Professional Documents
Culture Documents
-----------------------------
OKEY #:0098688
-----------------
VIOLATION:
I walked into the Unit Five break room and noticed that the small fridge belonging to Cpl. Evans had been moved. It is
now beside the snack machine. The snack machines have been moved to make space for her fridge. The fridge has a lock
on both sections. I noticed something black on the sides of the locks. Upon closer inspection, I saw that a tack, with the
point sticking out, had been taped to each lock. If a person grabs the lock, it will stick into the person's finger. The tape
had came away from the top lock and I removed it from the lock for proof and documentation purposes. It was given to
Capt. Harley.
~~~~....,._.=----
DATE:
SUPERVISOR:_~--==tt--~=..;:__ _ _ _ _ _ _OKEY #:
o/'-o/IAf
0 'fi~ 7I31
SUPERVISOR COMMENTS:
Behavior and actions of this nature are unacceptable, unprofessional and will not be tolerated.
--..--
MEMORANDUM:
TO:
Lt. J. Brown
Cpl. M . E\lans.
Mrs. W. Perry-Cotton
Nurse Michelle Holloway
Commendation
Attached you will find a copy of a memorandum authored by Lt. R. Brooks regarding your actions in
locating and administering aid to one of our Operation New Hope dogs. Although I rea lize that your
primary commitment at this facility is the protection and care of our inmates, your actions in saving the
life ofthis animal are commendable and appreciated.
Operation New Hope is both a worthwhile and viable program for our agency and the Humane Society.
The loss of one of the participants would be a tragedy. Therefore, the Sheriff and I wanted to ta ke this
opportunity to recognize each of you and t hank you for your efforts.
Again, thank you for all you do to make this department the best in the state.
RJH/
Sheriff St Lawrence
Employees' Personnel Files
Office: 912.652.7603
Sheriff
AI Sr Lawrence
C!JiifDeputy
Roy]. Harris
jail Administrator
Colonel John T Wilcher
jail Opmrtiom
jail Security
February 7, 2013
Corporal Evans:
This letter of commendation is to express our sincere congratulations to you for being selected
"Officer ofthe Year" for the Chatham County Sheriffs Office Corrections Bureau, 2012.
This honor is bestowed upon you by your supervisors and peers in recognition of your exceptional
dedication and commitment to the goals and objectives of the Sheriff's Office.
For having achieved "Officer of the Year" we intend to publicize the event by notifying the news
media, presenting you with a plaque commemorating the event, designating a parking space in the
employee parking lot for your use all year long and also you will be given the opportunity to attend
the 201 3 Georgia Jail Association Conference.
Again, congratulations on being selected "Officer of the Year" Corrections Bureau, 2012. This
letter will become part of your personnel file.
Sincerely,
cc:
Sheriff
AI Sr Lawrence
ChiefDeputy
Roy ] . Harris
j'lil Administrator
Jail Operatiom
Jail SrcurifJ
March 13,2013
Prior to her employment with the Sheriff's Office, Maxine Evans served this Country, 1979 to
2000 in the United States Army. After 21 years of service she retired as a Sergeant, First Class,
E-7 with 4 Outstanding Service Ribbons, 3 NCO Ribbons, 6 Good Conduct Medals and a
National Defense Service Medal.
As a supervisor, Corporal Evans holds herself to a high standard of performance. She takes her
job seriously.
She canies out job responsibilities with professionalism, integrity and
accountability. She works closely with staff to ensure their highest performance and she
effectively maintains her area of assignment.
It is my pleasure to recommend to your organization, Corporal Maxine Evans as Officer of the
Year.
Respectfully Submitted,
~~ - lv\~.~~
@]{](jJ710tliJ(fl]~tm
[JfKJ@filDfFI?a~
fii!FQ&C3
MEMORANDUM:
TO:
Lt. J. Brown
Cpl. M. Evans
Mrs. W. Perry-Cotton
Nurse Michelle Holloway
RE:
Commendation
Attached you will find a copy of a memorandum authored by Lt. R. Brooks regarding your actions in
locating and administering aid to one 9f our Operation New Hope dogs. Although I realize that your
primary commitment at this facility is the protection and care of our inmates, your actions in saving the
life of this animal are commendable and appreciated.
Operation New Hope is both a worthwhile and viable program for our agency and the Humane Society.
The loss of one of the participants would be a tragedy. Therefore, the Sheriff and I wanted to take this
opportunity to recognize each of you and thank you for your efforts.
Again, thank you for all you do to make this department the best in the state.
RJH/
Sheriff St Lawrence
Employees' Personnel Files
Inter-Office
Correspondence
DATE:
TO:
Capt. Harley
FROM:
RE:
On March 5, 2013 Operation New Hope Dog Babe slipped under the safety fence underneath the
razor wire and ran to the opposite side of the complex. Babe, which is a two-year old hound mix,
received several severe cuts to her chest, head, legs and paws. One of the cuts to her side could
have been life threatening. Once staff was notified, Lt. J. Brown, Cpl. M. Evans, Mrs. W.
Perry-Cotton, and Nurse Holloway all responded.
Babe was bleeding severely out of her left side; Cpl. Evans and Mrs. Cotton started first aid by
applying direct pressure to the cuts to stop the bleeding. Nurse Holloway arrived with bandages
and tape. Then, all three ladies worked together to search for wounds and bandaged them as they
found them. Had it not been for the quick thinking of Lt. Brown to go out and search for the lost
dog she might have bled to death.
All four continued to work on the dog until the Humane Society arrived with a van and took her back
to the shelter were a veterinarian was standing by. Babe received several stitches to her side and
paws. She will remain at the shelter for at least a week before returning back to the program.
All four responders need to be recognized for their quick thinking and their unwavering duty to help
a person or animal in need. They made no distinction between animal or person; they treated Babe
as ifthere was a person injtrred and not a dog and took immediate action.
Cc:
Col. Wilcher
Lt. Col. Gilberg
Maj. Smith
Maj. Middleton
Maj. Lamb
Capt. Bryant
File
Sheriff
AI St. Lawrence
ChiifDeputy
fail Operations
Roy J. Harris
Jail Suuriry
Major Kimberly G. Middleton
November 7, 2012
~
Sheriff
Correction~
~ct1-~ ~
RoyH s
Chief Deputy
Enforcement Bureau
~Savannah,
GA 3 1412
Fax
. .. -
(912) 652-7660
- .. __ ----
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Maxine Evans
Has
successfufCy compCetecf a 40
fwur
In witness tfte.reoj tlie seaL of tlie State aj Geor_gia. ancf the. signatures af cfu[y autlioriw officers affixecC.
Given on tfte.13tfi Day ofNovembetj 2009.
?~
- Exccutiv. n ector,
Ptll.ce Officer Stand
and Training Council
~rd4uGn
mator
G~orgia
Director,
Public Safety Training Center
JiL.fi~
Georgia Police Academy
Maxine Evans
Has success_fU[[y compfetecf a 40 hour course of stucfy entitfed
Executiv.
Peace Officer Stand
Director,
'Georgia Public Safety Training Center
'~
~a
tor
/flf..C.f~
Georgia Police Academy
~
Tliis is to CertiJY tliat
Maxine Evans
Has successju[[y compfetecf a 40 liour course of stucfy entitlUf
In witness tftereoj tfte sea of tfte State of Georgia and tfte signatures of cfu[y authorized officers affixecC.
Given on tfte 10th Day ofJuCy, 2009.
Executiv
Peace Officer Stand
~~
Course Coordinator
Director,
Georgia Public Safety Training Center
/JL.1.!~
Georgia Police Academy
Inter-Office
Correspondence
Date:
To:
Re:
Response to your request for removal of disciplinary documents from your file.
I have reviewed your personnel file and find that you had an excellent employment record for
three and one half (3 Y2) years. You suddenly had four (4) incidents resulting in two (2)
combined disciplinary actions in a period of eight (8) months for:
Excessive phone usage on post
Being away from your lobby post
Incorrect documentation in overtime records
Stepping through the first slider with your weapon on
Evidently you were.having a difficult time during this eight (8) month period, documents
dated August 22, 2003 through April 26, 2004. In the three and one half (3 ~) years since, you
have proven yourself as being an excellent officer. The proof lies in your attendance record,
your evaluations to include documentation by various Supervisors and statements made by your
Supervisors in response to my inquiries.
I am usually reluctant to remove disciplinary documents from files. In your case I am
convinced that you have worked hard to earn my decision to remove the listed documents and
restore your excellent work file. The files will be removed as requested.
Continue the good work!
cc:
Colonel Holmes
~_:=c--
Inter-Office Mento
Recruitment and Training Unit
Date:
May 21,2012
To:
From:
Lt. M. Bryant}~
Re:
Cpl. Evans, due to Corporals not being approved to be active FTC's, you will be listed
as an inactive FTO list. As of May 21, 2012, you will no longer be eligible for the FTO
Supplemental Pay.
If you have any questions, you may contact me at ext. 7797.
cc:
Col. Enoch
Maj. Middleton
Captain Harley
Mrs. S. Parker
File
~1'~d~w~a~a~s~------~A1.~rA~~~~~&~-------------------------~
LAST
':FIRST
MIDDLE
NAME__
SEX,_________
HEIGHT
RACE-------
.::-'Z. .
WEIGHT
>L
AGE
j.{/S
EYES
Sf
DOB---r
.))K /5~,.;
HAIR
MARITAL STATUS S /
SSN#_
1c_ Brw,.J
M_ D _
-
""r--
STREET
.1\
MAILING ADDRESS
CITY
STATE
........,
CITY
STATE
LL
J,
ZIP
STREET/P.O.BOX
"
..
ZIP
tf4
EMAILADDRESS_______
~+-4~--------------------------------SPOUSE'SNAME_____________TELEPHONE#ATWORK
GSI-
37~
<faw! .6Vo.-,s
NAME
TELEPHONE #/ALTERNATIVE#
BENEFICIARY_____,S,o<...L'itJ-1-LLIJ?..._,_(i"__---..::.:::aJ"'----Ci-'-6..::;..._o_,t/.o.....>t:;=-~-------------------ADDRESS___ _______
RELATIONSIDP
/5JLo-h.eA...
I, Maxine Evans, request that 40 hours of my holiday be used to wipe out the deficit in my sick
leave.
Page 770
Employee
Rate
1659.48 20 .74
MAXINE EVANS
1373
CODE
HOURS
TYPE
001
Regular
030
Sick Leave
031
Vacation
010
O.T. Straight
011
HOURLY
RATE
3326
AMOUNT
Pay Group
COMMENTS
KO
040
041
LEAVE BALANCES
Dept.
100
163.00
202
287.00
400
334.0000 510
22.5000
,PI - HUMAN
RESOURCES
DATE: 04/29/ 09
TIME: 12 : 2 8 : 53
DEPARTMENT 3326
<- - - ---- - -- ----- ----- ---EARNINGS--- -- ---- --- ---- --- ----- > <-- --- ----- -- --- DEDUCTIONS- ---- -- --- - ---- - > <----- - -- - --LEAVE-- - ------ - -- >
TYPE
HOURS
AMOUNT FUND/DEPARTMENT PROJECT DEDUCTION
AMOUNT
YTD
EMPLOYER TYPE
TAKEN YTD
BALANCE
3710
REGULAR
OVERTIME
OT -1 1 /
TOT EMPL
101.00
5258
REGULAR
TOT EMPL
1373
REGULAR
SUPPL PA
TOT EMPL
80.00
2 ,71 7 . 32
1,684.48
FICA
MEDICARE
FEDERAL
STATE
PENSION
PENS I NT
INSURANC
GROUP LI
CR UNION
NACO
BOND
GUARD. P
CANCER P
DISABILI
DISABILI
COL LIFE
CC EMPLI
CC DEPLI
BK OF AM
DED TOT
2,717.32
0 0.00)
1,196.34
80.00
NET PAY
.00
FICA
MEDICARE
FEDERAL
STATE
OED TOT
282.54
NET PAY
913.80
FICA
MEDICARE
FEDERAL
STATE
PENSION
PENS INT
INSURANC
FLEX-MED
NACO
GUARD. p
CANCER P
DISABILI
ANDREWS
OED TOT
1,684.48
NET PAY
.00
SICK
VACATION
HOLIDAY
COMP
24.00
.00
.00
.00
91.00
480.00
588.00
. 25
YTD EARNINGS
20,463.77
YTD EARNINGS
1,196 . 34
SI CK
VACATION
HOLIDAY
COMP
YTD EARNINGS
96.00
20.00
.00
.00
168.00
293 .0 0
334.00
22.50
16,106.59
_JD BEGINNING
DAYS
{ 5
_JYEE
su
12
Sick
Vacation
Holiday
Misc.
