Jackie has performed all required tasks both efficiently and in a timely
required job skills and technical knowledge as
manner. Jackie keeps herself busy around the station,.
it relates to position. Work product is timely
and accurate.
—
2. JUDGMENT AND COMPLIANCE- WITH
®Meets Expectations ❑ Does Not Meet Expectations
POLICIES: Decision-making and problem-
Jackie complies with all policies. Knowledge of polices and procedures right where it
solving abilities. Complies with rules, policies
should be for a s month employee.
and procedures as described in the department
and City's policies.
. PRODUCTIVITY AND RELIABILITY:
Meets Expectations ❑ Does Not Meet Expectations
Produces acceptable volume of work and meets
No sick time is noted. Jackie is a hard worker who is almost never idle in her work
commitments. Does not use excessive sick
day.
time excludes FMLA covered time).
4. CUSTOMER SERVICE: Ability to get along
®Meets Expectations ❑ Does Not Meet Expectations
with both internal and external customers.
Treats both co-workers and residents with respect and courtesy.
5. SAFETY: Committed to working safely; uses
®Meets Expectations ❑ Does Not Meet Expectations
personal safety equipment appropriately;
uses all equipment safely with little instruction needed.
follows safety rules and regulations.
INITIATIVE AND FLEXIBILITY: Self-
®Meets Expectations ❑ Does Not Meet Expectations
She to know her des and needs very
starting ability, resourcefulness, and creativity
Jackie takes criticism well. appears
little direction around the station and on calls to complete tasks.
as applied to the duties of the position. Open to
change, new ideas and responsibilities.
Handles pressure and adjust plans to meet
changing needs.
DOES THE EMPLOYEES OVERALL
2 YES ❑ NO
PERFORMANCE MEET EXPECTATIONS?
(Ovorall rating is "NO" if employee received a total of 2 or mare
"Does Not Meet Expectations" rating in any category).
Ill
Note: An employee whose overall nerfarmance "Does Not Meet Expectations" is at elegime for a merit increase and employee w be
placed on a Performance ImprovementPlanfollow-up evaluations conducted every (30) days.
Formulate with the employee his/her performance goals for the neat rating period. State how often
you will review his/her progress and what training or assistance you will provide to help this
employee reach his/her goals. The employee is responsible to schedule the review session with the
evaluator.
TO BE COMPLETED BY EMPLOYEE: Answer the following questions and return this form to your
supervisor.
MAJOR ACCOMPLISHMENT(S): What performance goals have you achieved during this rating
HAVE SUCCESSFULLY COMPLETED THE STEP PROGRAM AS WELL AS MY 6 MONTH PROBATIONAL SIGN
OFFS,
EMPLOYEE DEVELOPMENT: What specific training or work assignments have you provided for
Act empla= to deveinp their knowledge and skilk?
PASSING ON WHAT I HAVE LEARNED AND EXPERIENCED.
SUPPORT NEEDED: What type of guidance or other support do you need from your supervisor to
mnrove yourrf i he next rating eri
CONTINUED TRAINING AND EXPERIENCE DURING FIRE AND EMS CALLS.
5ELF-DEVELOPMENT: What methods/programs/courses, etc. are you using to keep abreast o new
aeveiopmenrs in your neta-t
MAGAZINES, EMAILS, AND BOOKS TO HELP STAY UPDATED ON NEW AND UPCOMING THINGS, HAZMAT
TRAINING.
CITY OF DELRAY BEACH - EMPLOYEE PERFORMANCE EVALUATION
PARAMEDIC
EMPLOYEE: I have reviewed the evaluation and it has been discussed with me. I have been encouraged to make
comments. 1 understand that my signature does not imply agreement with the evaluation.
Employee Name (please print):JACQUELINE SANDOVAL .
Employee's Signaturep±� Date: 6/30/2015
EMPLOYEE COMMENTS:
None at this time.
DISCUSSION UN FUl'UKE Yr: FUHMANUL UVALW
PRIORITY#1: FINISH PROBATION
OBJECTIVE: COMPLETE PROBATIONARY SIGN OFFS
OBJECTIVE:
PRIORITY#2: CONTINUE TO GAINING EXPERIENCE
OBJECTIVE: CONTINUE TO REVIEW SOP'S AND PROTOCOLS
OBJECTIVE: EDUCATION THROUGH ONLINE LEARNING AND CLASSES
EVALUATOR: I have discussed this performance evaluation with the employee.
Name (Printed)
Ed beardsley
Title:
Captain
Signature:
Zs
Date:
06/30/15
BATTALION CHIEF:
Name (Printed) L= r fl
Signature: � `-`� '`� Date:
ASSISTANT CHIEF.
Name (Printed) ACHIEF:
Signature: 4Date: &3 0
FIRE CHIEF; coName (Printed) " �Y
Signature: Date: