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- Select -
- Home
About Us
- History
- Mission / Values
- Contact Us
- Photo Gallery
What We Do
- Fire Suppression
- Emergency Medical Services
- Fire Prevention
- Community Services
- Volunteer Program
How Do I?
Community Services
Lock Box Program
- Car Seat Loaner Program
- Smoke Detector Program
- Community Education Programs
- Maricopa County Services
- Adult Protective Services
- Links to Other Agencies
Auxiliary & Charities
Sun City Fire Department Auxiliary
- Sun City Firefighters Charities
- 100 Club
- Toys For Tots
- Salvation Army
SCFMD EMS-Officer Evaluation
EMS Personnel's Name
*
EMS Personnel's Employee Number
*
EMS Personnel's Email
*
CPT or EMT
*
Date of First Review
*
Date of Final Review
*
Enter Previous Scores
Please enter the EMS Personnel’s Self-Evaluation scores from the July evaluation.
Knowledge of Job Functions, SOGs, Procedures, Policies and Facilities
*
Please enter a number from
1
to
5
.
Operates safely and within SOGs
*
Please enter a number from
1
to
5
.
Leadership and Teamwork
*
Please enter a number from
1
to
5
.
Work Ethic
*
Please enter a number from
1
to
5
.
Attitude and Professional Communications skills
*
Please enter a number from
1
to
5
.
Preparedness for duty
*
Please enter a number from
1
to
5
.
Commitment to professional development
*
Please enter a number from
1
to
5
.
Self-motivation
*
Please enter a number from
1
to
5
.
Customer Service
*
Please enter a number from
1
to
5
.
Organizational Commitment
*
Please enter a number from
1
to
5
.
Supervisor Rating for EMS Personnel
EMS Personnel Evaluations will be completed by the Officer (Capt.) in May of each year using the Scoring Matrix. The Officer will review the goals created by the EMS Personnel and provide comments is the comment section summarizing the overall performance of the EMS Personnel during the past year. The Officer and the EMS Personnel will meet to review and discuss the scoring of each question and any changes or lack of changes. The Officer will also review the goals created in the July meeting and review their status with the EMS Personnel. After reviewing the completed form, the EMS Personnel will have the opportunity to provide comments. Both parties will sign the form in the May section. Copies for the Officer and EMS Personnel will be made available if desired.
Knowledge of Job Functions, SOGs, Procedures, Policies and Facilities
The employee’s knowledge and application of that knowledge as they perform their assigned duties and responsibilities both in the station and at emergency scenes.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Operates safely and within SOGs
Employee consistently performs job functions safely and in accordance with the department’s medical protocols, standard operating guidelines, rules, and regulations.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Leadership and Teamwork
Employee consistently demonstrates leadership skills and performs their role in a constructive and professional manner and displays a commitment to the team concept.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Work Ethic
Employee consistently completes daily duties, Apparatus check, reports, training, PCR and EMS functions thoroughly and completely.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Attitude and Professional Communications skills
Employee Consistently displays pride in the department and a positive attitude towards their work, colleagues, supervisors, and the public they serve. Employee maintains open communications and effectively works through conflicts.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Preparedness for duty
Employee arrives at work in appropriate uniform, which is neat and clean. Employee’s gear is out and prepared at the beginning of the shift.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Commitment to professional development
Employee consistently strives to improve skills and knowledge through continual education and training above and beyond the department required minimum standards. Employee maintains licenses and certifications.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Self-motivation
Employee is self-motivated and self-directed. Employee consistently looks for productive things to do without supervision.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Customer Service
Employee clearly understands and consistently delivers outstanding customer service to the public we serve.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Organizational Commitment
Consistently delivers quality internal customer service to the employees and members, while actively participating and supporting the District.
5 Excellent
4 Good
3 Fair
2 Needs Improvement
1 Unacceptable
Comments (July)
Please fill-in previous comments
Comments (May)
EMS Personnel's Goals (July)
Please fill-in goals set in July.
EMS: Consent (E-Signature)
*
I have reviewed the evaluation and agree that the check of this box represents my signature.
The parties acknowledge and agree that this evaluation may be executed by checkbox consent, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.
Date
*
Captain/Officer's Name
*
Please enter officer’s last name ONLY
Captain/Officer's Email
*
Officer: Consent (E-Signature)
*
I have reviewed the evaluation and agree that the check of this box represents my signature.
The parties acknowledge and agree that this evaluation may be executed by checkbox consent, which shall be considered as an original signature for all purposes and shall have the same force and effect as an original signature.
Date
*