O.T.
--
Sick
;cation
Holiday
Misc.
O.T.
I
S/L
Sick
Vacation
Holiday
Misc.
O.T.
MO
X
TU
X
WE
TH
12
12
12
12
0.5
12
12
0.25
0.25
X
X
X
X
0.5
S/L
S/L
12
12
X
X
0.5
X
X
I
X
Sick
Vacation
Holiday
Misc.
O.T.
12
12
12
12
OFC. GARFIELD, J~
Sick
Vacation
Holiday
Misc.
O.T.
0.5
OFC. DUNCAN,T~
4/5/2009
12
PVT. GARNER, L.
1.5
12
Sick
Vacation
Holiday
Misc.
O.T.
0.5
0.5
X
12
12
0.5
12
0.75
12
0.5
X
X
X
X
0
0
0
0
2
48
0
0
0
0
1.5
0
32
0
0
0
0
48
0
0
0
0
0 .5
36
0
0
0
0
2.75
36
0
0
0
0
2
12
0.25
0.5
0 .25
X
X
12
S/L
S/L
12
12
12.5
8
16
TH
X
12
4.25
X
X
X
X
12
17
FR
12
18
SA
0.75
5.25
S/ L
S/L
12
12
X
X
S/L
12
0.25
X
Work
Pay
Week Period
Totals Totals
44
0
0
0
0
19.3
32
0
0
0
0
8.5
0
48
0
0
0
0
29
0
0
3
0
80
0
0
0
0
21.25
80
0
0
0
0
10
0
80
0
0
0
0
77
0
0
3
0
0.25
0.75
12
12
36
8
0
0
0.5
12
0.5
8
0.75
5.25
1.25
44
0
0
0
0
7.25
12
0.25
12
0.75
0.5
Supervisor
Verification
~e.--
Em~eSign
P'~-&
Employee Sign
, 2.
,.......?
'
/./,..,.,.,
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Employee Sign
c:; ..11::.
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Employee Sign
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8
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Employee Sign
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9.25'
weI
Inter-Office
Correspondence
Date:
January 9, 2009
To:
Maj. H. Ham
Maj. J: Wilcher
From:
Re:
~--Reassigrunent List
FROM
Dixie Barbour
Housing Unit 3
FROM
To
Larry Ransom
Douglas Blanchard
Benefred Gastin
Jennifer Moultrie
Housing Unit 4
Housing Unit 4
Transport
Property
Housing 5
Housing 3
Housing4
Transport
FROM
Patricia Simpkins
Floyd Jackson
James Strickland
Inga Washington-Smith
Henry Mallory
Maxine Evans
Daniel Mares
If you have any questions concerning this memo, please contact me at ext. 7707.
cc:
Col. M. Holmes
Correction Captains
Unit Managers
~~ l:ca/\S
. by affi~Gg my si~.-,ature tc this dccument below. do sicnifv
and agrea b~ the following co nditions as a member and employee of the Ch atham County
Ttrc
iL
Sheriff's Department.
I agree to perform the duties of my position in a confidantiai manner, save for that
information open to public disc!osure as requirad by law, or as otherwise authorized by the
Sheriff.
I further agree to only discuss t1e duties, functions, and incidents involving the Department
with fellow members of the Department, and other public agencies, and always within the
confines as stipulated within the Sheriffs Department Policy and Procedure Manual. 1
agree that the only exception to this agreement shall be with the prior consent or
permission of the Sheriff or Undersheriff. I agree not to possess, distribute, sell, deliver,
dup-licate, or carry from the confines of the Chatham County Sheriffs Department, any
document, duplicate document, or other official record, or article which produces records
of the Department, without the expressed permission or consent of the Sheriff or
Undersheriff
DEPARTMENT MEMBER
\%:L zyI/
o.S
OAT
WI NESS
-.
,
ShfTijJ
AI StLawrence
Enforcmunt Administrator
Major John H . Murray
Undersheriff
ugal Officer
Donald E. Anderson
jailAdministrator
March 2, 2005
~~e f!LL
Teleohone (9 12)
ll~2-71l~4 ~ Fox
(911)
{,~2-71lll0
Inter-Office
Correspondence
Date:
May 4, 2004
To:
Re:
Reassignment
Please be advised effective Sunday, May 16, 2004, you will be from Lobby and
Control to housing unit 5. You will need to contact Lt. Sims fo r watch
assignment at 3755.
If you have any questions, please contact me at 7779.
cc:
Col. Holmes
Major Harn
Major Wilcher
Capt. Fogarty
Sgt. S. Rogers
Sgt. D. Johnson
File
Inter-Office Correspondence
Date:
From:
To:
Re:
Re-assignment
cc:
Col. Holmes
Maj. Harn
Maj. Wilcher
Capt. Davis
Lt. Lamb
Watch Commanders
Sgt. Burke
Personnel File
Inter-Office Correspondence
Date:
From:
To:
Re:
Thank you for your interest in applying for the position of Classification
Officer; however, the Committee has chosen Pvt. Jessie Bellamy to fill this vacancy at this
time. We appreciate your time and initiative to expand your knowledge within the
Department. Please do not hesitate to apply again within the Operations section again
as positions become available.
If there are any questions, please contact me.
cc:
Col. Holmes
Maj. Harn
Maj. Wilcher
Personnel File
Print Name:
MAXI ,.Jt;"
vt1Ac]
Date:
Witnessed:
_._L,~~~I!:..J.~
~v _:::Jt:~-~~==-:.-----_
f'- ..?-()I
DATE:
TO:
FROM:
SUBJECT:
0,_V-
A-~
On Sunday, June I I, 2000, the following C.O.T. assignments will become effective.
Trainees are urged to contact their pmspective Unit Manager for watch assignment and further
instructions. If there are any questions, please contact me.
cc:
If.<
"!. ......
Mr. Blake
Maj. Harn
Maj. Holmes
Capt. Fogarty
Personnel Files
UNIT I:
EVANS, Maxine
UNIT 2:
SMJIH, Cynthia
WHITING, Corey
UNIT 5:
MICHAEL, Juan
WIRTH, Susan
Shmff
uWTCnCC
&fo=mmrM:utinim=n
M:tjor John E.. Mu=y
~~a"
M:tjor R. D=W: ~
u~
Donald E. And=on
jaiLAJiminurmmr
A= jaii.Ymini==rr
G.:yR.B~
M:tjor H09o'U'Ii L H=
M:tjor Mc.o\trimr :-foi=
C"i..ilTHll..M
COUNT~
AGREEMENT
and,
Wne=eas t~e Chath~ Ccun~y She=iff's
full salary while they at:tend t~e ac~demy,
Depar~en~
pays it:s
~?lcyees
and,
ccr:side=ation in the for:::t of benefic:..al training aP-d skill s whic.:;. leac
to certifica~ion:
The Cha::ham Count:y She.!:if.::' s Depar...:nent will se12d A;j4&111
to t~e P.O.S.T. Law Enforcement Academy at t~e
'
DEFA?,TME~IT'S
expense, and pay his/her full base sala.!:y while -~
1
]:; !Ill:,.!..{
at~enda.nce;
2.
?.O.S.T.
the=ef.=om;
3.
That
Law Enforca~ent: Academy and diligent:ly
IJAXt,; {{"
I
Chatha~
J>.il-
i 050GdGnmnD:Ive..~GA3140S
EMELOYEE
signar~re affi~
te~
Witfd-(f ?oa&
Recommend ap?roval:
.F>.pprcved:
Date:
0'd
l:HA'l'ti8M. l:UU.F:lTY
9L.L.L.
SH~l{.Ll!'l!'
Wd90:0 000c-P0-P0
:':;) DEPARTMENT
MIDDLE
SEX
~G
HEIGHT
BI~~[L.
RACE
~3"
DOB._ _o..=.._;:c__
/(,t
WEIGHT
EYES
IS~
AGE
1'/
:MARITAL STATUS S~ M_
SS#_
,drAJ;.!
HAIR /)J;
_
D_
.-:>".L:REET
STATE
ZIP
STATE
ZIP
MAILING ADDRESS'-----
S"REET/l?. 0. BOX
CURREN~
HOME PffONE
.AREA CODE
SPOUSE'S NAME.___~AI.r~~~~---~-
TELEPHONE # AT WORK~-------
1141f/ IJ~$YAAJ.J
Plttlft# Eft@t~S
--.........
f'~
~ELEPHONE #/ALTERNATIVE #
NRME '
RELATIONSHIP
IN CASE OF
YES_
_,..-__
ID~RGENCY,
NO_
_ _ __
AGENCY NAME.____________
TELEPHONE NUMBER
lNTER-OFFlCE COPP~SPOND~NCE
\lutnn.
'l'O:
sources Dcpo:.cr.mcn1:--:-
FilOll:
~mployment/Promotion nccommendation
SO IJJ EC'l.' ~
4/4/00
It is recommended t:l"\at:
employedfprama-ce d ...'n
Maxine Evans
.(Name of Individual)
Chatham County Jail/ 4723 1213
( DcL1~r t HlCOI:
~I
Eftectlve
be
"' amu,
..
n.-.
C:'\'
.... ...:[.l ......
u. ...... lit -.
x. IJ
'nd la~l.
...
- ........ l.. an
//)
4/ 10/00
o~c~
Charles Boyd
4/3/ 2000
(Nama, l.)at:e}
Other j ob-c e luccd :::el~:ction reuso 11 :::: 20 years military - good communicat i on
skills
s npervisary background - excellent military record - sel f- confident
_..cB..__.loll.
w.d.a.1...ts~ou.Jn~---=3!..1./~1:.!:6~/...::0:..::0~----- 0 a cc i:' e fer en c: 1:!!:: \J u c u
3/:l.0/00
(Signat:.ur~
oi ll iri ng O! r icial)
Name:
J/;t,t;AJ
Vf/IIS
LAST
FIRST
0Ltoh.<lc)
cfJL
1\'IIDDLE
~tdr&J
CHATHAM COUNTY
SHERIFF'S DEPARTIVIENT
EMPLOYIVIENT APPLICATION
AND
BACKGROUND INVESTIGATION
QUESTIONNAIRE
IlVIPORTANT Nf
~ICE
l/,1 ~Q/ff_
/
Date
----~----------------------------Notary Signatur~
Date
Investigator Signature
Date
.,
3.
If your are a Georgia Certified Peace Officer (i.e. registered with the Georgia Peace
Officer Standards and Training Council, P.O.S.T) please attach a copy of your basic
certificate displaying your certification number.
4.
The following situation W1LL prohibit an applicant from serving as a law enforcement
officer:
a.
b.
c.
d.
5.
**
An applican 1o has received an official pardon o 'Ier similar action for any offense
or applica:
condition as stated above, is not i 1gated to disclose the offense or
condition this application. If, however, during the course of a background
investigation, facts are discovered regarding the offense or condition, the applicant may
be required to produce proof of such pardon or action to remain in consideration for
employment.
in
6.
If you have any questions regarding this application, Please contact the Chatham
County Human Resources Department, Application Center at (912) 652-7964. For
specific questions about the position ofDeputy Corrections Officer, please contact the
Chatham County Sheriff's Department (Recruitment & Training Unit) at (912) 6527795.
7.
The following is a check list for your convenience. We urge you to use it, as an
incomplete application cannot be processed. Upon completion of the application, refer
to this checklist to make sure no information has been omitted.
_ _ All questions are answered. Those not applying to me are marked "NA" or
"NO".
~rth Certificate
WA/
/
All forms so noted, have been signed in the presence of a Notary Public. These forms MUST
bear the signature, stamp, and seal of a Notary Public. YOU ARE RESPONSIBLE FOR
OBTAINING A NOTARY!
PERSONAL INFORMATION
1.
Name: _ _,U'-=-L...!.4X:.....~.I..:::..~.::::....t_--..!.~:...._"'.L..,.V/I.!...:LII.~J~----'---------
2.
Have you filed an application with the Chatham County Government before? NO
If so, when and for what position(s): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
3.
__.-__
Own? __
Rent? _ _ _ _ _ __
How long?
!(/&
Name ofLandlord:
Previous address(s) of less than 5 years at current address:
Own?_ _ _ _ __
?/, S, ll-lz&r
Name of Landlord:
Other addresses:
(fi;u@1 ettfi
l/
ff/u.; bcv-1 VA
(By ,.s
[lt;N-1
:!/.C ;l
5.
Date o(Birth (1\.ThiiDDIYY) Place ofBirth(City, State, Country)
6.
Height
Weight
7.
8.
Nicknam~s
Eye color
Hair color
No _ _
Natural Born~
No
used
9.
10.
I1
MILITAR .. SERVICE
11.
4 eMv
Branct/
Service#
Dates Served
{E-z)
12.
