CTESS Manual -RSP

CTESS for Related Service Providers: Performance Quality Rating

Name (Employee)

Component

Rating

Meeting Participation/Ethical Conduct/Observation(s) (Administrator)

Student Records and Services Management SLP & Related Service Providers Coordinator

Overall Performance Highly Effective

Effective

Minimally Effective/

Not Effective

Quali ty Rating (PQR)

Emerging

Student Records & Student Records & Student Records & Student Records & Service Management Service Management Service Management Service Management

Ethical Conduct & Ethical Conduct & Ethical Conduct & Ethical Conduct & Meeting Participation Meeting Participation Meeting Participation Meeting Participation

Performance Quality Rating (PQR) SLP/SLT/OT/PT Signature

Date: Date:

Administrator Signature

Administrators; After completing this form, please make three copies: One for the Related Service Provider , one for your own files, and one to be sent to HR.

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