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PERSONNEL EVALUATION PROGRAM
School Order/Requisition Form

(If District Purchase Order is used,
Please fax this form and note it as 'Information Only'
.)

 School Name:   _____________________________________
 Address:   ______________________________________
 City: _________________  State:   _____  Zip:   _____
 Principal:   __________________________________
 Phone number:   (____)   _____  -   _______________
 Email Address:   _______________________________________________
 Enter the exact name of your School District on the line below.
( )

Teacher Observation Report Writer   (__) 350.00
Teacher Performance Appraisal Instrument   (__) 150.00
Teacher Snapshot (Short Form)   (__)     50.00
Pre-Observation Conference Form   (__)     50.00
Classified Personnel Report Writer   (__)     50.00
Teacher Assistant Performance Appraisal   (__)     50.00
Assistant Principal Performance Appraisal   (__)     50.00
School Counselor Performance Appraisal   (__)     50.00
Media Coordinator Performance Appraisal   (__)     50.00
Media Assistant Performance Appraisal   (__)     50.00
Technology Facilitator Performance Appraisal   (__)     50.00
Classified Personnel Performance Appraisal   (__)     50.00
Speech-Language Specialist Appraisal   (__)     50.00
 (___________________________________)    (__)                
    Other Programs. (Upgrade, etc.)              
  Total of above              
  Shipping/Handling   7.50    
    Purchase Order # _____________  Total due                   
   
Authorized signature _________________________________
 

Select desired Version:


Only available from:

James Stewart & Associates
4900 Larchmont Drive
Raleigh NC 27612
Phone: (919) 665-0113
Fax:  (404) 601-1455