Type of Disc arge (If other than Honorable, explain)
13.
14.
Have you received anything other than an honorable discharge from the military?
~No
_ _ _ _ _ Yes
_ _ _ _ _ Yes
C~urt Martial?
Article 15?
15.
Aj/11
Ajlll-
A~OL? #/A
Reduction in Rank?
Any other?
x//A
;--
/1/b
7
-h...
16.
/
Highest grade of school complete?_ ___._'--=~'-----------------
17.
18.
Name of High
)!~ S
School:_...~.-2~A/."""'~:;...oC....."R._.6f.,.._._T_ _.../6~r7'r-A--.Jl~~J.o....:tt"'"">.L-I_ _ _ _ _ __
d~~ctb'-S.Iu. .t. "" "'I?,J~-'-'d'" " y,. .: ;.: b.J: ._ ,.L.,.- <-A/O;: . . :o: :. .c.: ~=- -=fk. :. .:. ~- =-()'- ;/.-"-lt.J-'-'-1 -_ _ _ __
City/S tate:_......
~/VC~
~O==---------------
19.
20.
Give names and locations of any Colleges and Universities you have attended, and
major ~ourse work stu5Jied.
/
...J4<rd/11i!J
UI1M0ury
41/<f
c/lvtMII~ ~tfuf'(M J
21.
22.
Graduate School:
Ass() C.
Degree/Y ear_..I<..Aji-"r--=------
23.
Do you have any special skills or training that would be helpful to you if you were
selected for a law enforcement position? / )p VG
hb{i,_) e .bRt II
hts-l,ee.cll& tA.t dt.<i- ~~lti:J
24.
~No
25.
Ifyou wear corrective lenses (glasses or contacts) and if you lost them in a scuffle with
an inmate or suspect, could you still func~
lY.
26.
List previous law enforcement employment starting with the most recent first:
N/4
Name/Address of Ageljly
llJA
"-f-:...r-~-""'-.ti=---------------
. 1P-
27.
Name/Address of Age cy
Dates ofEmployment
~fay
nu~immediate
supervisor
28.
Name/Address of Agency
411-
Dates ofEmployment
#a
Job Title and Duties
/I!__
__.:_,A/~'-/L
/.c.________________
~
11!/
Name/Address of Agency
Dates ofEmployment
31.
32.
Certification date:
33.
34.
35.
Certification#: _ _ _ _ _ _ __
Name of Police Academy:_ _ _ _ _ _ _ _ __
V.
NON-LA \V.
36.
List previous employment for the past ten (10) years beginning with the most recent.
May we contact previous/current employers ?--~)'f-l..c.:?2;;_._,~;a__________
37.
fORCEi\trENT EiYIPLOYMENT 1
.!
H. s, A:e-t-A.j
1\ \.\('< Y3
('ORY
Av0
Name/Address of Age cy
10-- Z.-]9
Dates ofEmployment
Dates ofEmployment
39.
-v,e...\IG'r-.L~C< .S.T
C..Ou...~
Name/Address of Agency
Dates ofEmployment
r-j
Q \!.!. 'b
Name/Address of Agency
q _ q)<
Dates of Employment
pAt=f--41~<,;
Y1
YES
NO
/ 41.
~2.
43.
~.
45.
Are there currently any charges pending against you for any
criminal offense?
Have you ever been arrested, charged, convicted of any offenses
related to alcohol or drugs?
(A)
(B)
(C)
..\~"' ,~
bt:C. qg
Offense
47.
Do you possess a valid Georgia Drivers License? _ _----"t/~-=0=-----------lfyes, give license number, and expiration date:. _ _ _ _ _ _ _ _ _ _ _ _ __
48.
Have you ever possessed a drivers' license from any other State?_----;1~--'18~35""=----lfyes, give State and License number: 1\/, t,
X/{/()/13
7
49.
50.
51.
Give details of any motor vehicle accidents you have been involved in.
fuz;,cc
(,/Jw
Name:
Address: ~};t/,;llvtV h
~ 11Telephone:
9 "2 7 - .?lf.r-J
Name:
Address:
Telephone:
L_gu0;
\C11fD(4.J
_/J..._Tif
lf'or
7!"3- f".J9:J
/t1~r..c4!
IX.
CREDIT P '
C:RENCES
53.
Name: _ _ _...!,.L~IJ~uJ~:.so&~'.f
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Address:____________________________________________________
Telephone:.________~-----;---------~--~----------------!---Type of Account:._-'&....J..Ji:e::....
-L.JYtJIG<6utl~;c...::AA~(ffr--..::~""""'L.~tr~~~;.'l/
. :. ._ _ _ _ _ _ _ _ _ _ __
/
Name:.____,.f:::::;..L.J)/lu,..j'loll.t.~...----"0:r....:J\/.JL."~N:=....~A,.!;'k=~"l..!..IL!Nl.::':......!/:.__~&L.I..2tl~l(}~/c=----------Address =------:----:::::::-::----:-=-----::-:-----:-----------------------Telephone:
I JlJ 2 ?1 ftJo
TypeofAccount:_'~~~o~e~f~b~p~4~;__~L~au~~-~~----------------------------
Name:
Jf-JM. S"
Address: ___________________________________________
X..
54.
Marital Status._ __
Widowed._ _ _ __
55.
Spouse
Married______
Divorced._ _ __
Single
~
Separated_ __
~If.
(First/middle/mai en/last)
56.
Spouse date of birth
57.
58.
Spouse's mployer
59.
Spouse's
emplo~dress
60.
Spouse's employer's phone
61.
62.
I .
Livmu~-------------------63.
_./'---r'
.V.~~----.J
/
Deceased_.......::t..--"
::.._--"-:- - - - - - - -
Deceased _____________
64.
Brothers:
Name: /S fl&#l
Address:_ I
biJo/WtAI
Age:----~~~3~-----------
~. .YA~S
Age: _ _~~~=z~-------------
Sisters:
/A,J.S
Age: _ _=~~d_ _ _ _ _ __
PvAv!:.
Age:._ _y.:J.....!:&-~-------------
fl[
Name: :Bew#J ce
Address:Name: :P 'n ' 1\ , p
Address:_ ,....
t2-'1
Age: _ _1.-i..:l..-'L(~-------------
e..,v ~
Age:_ _~LL-------------
66.
67.
68.
N.C.
69.
1/
70.
Are you supporting all children born to you or adopted by you? (Yes) __(No) ..........-
71.
(No)_ _
XL
73.
74.
75.
If you have ever been fingerprinted by a police agency other than for an arrest, give
details below. You answer will be checked with the FBI and other agencies.
llrr
76.
will-
Agency 11 . ~, IMliMJ
\
Agency_ _ _ _ _ _ ___
NtJ
78.
Have you ever used any other illegnl drugs, opi~e~_,_pills, etc.?_ _ _ _ __ _ _ _
What were th e circumstances: _ _ _ _ ___/V
~___:0'---- - - - - - - - -- -
79.
Do you now or have you ever associated with anyone that uses drugs?
80.
Have you ever been fired or permitted to resign employment for breach of trust,
embezzlement, theft, or other crime?_ _ _/V--+-7~.__,=-------------
81.
Have you ever been fired or permitted to resign employment for abuse of authority or
for any disciplinary reasons ?_ _ _ _ _j(?
'*"',c...
O~
fj,.q'---------------
82.
If it became necessary in the course of police duties to take a human life, would you
have any reluctancy to do so because of religious or other beliefs? Yes ...--- No _ _
Ifyes,givedetails: T o-L
r~\,c:!.\~~~
r e o. ~ b"'
\
.teiLI
t A ~ ...,
1
C, f)'H s YdG, Pb ~ ~oM 1:1\e,.ul .,,..AS ~
NO
83.
\"
I,
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) , M.u- cJ
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'
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C... A ,.;>
Ce -!- t f'e
~UTHORIZATTON
TO OBTAIN TNFORl\tfATTON
You mus-. be told if information in your fiie has bee:1 used. a gains you ...
Date
\1\!Sn\CiS
l
Departrne:1.t wi mess
CONSE~~
~o
3ACKGR0f~
DRUG ~SSI!~G
PSYC..:QLQGIC;l i. TESTiNG
T~S~TG~~TQ~ ,
~~
c~-vSTCuL
~ ~ro
sc-~!?":"
TO:
AL ST UWR;mc:::
COON!"! S~R!:"?"' S
~OSO C~~ Grt!?"?"rN DRIVE
SAVANNA..t!, GA. 3HOS
C:~'\.':4.-iA1'1
DE:s'.n...~'Df~
?.:
SSN
DR!VERS L.!C:::NSC:
DOS
ADDRESS
ts:::::c
~lea~e ac~~~c :~~ in~c~~e~~ a~ ~y ~e=so~al ==~~~~~ a~d aue~o~~=~c~c~ ~~ c~r.C~c=
~e=~o~~ =a~<:==~~d L~~es~;aei:n.
~..i!:::O:-j,
a:.y
Ce~c=~?e~on,
c=~~:he~si~e
c:~lec~
e=~!!~:
a:-:.c!.
a~a=~
is
St:ar..c!a::!.s ant! ':':ai~:-:.g C=t.:..-::.:..1, 'Jho :::ay have a :-:.e~d ::o k.-:o.J . :;: act
!o= a~pllea~!o~ !~= ,.o.s.~. La~ ~~!o==~~e~c o: c~==~~:!.o~3
=~~~i=~~
c~~~!ie3c!~~. L~d !o= e~leyrne~c ~i:~ ~~e ~A:~ C=~~=: S~e::!! ' s Oe?a=:~e~: .
: c=:::~!y ~~ae ~ey
~e:sc~(s) ~ho ~: !~~s~ s~ch !~!~~a~i:n c:~c~~i~q =~ shal l ~c= =~held ac:~~~:able !o~ g~~i~;
::~is
i:-:.!o~~e.:..on;
and ! do
he::-~by =~l~ase
sa.:..d
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!=:~ ~~y
and all
liab~l.:..::y ~hie~
may be
AC:;~--:J
:~f
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:'Oi'l :::1i'trC.c~~r..
.U:~::r!s~:-:;-z,
Crt D!SC:?t.:~r:...'l.Y
D:;::z:"""t...'i~.r,.::-:o}IS , a.r.c! t...~a~ see!': i::.!o=::tat:!.:n :Jay =ec:::e & =~~:~= o.! ;:u:.!.!..c .!.~!:::::=a::.:.o:". a.~ci etay be
ac:~ss.:..~l~
...
:~
s:ace laYs.
=~ c:~!.Ce:ae~c~ o~ ~~~q a?9licae!.on !o= e=;lc:~e~:. L~C i~ c:~ple:~ ~Ce~$:3:.Ci~q o~ t~~ ~o=~:oi~~
!ac::s a.::d. ~oss~l.e =~scl:.s, ! as-==~ :~ h::)!.~ ~ ::l a.!.: e l ! ::::!~::s o ~ ::!"-.ls :-.:!.e.1s e ,...a!.:te:" , a~c:! !':.:=~!:~= ag=!~
:-o :rcr..~ ~~"f!.zss, s:rLu:: ;u, s-: t.A~i'?..z:rcz, ~m ~:. ~?ton::::s a: ::~=: c.:..A7:.:.A..'-! c=Cj1r.""! srt ~!::s
::=::::...~::~~-:- ,
;.::;,
c~::-t;H
r.:A3::.:7"t o: ;.:r.c
:..:~
c:t. o::so.:n:cN,
zNc:.:::m:::~rc ~r.c
ar.d
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o= ;==mise
o~ =~~a~~,
.:uly , . !.3H . \
l"vn
L~~
SHERIFF
AL ST
LAWRENCE
UNDER SHERIFF
}AIL ADMINISTRATOR
Donald Anderson
Gary Blake
SINCERELY,
CHATHAM COUNTY SHERIFF'S DEPARTMENT
RECRUITMENT AND TRAINING UNIT
&
:;-.
M~vinP.
Evans
~~
n~~
aYJM~!;~s4M.~O-,
SHTE UGI$TUR '
sT.A:rEoF NoRTH
fi,..u.
8~{.
.....,.., ..,,.,...,,..,.,.
.........
\
r;r.:i1'~
CARobiNi:
.
- . u0
.
..
4810193
c l:ls.c; C Pfldnr~
t1
~~~tlf'<i
05051997
~rx F hi 5 0~ ,
h~r1l u1a l
<XJlltt"<
<
..
~
-~
. ...-
.~
~\9A.1&s
l J
DIVISION
Corrections Bureau
CORPORAL
u
- . er
Probationary
CLASS CODE
HOUSING UNIT 5
PERFORMANCE DATE INITIALS
f6:~11
ro
PERFORMANCE GUIDELiNES
l itJP.Rf.It)~T. B. GASTIN
l ~6:2~2ffti
-~
SECTION
., ~F~PRAISAbth
REVIEW.PERIOD
04-00 TO 04-11
CLASS TITLE
---~~~-
PROGRESS
DATE
DISCUSSION
y
- 10-27-il
INITIALS
IO
g~
ACTUAL ACHIEVEMENT
(Narrative Comments) -
s:
t:rl
~ ~
"'~
f1)
p..
oq
Vl
s::
rr
OS
"'g.
e.
[
!
g.
!?r
g
-
I. SECURITY
13 12 11
A
B.
c.
D
E
F.
G.
CATEGORYTOTAL: 20
18 I 2
10
.. ..
. ':,.
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(N arrative Comments)
or
"'""
-.
A. CPL. EVANS
.. IS FAIR, BUr FIRM WITH . .
INMATES.
..
e.
iil'
"g
.. . D
F
G
. .
..
:.
'
: -5!
OS
lit
iil'
n
B. CPL.EVANSIS.AWAAE.OFHER
RESPONSIBILITIES AND ALWAYS
DISPLAYS A PLAN OF ACTION.
""
(/')
!?;:
,.
s:
oq
..
trl
)(
CATEGORY TOTAL: 22
18
SUBTOTAL:
i...,.
.,
PERFORMANCE GillDELINES
ACfUAL ACIDEVEMENTS
(Narrative Comments)
~
"'"'
(;!"
!;'
p.
5-
(f)
"'g.
[
0
-<
B.
c.
D.
"
E.
F.
F
G
H
F. CPL. EVANS' ATTENTIVENESS TO
DETAILSDIFFUSES.POTENTIAIDANGEROUS SITUATIONS.
J
..
J.
K.
. ..
e.
a
I
i!r
..
III.
. SUPERVISORS. COMMUNICATIONS SKILLS (WRTITEN AND INTER
PERSONAL.)
A.
og.f
SUBTOTAL:
11
CATEGORY TOTAL:
28
18
10
PERFORMANCE GUIDELINES
~
!;;
ACTUAL ACHIEVEMENT
(Narrative Commenls)
g
~
tTl
X
n
"'"'
~
~
Q<l
N.
SANITATION
A.
c.
F.
..
...
or
..
E.
-.<
~
g.
.!ll
A
A. CPL. .EVANS IS VERY PARTICULAR OF
THE CLEANLINESS INHER AREA.
D.
--B::
..
B.
w "5e.l!l
..
'
..
SUBTOTAL:
. .
........:..__
...
.
- --
..
..
.-. .
.-
..
,!; .,..,~
PERFORMANCE GUIDELINES
..
v.
.'
B.
c.
ti1
)(
~0<>
..
GENERAL OBSERVATIONS
A.
2Gr
ACTUALAC~MrnNT
.. (Narrative Comments)
--
Po
Po
Ill
Ill
Ill
..
.
.
'
..
..
..
.
'
,.
. ..
..
'
>
..
,_
...
...
..
'
..
..,
'
...
SUBTOTAL:
CATEGORY TOTAL:
..
12
12
g.
rr "5e.
()
-<
2
~
r.
~
1
1.;:2 /I I
Unsatisfactory= 0
Marginal=
Date:
9L Zo/(
NAME OF EMPLOYEE
EVANS, MAXINE
DIVISION
Corrections Bureau
REVIEW PERIOD
a~ OF APfRAISAL
nnua
0
04/09 TO 04/10
0 Probationary
CLASS TITLE
CORPORAL
CLASSCODE
SUPERVISOR'S NAME
I MAY19,2010
DATEOF PLAN
SECTION
0 ther
HOUSING UNIT 5
PERFORMANCE DATE INITIALS
PLAN
MAY19,2010
PERFORMANCE GUIDELINES
IO
PROGRESS
DATE
DISCUSSION
INITIALS
MAY19,2010
IO
~
ACTUAL ACHIEVEMENT
(Narrative Comments)
lA
g
5-
.tn
~
"'"'0.
"'0.
0'>
I.
SECURITY
A. Ensures that shakedowns and security inspections are
conducted thoroughly and in a timely manner.
B.
ac
e.
rr0
OS
"'g.
c
D
G.
8'
A
A- G) CPL. EVANS IS VERY EFFECTIVE
IN THESE AREAS OF RESPONSIBILITIES
AND VERY SECURITY CONSCIENTIOUS.
C. Ensures that good key, weap on, and tool control basics
are used by the staff.
F.
(/)
"'g:
SUBTOTAL:
21
CATEGORY TOTAL:
~--
~-
21
7
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(Narrative Comments)
"
"'g
~
tTl
~
"'0.
"'0.
""
II.
B.
c.
SUB TOTAL: 18
CATEGORY TOTAL:
:>
e.
'!9.
E
A
{}')
"'g.
or
n
12
~
or
n
"'g.
cr
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENTS
(Narrative Commen ts)
"r;;g
5-
1'11
~
:g
Q.
"'p.
()Q
III.
A.
c.
D.
E.
F.
g>
g.
OS
c
D
E
G.
SUBTOTAL:
CATEGORY TOTAL:
30
e.
[
"'g.
;;!'
"8"
24
PERFORMANCE GUIDELINES
"'I'Dp.
s:
SANITATION
A.
B.
I'D
p.
~
2
s::
~s
e.
17:
-<
1
A
B
F.
'
:"
,.
~ .,
...
t.
,. ,
.. ,. . ,. ...
. ...
'"
'
SUBTOTAL: 17
.
~
()
E.
D.
. ...
c.
"'g:
()
!;!"
()Q
IV.
rn
ttl
l?
g
ACTUAL ACHIEVEMENT
(Narrative Comments)
. -'
'
'
...
....
CATEGORY TOTAL:
-~--~
15
1
- ---- - - -
' trl
~
or
ACTUALAC~MENT
PERFORMANCE GUIDELINES
(Narrative Comments)
orn
"'
"'
GENERAL OBSERVATIONS
A.
B.
c.
e.
-<
OQ
v.
~-
()
5-
s::
e:
(J>
g.
"'
)(
~ I.
'
.,
'
. .
--
. ..
SUBTOTAL:
12
CATEGORY TOTAL:
if
-<
...
g.
()
S./ f .( 0 I
*REVIEWER'S COMMENTS
Total Number of Categories Evaluated _:::;;35"----Total Category Points --"9"'8_ _ __
Total Score Average
2.80
Outstan ding = 4
Exceeds=
3
Satisfactory = 2
Marginal =
Unsatisfact01y = 0
Date:
~;~;;o
CLASS TITLE
EVANS, MAXINE
DIVISION
Corrections Bureau
04/2008 TO 04/2009
o Probationary
HOUSING UNIT 5
1 ~ru?RMANcE
APRIL 3, 2009
PERFORMANCE GUIDELINES
I.
DATE
SUPERVISOR'S NAME
SECTION
&'~~JIWSAb Other
REVIEW PERIOD
CLASS CODE
CORPORAL
IAPRIL 3, 2009
DATE OF PLAN
INITIALs
PROGRESS
DATE
DISCUSSION
INITIALS
PW
APRIL 3, 2009
PW
ACTUAL ACHIEVEMENT
(Narrative Comments)
SECURITY
ra je: i
J
j;l'
c
D
G.
SUB TOTAL:
CATEGORYTOTAL:
If
~
"S"
..:!
13 12 11 10
A
:s::
I8
I6
I4
I2
I3
I2
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(Nanative Co~ents)
~
a-
'
a.
Cq
II.
4
CPL. EVANS l<EEPS AND MAINTAINS
GOOD SCHEDULES OF ACTIVITIES IN
HER AREA OF RESPONSIBILITY
g>
8"
Q1
"'"'llo
B'
~
-<
..~
II
B'
6-<
0
A
B
E
I
SUBTOTAL: .
CATEGORY TOTAL:
-- -
--
- ---
--
- --
-----
12
PERFORMANCE GUIDELINES
g"'
lA
III.
A.
B.
c.
D.
~..
ACTUAL ACHIEVEMENTS
(Narrative Comments)
~
oq
"'
g>
IF
;;:0.
A
B
c
D
E
positive for the Department.
H.
I.
J.
K.
in a timely manner.
SUBTOTAL:
CATEGORY TOTAL:
IF
;;:-
"cr
27
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(Narrative Comments)
IV. SANITATION
A.
B.
c.
I!
Iii'
"'
p.
!"
lt
~
f.i'
AI'
g.
~
g.
<!'
n
8'
-<
1
c
D
D.
E.
F.
.-
SUBTOTAL:
. .
CATEGORY TOTAL:
PERFORMANCE GUIDELINES
ACTUAL ACIDEVEMENT
(Narra.tive Comments)
!;!'
S'
::s
~
w
.,
g.
Q.
oq
v.
GENERAL OBSERVATIONS
CPL. M. EVANS HAS MAINTAIN A
HIGH STANDARD OF APPEARANCE
ACCORDANCE TO POLICY.
A.
B.
c.
D.
SUBTOTAL;
CATEGORY TOTAL:
..
g.
-<
S'
[..
rf
~
8'
TRAINING CLASSES.
DATE:
SUPERVISOR'S SIGNATURE
'- /.
G -<1/c.--tlv
;._R~IEWER'SCOMMENTS . /
y ~ 9t!}-12C/
$ '-
0- v?
r-..---~~
7. <t;:::::> :-- - (/ ..,
;- ,
4
3
2
1
Unsatisfactory = 0
Date:
/'-
.:5
~~ ~{JXf-?S';MAxiNE
~~
CorrectionsBureau
I w0 Oth!
~Pcfi'USAL
REVIEW PERIOD
I PERFORMANCE
DATE INITIALS I PROGRESS DATE
PLAN
DISCUSSION
INITIALS
o Probationary
PERFORMANCE GUIDELINES
ACTUALACff.rnVEMENT
(Narrative Comments)
If
llo
5'
(1Q
I. SECURITY
A
B.
c.
D.
E.
14
~
n
t
3
c
D
E
F
G
H
r.
J
K
F.
J.
SUB TOTAL: 33
CATEGORY TOTAL: 11
1 33
111
ftl
~
in'
8'
-<
2
f
OS
e.
c:
a
!>
g:
01'
a-
-<
1
..
PERFORMANCE GUIDELINES
...
..
...
" '
SUP.ERVISION~OF DETAINEES
II.
ACTUAL ACIDEVEMENT
(N~ative Coll?Jllents)
. ..
.. .
..
... .
"S"!;;"
' .....
-..
a.5'
w
t,.,
p,.
OQ
(/)
' P'
'
~..
-1.
-<
..
.,
"~
ii'
"S'
'iil'
"
~
:0
...
A
. 'B
MANNER.
c.
D
E
F
G
:
I
SUB TOTAL: 24
24
CATEGORY TOTAL: 8
-~--
------- - - - - - - - - ----
-- - - - - - - -- - - - - - -
----
---
8
---- - -
---
-----
--
L...
. .
PERfORMANCE GUipELTh.ffi.S
..
. . ..
(Narrative.Gomments)
..
ACWAL AC,J.llzyEMENTS
"'sr
t;t .
lr
'!
- ~
lir
g. .
~
0
...";!
a,.c::: .
It-
iii'
n
0
-<
3
c
o
E
F
G
H
I
'
..
.-
'
..
.. .
SUB TOTAL: 26
24' . 2 '
CATEGORYTOTAL: 9
ACTUAL ACHIEVEMENT
(Nanative Comments)
PERFORMANCE GUIDELINES
,_
N.
A.
Maint~
* --
r::
,!
SANITATION
area of responsibility in a clean and sanitary
. condition.
B.
c.
D.
E.
'
1>.
lt
D
E
SuBTOTAL: 15
..
CATEGORY TOTAL: 5
,.til
r;;
15 '
5"
f1
,.,pro
S"
- ~
~
<t.
"'Sl'
-~
.:!
..
PERFORMANCE GUIDELINES ..
ACTUAL ACHIEVEMENT
(Narrative Comments)
v.
. .
GENERAL OBSERVATIONS
A.
B.
c.
D.
"&r . ~
g
5- l
' Oq
4
PVT. EVANS MAINTAINS STANDARD .OF .
PERSONAL APPEARANCE IN
A
ACCORDANCE WITH DEPARTMENTAL
POLICY AND PROCEDURES.
..,. fOS .
Ul
a.
lil'
n
g-
c:
,.a
fi
e.... .nr.r
8"
'< .
3
'2 ' 1 . 0
c
D
. .
..
. .
..
..
. .
..
.
...
SUB TOTAL: 13
CATEGORYTOTAL: 4
DATE:
. ~-/fJ, 8
*
~~WER'S COM~!~~S~., h:
. L.
j?
.,......-~~
J:/A/~~~o
, ,
Unsatisfactory = 0
Date:
NAME OFEMPLOYE"E
DIVISION
Corrections Bureau
REVIEW PERIOD
04/ 06
IDep. Corrections
Ueputy Corrections Utficer I
Ofc. Trainee, Private
I - .H.OUSING UNIT 5 D-WATCH
CLAss TITLE
cuss c oDE
SECTION. T
TYl'E OF APPRAISAL
D Annual
TO 04/07
PLAN
DATE OFPLAN
I DISCUSSION
PROGRESS
ef.r.vsr&N~EscT. BROWN, c.
DATE
APRIL3, 2007
INITIALS
D Other
nProbationary
PERFORMANCE GUIDELINES
I.
SECURITY
0
c
ACTUAL ACHIEVEMENT
(Narrative Comments)
a
~
~
Oq
14
g>
g:
if
a.p.,"
"'
11)
13
P'
('>
0
-<
c.
D.
D
F
E.
H
I
J
K
F.
G.
J.
CATEGORY TOTAL: 11
I"
11
i;l
"'
12 I 1
c:::
OS.
"'
~"
"'"'
8'
-<
IO
PERFORMANCE GUIDELINES
ACTUALACHrnVEMffiNT
(Narrative Comments)
"5l
!;!"
:>
0..
<1>
0..
0..
<1>
O'l
II.
SUPERVISION OF DETAINEES
A Manages detainees in a firm, but fair manner. Does not
show partiality.
51'
0
""[
"'
n
c::
,~
[;.
51'
::..
0
A
B
c
D
E
F
G
H
c.
(f)
[-
I
I
!
SUB TOTAL: 24
CATEGORY TOTAL: 8
24
8
--
--
PERFORMANCE GUIDELINES
ACTUAL ACHrnVEMENTS
(Narrative Comments)
"!la
"s
Q.
4
PVT. BVANS CONDUCTS HERSELF
PROFESSIONALLY. PVT. EVANS USES
HER COMMUNICATION SKILLS WELL TO
DIFFUSE POTENTIALLY DANGEROUS
SITUATIONS.
cr.
p.
()Q
III.
en
c::
"'eo
;'
"0
A
B
D
E
F
G
H
I
SUB TOTAL: 27
CATEGORY TOTAL: 9
-
27
PERFORMANCE GUIDELINES
ACTUAL ACIITEVEMENT
(Narrative Comments)
"t:rS'
"0..
:;
"'"'0..
"'p..
0'1
IV.
SANITATION
A.
B.
c.
D.
E.
A
B
c
D
SUB TOTAL: 15
- -
CATEGORY TOTAL:
15
5
r.n
ll>
c:
~
~
0
-<
2
,.s::
~
e!.
a:
e:
"'"
0
-<
1
PERFORMANCE GUIDELINES
ACTUALAcrnrnVEMENT
(Narrative Comments)
=
lA
!
::s
p.
.,~
n
II)
p.
II)
p.
v.
GENERAL OBSERVATIONS
A.
c.
D.
SUB TOTAL: 13
CATEGORY TOTAL: 4
a.
"'~
8"
..';!
03.::s
::s
"'"'
[i'
"8"
.:;)
c
D
B.
(J)
1. EXCELLENT F.T.O.
2. FOLLOW POLICY AND PROCEDURES
3. TEAM PLAYER
4. GOOD ATTITUDE
PVT. EVANS IS READY FOR ADVANCEMENT.
CONTINUE TRAINING
DATE:
S - /ULJ.7
4
3
2
1
Unsatisfactory= 0
Date:
$ , /c:J-:07
Corrections Bureau
REVIEW PERIOD
TYPE OF APPRAISAL
0 Almual
05/05
05/06
o Other
TO
0 Probationary
IsEcr
IcLAss coDE
PERFORMANCE GUIDELINES
SUPERVISOR'S NAME
DATEOFPLAN
10
PLAN
PROGRESS
DATE
DISCUSSION
INITIALS
ACTUAL ACHIEVEMENT
(Nanative Comments)
r;r
S"
::1
0..
r
c.
lt
l)q
I. SECURITY
A. Conducts thorough shakedowns.
B.
LP-
A
B
c
D
C.
E
F
D.
J
K
F.
G.
J.
33
SUB TOTAL: 33
CATEGORY TOTAL: 11
I 11
~
[-
c
~
1t
or
-<
1 sII-<
tl'
PERFORMANCE GUIDELINES
0
cr
ACTUALAC~MrnNT
1::
(Narrative Comments)
g:
0.
!"
(j)
"'s:
or
~
f:!.
.Er~ .
I
'
"0
II.
SUPERVISION OF DETAINEES ~
A. Manages detainees in a firm, but fair manner. Does not
show partiality.
4
UPON REPORTING TO HER AREA OF DUTY,
PVT. EVANSALWAYSTAKECHARGE. SHE
NEVER SHOW'S ANY TYPE OF PARTIALITY
TO ANY ONE INMATE OR GROUP.
c.
3
A
B
c
D
E
F
G
H.
SUBTOTAL: 24
CATEGORY TOTAL: 8
24
PERFORMANCE GUIDELINES
<
ACTUALACHrnVEMrnNTS
(Narrative Comments)
"!;!"
g
~
III.
g>
e:jj;'
n
cr
.e:~
j;J'
D
E
F
B.
G
H
I
'
--
-----
---
-- ~
---
---- -
24
ACTUAL ACIDEVEMENT
(Narrative Comm ents)
PERFORMANCE GUIDELINES
=
~
6..
;!'
"
11>
p,
""
Ul
(')
s-
-<
,.
~
!':!..
"'a.
(')
Ci
-<
IV.
SANITATION
A.
B.
. B
c
D
E
D.
E.
SUB TOTAL: 15
15
CATEGORY TOTAL:5
PERFORMANCE GUIDELINES
I
ACTUALAcarnvEMENT
(Nanative Connnents)
g"!0
p..
w
..
~
(1Q
g>
Ef
a'
f}
<;!
v.
GENERAL OBSERVATIONS
A.
Ef
a'
n
6"
.:-.1
c
D
B.
c.
D.
SUB TOTAL: 13
I
-~ ---- - -
CATEGORY TOTAL: 4
---
1. EXCELLENTF.T.O
2. FOLLOW POLICY AND PROCEDURES
3. TEAM PLAYER
4. GOOD ATTITUDE
DATE:
S-3o~D~
Marginal =
Unsatisfactory = 0
Employee's Signature
Date:
t!Jf;
r fCrt\&.;:'~,~~~
~~~
I reviewofappraisalco~ent).
r~l!i. (ffv~Ws~MAXINE
~~~
Corrections Bureau
REVlllW PERIOD
Ol/0'1-
TO 01/05 :
wO Other
IsEcno~OUSING
~JruusAL
UNIT
FIVE -D-WATCH
1 PlAN
DATEOFrLAN
l'ROGREss
DATE
JAN. 5, 2005
INITIALs
1 DISCUSSION
0 Probationary
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(Nanative Comments)
t:
(;!"
r.
l:r
ig_
SECURITY
/\.. Conducts thorough shakedowns.
{J)
Ill
::1.
0
::]
'"'
1.
1
A
K
J
D
E
C.
D.
G
H:
E.
F.
G.
J.
Ill
er-
iil'
.:;j
13.
I.
4
SHE ALWAYS MAINTAIN VERY HIGH
STANDARD DURING SHAKEDOWN.
SUB TOTAL:29
21 I 2
CATEGORY TOTAL: 11
7 I 4
10
..
PERFORMANCE GUIDELINES
II.
(;!"
SUPERVISION OF DETAINEES
A.
.
g
i
0
ACTUAL ACillEVEMENT
(Narrative Comments)
(/)
[..
Iii'
"8"
r...
II
lil'
n
B"
c
D
E
F
G
H
SUB TOTAL: 24
'
CATEGORY TOTAL:8
24
8
'
...
r- - PERFORMANCE GUIDELINES
ACTUAL ACIDEVEMENTS
(Narra tive Comments)
r;r
"g
i
!TT.
"'B..
B..
..It-
Ul
it'
8"
rr
;;r
!l
0
::!
A
B
c
D
~
n
E
F
G
H
I
I.
27
9
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(Narrative Comments)
t:
.j.
Q1
(/)
"'~-
01'
Er
.!;!
~
"'
['
01'
a.!;!
'
IV.
'
SANITATION
'
A.
B.
.0
A
B
c
D
E
E.
'
'
i
,
.'
SUB TOTAL: 15
CATEGORY TOTAL: 5
15
'
--
ACTUAL ACHIEVEMENT
(Narra.tive Comments)
PERFORMANCE GUIDELINES
~
or
:>
~
()q
lir
~
~
g>
8'
c.
,.~
[-
01'
8;\
'
!
V. CENP.RALOBSERV.ATIONS
A.
H.
c.
D. D-WATCHSUPERVISORSSENSETHATPVf.
EVANS SUPPORT THE GOAL AND OBJECTIVES OF
TillS DEPARTMENT, BASE ON THE MANNER IN
WHICH SHE PERFORMS HER ASSIGNED DUTIES.
I
I
Bure<tu.
!
!
-------
------
--
-------
-----
------
SUBTOTAL:ll
CATEGORY TOTAL: 4
1. LEADERSHIP SKILLS
DO TO A HOME INJURY PVT. EVANS WAS UNABLE Tcp' WORK FOR SEVERAL
MONTH!"! LOOK FOR HER TO MAINTAIN HER ATTENDANCE BEFORE SHE WAS
I
INJURED.
2. INITIATIVE
3. ADMINISTRATIVE SKILLS
DATE>
5-
,-oS
Outstanding "" 4
Exceeds=
3
Satisfactory = 2
Marginal=
1
Unsatisfactory = 0
Employee's Sigllahuc
Date:
~ss TITLE
NAlltE OF EMPLOYEE
J~
DIVISION
Corrections Bureau
th
o 0 er
REVIEW PERIOD
TIP!' OF AJ,'PRAISJU,
04/2003 TO 04/2004
0 Probationary
X. Annual
SECTION
PERFORMANCE DATE
PLAN
PERFORMANCE GUIDELINES
INITIALS
ED
042104
fSDi>ER.visoR.'s NA~IE
CAPT. E . DAVIS/SGT. D. JOHNSON
cLAss coDE
DATE OF PLAN
04/21/04
PROGRESS
DATE
DISCUSSION
INITIALS
ED
042104
ACTUAL ACHIEVEMENT
(Narrative Comments)
042704
t11
It
..,X
"nc.
g_
SECURJTY
A. Conducts thorough shakedowns.
B.
c.
D.
E.
F.
G.
fr
2
A
IB
IC
ID
IE
I
jG
I
I
IH
"'c-.
en
'<
""
I.
rn
IF
H.
I.
1.
II
I1
K
SUB TOTAL:
16
CATEGORY TOTAL:
c:!
[q;
"'a0
ACTUAL ACHIEVEMENT
PERFORMANCE GUIDELINES
(Narrative Comments)
=
or
s-
tr1
n
SUPERVISION OF DETAINEES
A. Manages detainees in a fum, but fair manner. Does not
show partiality.
NIA
Cll
c..
c..
6"
II.
.,a.
.,"'
"R
c::
~
~
&.
~-
'<
8'
'<
E
F
H
F. Refers all matters that are beyond their scope of authority
to the proper person(s).
G. Possesses a "Take Charge" attitude when assuming post.
Provides the detainees with the proper role-model to
pattern their behavior.
H. Maintains a professional bearing with all detainees at all
times.
'
.
SUBTOTAL:
CATEGORY TOTAL:
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENTS
(Narrative Comments)
2
~
a,
Cl
""
III.
.."
n
0..
"
Q.
.."'g. !
"
;;;>
E.
E.
F
H
--------
----------
~--
------
~.
"'
rr0
PVT.EVANSCON.WLETESTHOROUGH
REPORT AND MAINTAINS HER ASSIGNED
AREA IN A ORGANIZED MANNER.
c:
t>
SUB TOTAL:
14
CATEGORY TOTAL:
PERFORMANCE GUIDELINES
N.
ACTUAL ACHIEVEMENT
(Narrative Comments)
SANITATION
A.
B.
0
c
tl'
~
~
""
n
p.
en
";;>~n
g
2
c.
D
E
SUBTOTAL:
CATEGORY TOTAL:
~-e.
c::
;1
"'"'g.
;:;>
I3
:s:
PERFORMANCE GUIDELINES
ACfUAL ACHIEVEMENT
(Narrative Comments)
0
c:
rz....
0.
;::;
rr1
Ul
c:;;
S>
n
C>
"'C>
Q.
Q.
Monitors the internal and external security systems (cameras and alarms).
Takes appropriate action to ensure that all systems areFfunctioning properly.
B.
c.
E
PVT. EVANS IS WORKING TOWARDS
DEVELOPING HER KNOWLEDGE OF THE
DEPARTMENTS RESOURCES.
A. Effective operates all electronic doors, slides, and gates within the
facility/unit.. Does not cause lengthy or unnecessary waiting.
H. Maintains control and security within the visitation area. Alerts the
supervisor in the event of an emergency or other incidents.
SU! TOTAL:
CATEGORY TOTAL:
ct.!! .
::1
E!.
c:
::1
"'
'"~-
OJ>
0
OQ
SUPPLEMENTAL
15
PERFORMANCE GUIDELINES
v.
ACTUAL ACHIEVEMENT
(Narrative Comments)
0c
r;r
ll"
Q.
S'
t:l-,
..
4
GENERAL OBSERVATIONS
"
..
Cl>
<7.
[
0
-<
'
s::
~e.
II
Q
0
I
A.
B.
c.
D.
c
D
'
l-~-
I
1
SUBTOTAL:
CATEGORY TOTAL:
IMPROVE ATTENDANCE.
NEEDS TO DISPLAY PRODUCTIVE ASSERTIVENESS.
CONTINUE TO FAMILIARIZE POLICY AND PROCEDURES AND ITS
PRACTICAL APPLICATION.
PVT. EVANS HAS BEEN INVOLVED IN INSTANCES IN THE LAST YEAR
AND HAS RECEIVED DISCIPLINARY ACTIONS ON EACH.
SUPERVOSOcrl:~
.......
....__/
DATE:
i! /oz&_
Unsatisfactory= 0
Dale:
--
NAM E OF EMPLOYEE
Evans, Maxine
DIVISION
CLASS TITLE
Correctrons Bureau
I
REVIEW PERIOD
05/02
TO
05/03
TYPE OF APP~AJSAL
XD Annual
0
ISECTION
I
Other
CLASS CODE
DATEOFPLAN
PROGRESS
DATE
DISCUSSION
INITIALS
o Probationary
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENT
(Narrative Comments)
~
:I
a.
:;
Ul
[11
~-
~
a.
n
a.
;;;>
n
0
.:.;;!
""
T.
SECURITY
13 12
A
B.
C.
D.
E.
F.
G.
J.
5'
2!.
:I
f?
-<
..
3::
ri3
SUBTOTAL:
15 I 12
CATEGORY TOTAL:
05 I 06
I 1
ACTUAL ACHIEVEMENT
(Narrative Comments)
"0.
5"
."
l'l'J
<>
"~
0.
;;;
;;;>
...,
0
"~
5"
!!!.
.::1
ll"Q
C
::0
'
;;>
n
0
.::1
!I.
SUPERVISION OF DETAINEES
A. Manages detainees in a fmn, but fair manner. Does not
show. partiality.
..
c.
B
-'
SUB TOTAL:
09
10
CATEGORY TOTAL:
03
05
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENTS
(Narrative Comments)
;;;
:;-
m
X
en
!:
c.
...
"0-
""
HI.
~-
.,e:
a.
~
0
-<
3
c.
F.
I.
--
I
SUBTOTAL:
15
08
CATEGORY TOTAL:
05
04
---
ACTUAL ACHIEVEMENT
(Narrative Comments)
PERFORMANCE GUIDELINES
0
~
g
0.
5'
"n
Q.
0.
(I)
i'
0
0
:;;::
e:
"":;
e!.
.:2
OQ
c: '
;;;
a.
i'
0
0
Q
IV.
SANITATION
A.
B.
C.
..;..
D.
E.
SUBTOTAL:
CAT EGORY TOTAL :
-----------
06
06
02
03
ACTUAL ACHIEVEMENT
(Narrative Comments)
PERFORMANCE GUIDELINES
tr1
0
c:
fir
(')
(b
'
"'c.c.<>
c.
:;
oo
p;>
(')
0
3:::
~
(JQ
:;
E:..
c:
""'"'
v;
o;>
n
0
.:<!
SUPPLEMENTAL
tl)
~
v;
i
!
Effectively operates all electronic doors, slides and gates within the facility/unit.
Does not cause lengthy or unnecessary waiting.
B.
Monitors the internal and external security systems (cameras and alarms). Takes
appropriate action to ensure that all systems are functioning properly.
C.
D.
Issues keys, radios and other assigned equipment according to Policy and
Procedures.
E.
F.
G.
Maintains a professional image when dealing directly with the public. Ensures
that all visitors are provided information, when requested, regarding visitation
schcdllles, and directs the visitor to other sections/persons for additional
information, when needed.
H.
Maintains control and security within the visitation area. Alerts the supervisor in
the event of an emergency or other incidents.
I-I
.,.
---- ----
SUBTOTAL:
12
08
CATEGORY TOTAL:
04
04
PERFORMANCE GUIDELINES
2
-
ACTUAL ACHIEVEMENT
(Narrative Comments)
lfr
V.
GENERAL OBSERVATIONS
A.
!;;'
n
::
g:
g>
s;:
~
'!:.
!!!
c .
B.
C.
D.
o
Pvt. Evans is very supportive ofthe mission
at hand and makes every attempt to improve
herself.
..
'
: ;
.
.,.: ...
'
.. . .
:
SUB TOTAL: -.
CATEGORYTOTAL:
"
!:
. 09
92
03
01
6
<
DATE:
REVIEWER'S COMfvlENTS
4
3
2
1
Unsatisfactory
45
::o
Date:
()5':?.203
te agreement with appraisal, b ut documents
t).
oa-~/-D3
"T
SUPER_.XISOR"S NAME
t=r.
-7'
Sl:RJON
L.Ls.d-
~'1)$1S
TYPE OF APPRAISAL
REVIEW PERIOD
ID4ko ~ o
telor
Annual
o Other
o Probationary
PERFORrv1.Al.~CE
l
I
K~l~
Dt..1
PROGRESS
DArE
DISCUSSION
INII1AtS
D$~\0{
ACfUAL AOIIEVEMENT
(Na.rrative Comments)
GUIDELINES
a-
iii
~
If
::J
'-
""
'
1. - SECURITY . -
~13::
~
?!
i'
n
2..
13
~
:s
!!..
c
~
;;:
;or
1:
"'5"
-<
0
(c
..
I~
E.
F.
G.
(
,I&-
----1
H.
I.
rt
K.
r1
IlL
?~
I(
;~
,:0:,~
,;:-.,: :;:,
,.:'
II.
--
SUPERVISION OF DETAINEES
.:' '
..
..
I~
..
..
. ...
.. .
..
!r
~
rr
"
..
- ~ -
-- --
'~
..
.H.
..........-
'
F.
,;.
l!i
.-
E.
.. .. .
..
c.
- .-
. .... ..
SUB TOTAL:
CATEGORY TOTAL:
1/0
..
~.:.,:.
:..
._
PERFORMANCE GUIDELINES
ACTUAL ACHIEVEMENTS
(Narrative Comments)
.
'
"'
!f
""
...
-~-
;:l
c.
. .
(/)
ttl
.:
IT
c.
~
:r
"0
~
~
..
B.. Otannels matters that are beyond their scope of authority to the
appropriate person(s) for handling.
c.
..
-- ---
..
. ..
tt;
'
..
.
L_
..
--..
--
- - ~..:.,..
':
. .
.practices.
I.
..
. .-
;:-
.. .
E. . Presents self-image to the public that is professional and positive for the
Department.
c::
.a
H.
~;
Cq
,:!:
...
SUBTOTAL:
CATEGORY TOTAL:
-,....
...
13
"10( .
.. .
PERFORMANCE GUIDELINES
IV.
rr
i3.
!r .
::2
..
0..
:;
-D.
--
. ..
~
. '
ii'
0'"'
~
..
.,
'b
~
'
.. . .. . ..
~
/
~-.'
. '
..
'
'\ .
,.
&
...
..
..
-.
timely manner.
.
E
c:
a..
~-
c.
"'
co:;
;;-
..
. .
"0
""
SANITATION
B.
..!i':n
1r
....
ACfUAL A~IENT
(Narrative Comments)
'
..
..
..
' -
'
'
'
...
--
':
..
.'
-- .. -
..
.. ..
'
.--,
SUBTOTAL:
/C
CATEGORY TOTAL:
.,
-.
PERFORMANCE GUIDELINES
ACTUAL ACHIEVThfENT
(Narrative Comments)
c
10
ff
..
:l
c..
:r
v.
GENERAL OBSERVATIONS
....
:f)
,.,lr
~
c:
i'
"0
B.
If
'
...
--
..
SUBTOTAL:
CATEGOR.Y TOTAL:
h .
...... .
";;
fj
D.
lk
""
i'
.:;;
c.
:!.
A.
..3: ~
:;-
;(
()s:::c..
~~.\\s .
A-{(~bMJC!L ~~ ~r(...,~a-
J-l.e<-
o\JeL-'1;((
~t-<{)o~~
., ~
cs.~rrr~-
.:C.
L.Uot~l~
h~\s I~ ~ M~~
kT 1\
'4
.
\o
00..(
Q. -~~~ ~ 1;::A~L,..c.t.-~A.\(!
\~
.("-)..1'3
f'
Outstanding =
Exceeds=
Satisfactory =
Marginal =
3
2
1
Unsatisfactory = 0
Date:
{),S;;J.; & I
Evans, Maxine
SECTION
REVIEW PERIOD
DATE OF PLAN
Housing Unit 5
Corrections Bureau
04-30-13
TYPE OF APPRAISAL
('} Annual
PLAN
( ) Other
()Probationary
TO 04-13
SUPERVISOR NAME
Corporal
DIVISION
04-12
CLASS CODE
04-30-13
JB/BG
DATE OF APPRAISAL
SESSION
JB/BG
PERFORMANCE GUIDELINES
-r
"'
I.
"'~
~
t>1
"'~
(iJ
I~
ACTUAL ACHIEVEMENT
(NARRATIVE COMMENTS)
~
:;.!
"'
n
"~ ~
"'~
SECURITY
A. Ensures that shakedowns and security inspections are conducted thoroughly and in a Cpl. Evans consistently supervises and
timely manner.
I 4.
lA
c
D
E
-.- F. Immediately reports security violations to the supervisor. Ensures that appropriate
- G. Remains alert for and respond to incidents in an appropriate manner. Ensures that
required reports are filed and submitted in a timely manner.
7
24
I4
12
I 12
PERFORMANCE GUIDELINES
i
'
t%1
!Z
~
>-!
0
"l
i>
Cl
(J)
Cl
(")
t:l
"'~
gj
t:l
(")
ACTUAL ACHIEVEMENT
(NARRATIVE COMMENTS)
:::
(J)
:><
A
B
performance.
G. Refers all matters that are beyond their scope of authority to the proper person(s).
SUBTOTAL:
CATEGORY TOTAL:
23
15
PERFORMANCE GUIDELINES
- _.
(")
l.'d
t:l
el
el
l.'d
el
IDlSSlOll.
communications between the staff, staff and inmates, staff and supervisors and
management. Responds readily and in a non-intimidating manner to request for additional
c
D
E
F
G
H. Completes accurate, thorough, and intelligible reports. Conducts information gathering for
- '
E. Presents self-images to the public that is professional and positive for the Department.
Conducts appropriate follow-up.
(")
"'~
"l
"
A. Greets the public in a courteous manner. Makes every attempt to resolve issues and handle
1><1
ACTUAL ACHIEVEMENT
(NARRATIVE COMMENTS)
"' ~
~ ~
>
..., ~
0
1:11
Administrative Rep01ts in a timely manner and forwards them to the proper person(s).
I.
J.
Ensures that reports being submitted by staff are complete and appropriate to the incident.
11
CATEGORY TOTAL:
25
16
PERFORMANCE GUIDELINES
('}
ttl
ttl
~
('}
t::)
..,
ttl
t:l
t::)
{ll
IV. SANITATION
~I
~ E
ACTUAL ACHIEVEMENT
(NARRATIVE COMMENTS)
{ll
"'
~I
I
I
A. Ensures that assigned area of responsibility is kept clean and sanitary at all
times.
A
B
E. Promotes and insists upon the need to maintain a clean and sanitary
environment.
SUBTOTAL:
CATEGORY TOTAL:
13
10
ACTUAL ACHIEVEMENT
PERFORMANCE GUIDELINES
~
&1
t>l
(NARRATIVE COMMENTS)
t>l
tl
'
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V. GENERAL OBSERVATIONS
~
~
0
tl
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~
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C. Is familiar with and complies with Departmental Policies and Procedures.
D. Supports and promotes the goals, objectives, and philosophies of the
Department and the Corrections Bureau.
'
..
..
. .
SUBTOTAL:
CATEGORY TOTAL:
13
4"
2.80
/.
35
<it 7
Marginal = 1
Unsatisfactory = 0
** Employee's Signatute
~J
!J . .
~~(lv-
u,4J~
~.'/,A_()
c:.,.,,t.lrt..'1
Date:
~7.:Z/U
(*Signature doe~ not indicate agreement with appraisal, but documents
I L'""''~u- L ~~
tj
._-1 - - 1 , -
1 reviewofappraisalcontent).
::t
. ..
CHATHAM
COUNTY
SHERIFF'S DEPARTMENT
.
.
PERFORMANCE PLANNING AND APPRAISAL FORIVI
NA.ME OF EMI'lOYEJ A
._
'E"'v~6~ , v\AXr-N(.%'
"'~
DIVISION
kJ3ep. Cori'eaions
Ueputy Lorrections Utficer
.Qfc.
as~ TITLE
Trame~rivate
'
j CL\ SS coDE
..- ..
SUPERVISOR'S NAM~
IL-r . ROoJ.-...\"
DATE OF PLAN
SECilON
L
. ~~OF APPRAISAL
REVIEW PERlOD
q4/of::, - Jo/vo
\W'"Annual
o Other
P"6obationary ~ t't~-
PROGRESS
DATE
DISCUSSION
INITIAlS
ACTUAL ACIIIEV"mviENT
(Narrative Comments)
0
a-
r:
li"
1.
SECURITY
.
4
F.
H.
'I
}t
l:r:
I~
J:
.,j
.}(
,_ -: -
rP
....
- ..
~~
~
;'
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{;:!
I.
K.
c
~
!!..
Pr~ctices
:r
~
b
E.
"
~
~
B.
!;;'
a.
&.
5'
&'
lr
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A;
-:! '.~
.'
'
D.
'
:
i
t:
..
c.
..
.. ...
..
..
~ ,
. H.
rt
..
.. .
. .
. .-
..
CATEGORY TOTAL:
~-- -
-- - -
IJI,
5Ul3 TOTAL:
..
'<;[
-(.
"'-.~
'.
~
;:..:
,
r.
ACTUAL ACHIEVEMENTS
(Nanative Comments)
PERFORMANCE GUIDELINES
lr '
Cl'
II'
::J
9:-
t:
;~ -
""
B.
c.
..
:l
0
::J
III.
en
"
!I
;c
c;'"
.g
:l
~-
..
If
"
k
I
D.
E.
F.
G.
~
I{
I.
..
Presents self-image to the public that is professional and positive for the
Department.
,-:r
~-
---
--
..
: ~ ..:.
._
- ..
..
-.
..
.-
SUBTOTAL:
JZ
CATEGORY TOTAL:
10
ACfUAL AOIIEVEMENT
(Narrative Comments)
PERFORMANCE-GUIDELINES
-~ -
cr
i
3.
If
::J
Q.,
:r
SANITATION
A.
B.
c.
D.
..
Completes sanitation
tas~
3:
"'
CQ
fi-
s~
-<
""
IV.
ir
;-
~
ii"
;-
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-<
B
~
. .
..
in a timely manner.
.,
'
..
-
-
..
.
.
I
..
..
.
..
--
..
.,
.. :
.
:
' .
-
SUB TOTAL:
CATEGORY TOTAL:
--~
ilrJ
5
<
.I
J(
r-
PERFORMANCE GUIDELINES
0
c
ACfUAL ACHIEVEMENf
(Narrative Comments)
w lrg:
,. .l ..
&.
3..
!t
3'
C!Q
v.
GENERAL OBSERVATIONS
.-
..
c.
:1
~
:f
i"
3-
: -<
1
....
B.
g.
-<
3::
"
e3.
A.
i'
\02-
-,----~~~. ~~e.J
~\l-e....-r ~~u:z__
fj
~(,LLS ~(~~~ ~~
t-
l)
.
..
..
.
'
..
.,
..
..
.
...
..
..
'
SUBTOTAL: .
\.;':
CATEGORY TOTAL:
'
-:3
{p
I 3
~=foFo-- '"'""
;J~ ~tc:.=..
VFc:. uA45
h.deVQ-
k"r~ :
k.
CR-rf; ~ -to~~
~ ("0">1-n~o'6 &~
_j.
..:5 k
ft> ~a
f_l...Q.Qe$
*'
':flf(.UJ?.J
sm
~fljv
;oZ,rJ?C?
Outstanding=Exceeds"'
Satisfactory =Marginal "' ..
4:
3
2
1
Unsatisfactory= 0
J.
/ 1-?o oa
/ .
DETENTION CENTER
07/5113:
STEP: 9
.-"""
/ .
~ )
PERSONNEL ACTION AND PAYROLL FORMI
EEOC Number
----------------------------------
1
~
~\\}.J
~-)
New Hire'
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish Existing Position
Reinstatement
Return from Leave
Promotion'
Name Change
Demotion
Create New Position
Other (please describ e)
\~
CLASSIFICATION/TITLE
Present
Dt?!J.
S1t<.!)Jf:f / Cpl .
PAY
GRADE
DEPT. #/CLASSIFICATION#/POSITION#
ANNUAL
SALARY
i32
3326/3055 /215
4'3,146.48
HOURLY
RATE
HRS.PER
WORKWEEK
:w. 7435
40
Recommended
NEW EMPLOYEE: Has this person previously been employed by the County?_ No_Yes
Previous Status/Title: ----------------------------------------------------------------Name of; person last occupying this postition ----------- ------------------------------- - - - REASON FOR ACTION: (To b e completed in all types of action except new employee)
./- 1 r
I 1
I _,. .'
',
/ (f.!_11(r,
. ~\:t;/;;;;.=r-1='r- '...----.f_:.~{_-.
' -'-__'{_,__.-e_..,_-"-_
____ Date ,;-,_(' (/
I
Signed___
Depprtmenl He ad
/'
Date
County Manager
I (FT)
I PT
'
P ay Status
~_91)
~EQ
SE,t\S
G~
TEMP
NONCL HALY
MON
a;
.,
.)
IY:! --
-...... -
.. ~
EEOC Number
----------------------
New Hire
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish Existing Position
Reinstatement
Return from Leave
Promotion
Name Change
Demotion
Create New Position
Other (please describe)
CLASSIFICATION/TITLE
Present
Dep. Sheriff/Cpl.
PAY
GRADE
DEPT. 11/CLASSIFICATION#/POSITION#
ANNUAL
SALARY
82
3326/3055/215
43,146 . 48
HOURLY
HAS. PER
WORKWEEK
RATE
20.7435
40
Recommended
Date of Employment (if other thaN New Hire)____4_-_1_0_-_0_0_____________________
Date of Next Merit Increase-- - -- - - - NEW EMPLOYEE: Has this person previously been employed by the County?_ No_Yes
Previous Status/Title:---- - - - - - - - - - -- - - - -- - -- - -- - - - - - - - Name of person last occupying this postition --------------~----------
REASON FOR ACTION: (To be completed in all types of action except new employee)
No longer eligible to receive incentive pay, effective May 21, 2012 .
Approved _ _ _ Disapproved _ __
County Manager
Date
Date
Date _ _ __ _
Date
P os1t1on an dP ay S latus
I
I
FT
PT
REGL
ELEC
SEAS
CLAS
TEMP
NONCL HRLY
MON
B/W
-- ,
~ --
- --
.,.. __
-~
..- - -
- -- --- - ...---
..
/ ,'
'l hv
:]
!{
f\
EEOC Number
-----------------------------
New Hire
Temporary/Seasonal Employment
Salary Adj ustment
Merit
Transfer
Reclassification
Abolish Existing Position
Reinstatement
Return from Leave
Promotion
Name Change
Demotion
Create New Position
Other (please describe)
PAY
GRADE
CLASSIFICATION/TITLE
Present
Recommended
DEPT. #/CLASSIFICATION#/POSITION#
81
82
3326/SOSS/215
,,
ANNUA L
SALARY
HOURLY
HAS. PER
WORKWEEK
1 RATE
~lltiL Jjjj-j;f}'.
~
42 , z99-
I I --.z I . , I
/""--' I I '-,(. \'1
40
,..., }S
fll l '\
/1.
"-'\11
( cL, -~-- e
40
'
...\..; )
~-
NEW EMPLOYEE: Has this person previously been employed by the County?_ No_Yes
\t}f ~~-::1c
Previous Status/Title: ----------------------------------------------------------------Name of person last occupying this postition _________.'-'ll '--'
c >_,_,_
,,~~...._l""'
."l"'
'''---'H-'-'1'-'-.~".1l
'-'_,_,r.....,l..:.:
' 'c...
.:n""'d
,..
- - - - - - - - -- - -- -- - - -- --
REASON FOR ACTION: (To be completed in all types of action except new employee)
Emp loy.:!.:! p1:omo ted i:o t he r ank of Corpora)., effect:J.ve Ja11u.:u::;.r 10, 2009
County Manager
Date
J ;,y:;
ij ./iI
~~ I <
Date
j r'i~! ,/r)j
1/F-f-\
1--p:r--'"'
,-RE:Gl:.)
ELEC
MON
-~-yPJ\-: =:--r_
- ,
I \ ~ --~ --~ t
.. .
\ '\o 3 1/ t (
I
'
I )
EMPNO:
$17.0339
$17.3746
STEP 9
1373
Department Name/Number---------------------------------------------------------;~~----------------
Haxine
Ev~ns
,_3_~w.._,'.S_. !. . __ _ _ __
EEOC Number
----------------------------I8_,_z_o_o_s____ _
Re-Employment
Leave Without Pay
l,.eqve of Absence
Military Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave
.j
Reinstatement
Return from Leave
Promotion
Name Change
Demotion
Create New Position
Other (p lease describe)
CLASSIFICATION/TITLE
Present
PAY
GRADE
ANNUAL
SALARY
DEPT. #/CLASSIFICATION#/POSITION#
302
3326/3053/213
HOURLY
RATE
1':\ SM ?fl
HAS. PER
WORKWEEK
40
16. 1511
Recommended
No_Yes
REASON FOR ACTION: (To be completed in all types of action except new employee)
~Incen tive
pay -
~TO
Coun ty Manager
Dale
m,1-;::r ;/ .Dzpmved~
I
Human 9 c es Director
' Ob
Date
~.}!~)
I Fi--.t
Rev. 4/90
\ AIUITC::
Date
f>:'-.._ Date
Jan
p. 1
11 OS 02:28p
Inter-Office Correspondence
Date:
Dec.
From:
To:
Subject:
8~2005
Thank you for your interest in the FTO program and effective December 18,
2005, you will fill the position of Facility Training Officer for Housing Unit 5.
If you have any questions, you may contact me at ext. 7795.
cc:
Colonel
Majors
Captains
Unit Manager
Stephanie Parker
INTER-OFFICE CORRESPONDENCE
A pay parity analysis was conducted by the staff from the Sheriffs Department andHuman Resources. Based upon the results of this analysis~ your salary has been
~
adjusted. Your pay increase will be reflected in your February 11, 2005.
c:
$14.7449
$30,669
$15.6351
$32,521
\._
r.
/ ,I
EEOC Number
-----------------------------
Reinstatement
Return lrom Leave
Promotion
Name Change
Demotion
Create New Position
Other (please describe)
Re-Employment"
Leave Without Pay
Leave of Absence
Military Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave
CLASSIFICATION/TITLE
Present n ..... ,. .
-r
Cl-~ -l-1'-F /
Recommended
..... -- - '
--
A;t,.
PAY
GRADE
~:i
ANNUAL
SAlARY
DEPT. #/CLASSIFICATION#/POSITION#
__ ._ ,
.'
~~~~7~.,
HOURLY
RATE
HRS.PER
WORKWEEK
y.ss ',/-
-1/.. .. ~
--
t,.fl
-
REASON FOR ACTION: (To be completed in all types of action except new employee)
= see
att a ched
' //-'
/.j' /
County Manager
Date
--\~~-~,,
0\ ,.'( .
Date o _ b
1.\ . ,
r~-8-T-". st=~
TEMP \N<:>N6 t
FiRtY
GOLDENROD
_)
;'
- ---------
------------------------
Effective Date _ _ _ _
4/:._2_6....:/:.::.0_4_ _ _ _ _ __
Re-Employment
Leave Without Pay
Leave of Absence
Mili~ary Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave
Reinstatement
Return from Leave
Promotion
Name Change '
Demotion
Create New Position
Other (please describe)
PAY
GRADE
CLASS IFICATION!TITLE
Present
Recommendedn,n
~hP r; .C f
I Aihr
DEPT. #/CLASSIFICATION#/POSITION#
_1.
ANNUAL
SALARY
HOURLY
.IPJ.TfL ......
HAS. PER
WORKWEEK
3022
3326/3053/213
29 ,~
14-~ 40
'iO?
~1?h/~0') 1 /? 1 1
?Q 77n
IL.. o:tb1
. I
Af)
REASON FOR ACTION: (To be completed in all types of action except new employee)
Empl oyee
b eing
~at~h":?_\ C /
//\....
//
6ate.' ) / ' / \
I
PT
D Biweekly Salary
SSN: .
HOURLY RATE:
$14.0377
01/03/04:
HOURLYRATE:
$14.3123
INCENTIVE:
AMOUNT:
STEP 3
-----
Type of Action
Reinstatement
Return from Leave
Promot ion
Name Change
Demotion
Create New Position
Other {please describe)
Re-Employment
Leave Without Pay
Leave of Absence
Military Leave
[v1~ternity Leave
Workers' Compensation Leave
Educational Leave
PAY
GRADE
CLASS! FICATIONITITLE
Present
ANNUAL
SALARY
14 . 0 377
29,1 9 8
3326/ 3 053/21 3
302
HAS. PER
WORKWEEK
HOURLY
RAT E
40
Recommended
REASON FOR ACTION: (To be completed in all types of action except new employee)
jk.
County Manager
Dale
Dale
Date/Cf-.t~
__ ).
c-,
\r'dAr\"'.,.\/i
__::::..~~;'
tl~,
v--- Date,f /; I "!LJ c r(_
/( l
Date
.-
1Oj ~
Pay Status
L.J>: ~ ELEC Jt10N.._
PT
SEAS, ..C LAS~ B/W
.0
TEMP
NONCL HRLY
"nC C "I
CANARY
GOLDENROD
u .. ....,~n
R~=~~~nurces
. - 1
(j
PERSONNEL ACTION AND PAYROLL FORM
CHATHAM COUNTY, GEORGIA
TO: Human Resources Department
DepartmentName/Number _________
C_h_a_t_h_n_m__C_o_u_u_t~y__J_a_i_l_/_3_3_2_6________________________________________
Employee Name ___l_
1_
a_
x_i_n_e__v_a_n_s_~- - - - -- - - - - - -
Employee Number - - - - - - - - - - - - - -
EEOC Number
Type of Action
---------------------------10/ 12/ 03
--~-------------------------
New Hire
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish Exi ~ting Position
Reinstatement
Return from Leave
Promotion
Name change
Demotion
Create New Position
Other (please describe)
CLASSIFICATION/TITLE
Present Dep.
Sheriff/ Adv
PAY
GRADE
ANNUAL
SALARY
DEPT. #/CLASSIFICATION#/POSITION#
302
HAS. PER
WORK WEEK
HOURLY
RATE
3326/3053/213
" I
Recommended
/ I "'-'
Date of Employment (if other thaN New Hire)._____....:t~.!.../-=1-=0.!.../-=0-=0~----------------Date of Next Merit I n c r e a s e - - - - - - - - NEW EMPLOYEE: Has this person previously been employed by the County?_ No_Yes
Previous StatusfTitle: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Name of person last occupying this p o s t i l i o n - - - - - - - - - - - - - - - - - - - - - - - - - - -
REASON FOR ACTION: (To be completed in all types of action except new employee)
Employee on suspens ion f rom 10/ 12/ 03- 10/25 /03 (80 hours ).
County Manager
Date
Sec
a ttach~ d
let ter.
Approved
~Disapproved
_____
L ..
=7---'';:';~
,-/..i!.'.,-~-- Date
Finance Department/Budget -Funds Available _____________________ _~
'~JL_
Date\
o:\
/, J I i.'/ -"Jo:J
1/LJ JJ3
\ \~ .
r
r
....-....
~Rev--~
CANARY
GOLDENROD
---- o ........... , ...,..oc:::
()
PERSONNEL ACTION AND PAYROLL FORM
CHATHAM COUNTY, GEORGIA
TO: Human Resources Department
DepartmentName/Number _____________
C_h_a_t_h_a_m__C_o_u_u_t~;__J_~_i_l_/_3_3_2_6____________________________________
Employee Name _____
H_
a_
:~_
i_n_I2_C_
,_
ra
_1_
1:.,
_
____ __
.__~oc
Number
---------------~
-------------------
- -- - -
New Hire /
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassific ation
Abolish Existing Position
Re-Employment
Leave Without Pay
Leave of Absence
Military Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave
Reinstatement
Return from Leave
Promotion
Name Change
Demotion
Create New Position
Other (please describe)
CLASSIFICATION/TITLE
Present
RecommendedJep .
PAY
GRADE
ANNUAL
SALARY
DEPT. #/ CLASSIFICATION#/POSITION#
HAS. PER
WORK WEEK
HOURLY
RATE
302
3336/ 3053/213
28,231
13 . 5725
40
302
3326 /305 3/ 11 3
28, 795
1338439
40
_ _ __ _ _
Date of Next Merit Increase ---------- - ---NEW EMPLOYEE: Has this person previously been employed by the County? __ No_
Yes
Previous Status/Title: - - -- - - - - - - - - - - - -- - - ------ - - - - - - - - - - - - - - Name of person last occupying this postition - - - - ---- -- -- - -- - - - - - - - - - - -
REASON FOR ACTION: (To be completed in all types of action except new employee)
County Manager
Date
Human Resourc7\D1rector
Date
frJ.~ 7,( V
l)C_:.
Date
L / '"2.1 -
-J
TEMP
rilo'NCL
HRLY
\ \
(3
1, 5 \
Pension Effective D a t e - - - - - - -
D~~artm~~~a~~NumbM~~~~~~~-C~~--a~tl_l_~
_~C~o~u_n_t_.y~-J_a_~_l_/_3~3~1_6~~~~~~~~~~~~~~~~~~.-.. ~.
. ~n,ployee "Name ~~-M
...a_~_<_
i~
n e~E..,.v-'q:....ra_s-'.~......,..:...__~~~~~---,~-
Type at Action..:.~--'--t>_lo_d_u~l,_e-;-I_n_e_"r_e_a:....s.::.e'---~~~~___,~-
New Hire .
temporary/Seasqnal Employment ,
Sal?ry Adjustin~nt
Merit
. Transfer
R~cl;;ssific,ation , . . .
Abolis~ Existing i?osition
;Erripioyment Applic~~i~n M
us\
. . Be Attached '
Reinstat'ememt
Return froni i..~ave
Promotion
Name Change
t
, ' :
Demotion
. Create New Position
Other (please describe)' . ,
..
' .
PAY
GRADE
CLASSIFICATIONfTITLE
, ._ .
. .
ANNUAL
SALARY
DEPT. lt/CLASSIFICATION#/POSITION#
HOURLY
RATE
HAS. PER
WORKWEEK
Present Deu.
Sher if f
301
26, 1+36
12.7095
40
Recommended
De p. Shedff / Adv
302
3326/305"3/213
27,759
13 .3457
40
. :~.-. .
thi~ po~tit(6.~,...'-'~_;_-,-.,..:....~-,---,.:-""'-~~-~......,----,-:.....:...-'--"-~~-:-~-,-
RI;ASON FOR ACTION': (To be completed in-' <:ill types of a<;:tion except new employee)
~
I'
'.
..
'
..
t o adv:Jll~e
,
. ,-
County Manager
Date
lftJ
...
WHITE
'
v'l::' -
. '
TEMP
FOR
DEPARTMENT
USE ONLy
. HUMAN
. . . ' RESOURCES
.
.
..
.
.
I..
..
dkt, .
"
Bi~eekly S_alarY
... .
NONCL HRLY
' . : ~.
(:;RFFN .
. ;-:j.
\
CHATHAM COUNTY - NOTICE OF SALARY CHANGE'
EFFECTIVE JUNE 23, 2001, YOUR HOURLY RATE WILL BE INCREASED BY
3.2 % TO REFLECT A COST OF LIVING ADJUSTMENT. YOUR CURRENT POSITION
DATA IS SHOWN BELOW AS WELL AS YOUR NEW PAY RATE.
EMPLOYEE NAME: EVANS , MAXINE
SSN:
II
I
I.
:I!
$12.3154
$12.7095
(j-- .
.'
FORM
~:
'
II\
Module I nc.r.asae .
Type of Action
. '
. .'
' 5/ 26/0l
..
-7--~---~--~.,..---~~~-~~-
Ne-.v Hire* ..
.
Tempor~ry/S~a~onal . Employm~nt
Salary' A(Jjl.JSIITJemt
'
~~~it.: .. , ,. .
. . .. . '
Trans~e.( .. { :..
~'
..
Reclassification
.
Abolis.ti Ex.l stirig Po.sitio.n
'Empl~ymentAj)plication Must
se' A'ttached
" .
.- .,
PAY
GRADE
Co:rr. OFcr
..
..
ANNUAL
SAUIRY
DEPT. #/CLASSIFICATION#/POSITION#
11. 7213'
40
301
3723/3050/213
25,616
1'2.315'
40
'
~,
'
No.'
'
..
..
\o I .I .G~
,.
.,
"
HAS. PEA
WORKWEEK
HOURLY
RATE
24, 396
4/ 10/00
NEW EMPLOYEE:
301
... .
~d\Jca~ional.Leave
'.
Cort". Ofcr..
RecommendeJl ep
Wor~~r~ cci~p~ns~t(onLeave .
CLASSIFICATION/TITLE
Present Dep
'
Re'i n51Cltemimt
. Ret\lrn from Leave
prpmotiq(l*
Name Change
Demotion
Creilte New Position .
: Other
(please
.
... de~cribe)
..
. ..
,.
'ves
.
'!
t .
. '
. .
t o mddule -
according
". ..:.,-__.....:...__
n~w er1ipi6ye~)
'
...
'
12:monthf;l '
'..
. f.
.. .
~
County M_anager
Date
. . .
..
...
...
v:' ~
o~t"'~/1 f /5/.
..
. .
: :
cha~ge~ By '
..
. . '/.)
FO~-HU~~~-R: ES00RCES.
~EPA~T~ENT
USE.ONlY . :
. . . . .
.
. .. : ..
.. . ; ... 1'.
..
.> ' \
, 0/ ;
'
PAYROL~
CHATHAM COUNTY, GEORGIA
~ I, .
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).
\.
.:. -{"-...:)
~-
FORM
\
I
.\
-r
Chatham Coun. ty .Ja iJ./ 3'123
Departrpent Name/ Number -------~---'---'--------------------'----Empl:oy~e Name _' ___~1_0_:..._-:..i_ t_1..,_... _E
_~.v
_
H:n_s_____~:------
Employee Number
EEOC Number
- - - - - - - - - -- -- -
Type qt Action_..,-_
N_o_d_u_l_e__i_l_
~L~~r_o_a
_
s_e_ _~--------
Effective Date
-----~--------
--------------------------:-- . .
l0/ 28/00
--~--~----------~--~-'-~-
Re-Employment~ .
. Leave.Without Pa~
1
Leave ofAbs~nce '
Mi.!itar'y L~ave
M aterriity !-eave
.
Te.mppr~ry/Season.a,l Em plo~ment
. Salary Adju~tment, ..
Merit .:.
. Transfer'
~ Reflassification .
AboU&h E.>\isti.n g Pos.itipn
Reinstatement
R~tu~n th:im Leave
1 Promotior
l Name Ctiange
\ Demotic~
. Create Nev.; Position
Ot_her (pleas_e describe)
'Eniployrnent
Application Must Be Attached
.'
.
PAY
GRADE
CLASSIFICATION/TITLE
Present
DP.D.
Recommended
Co.o: . Ofcc.
Dep.
..
'
co~.r.
J.lf1.~-L
ANNUAL
SALARY
DEPT. #/CLASSIFICATION#/POSITION#
HRS. PER
WORKWEEK
HOURLY
RATE
301
23 , 459
11 . 271H
40
301
24 , 396
11.7289
40
'
~:::!::;~::~~~~;eo~;:;, ~h~~~fc~it...:.>-,-,~~_,_i_i_o.,:_;_o_o_ __ _ __ _- , - _
'' .. :. . '. . .
NE'tl EMPL9YEE:
~as
..
'
: ! .. .
'
. :
. '
'
..
County Manag er
Date
Date
'J
-}) (_ .
Date
' \ \ , \Ol...>
(~
L. FT; ( . R!;f2
PT
Rev. 4/99
ELEC
MON
B/W
SEAS'- LA}
TEMP NONC_L lj!RLYWHITF
:> ..'I..
GREEN
r.ANARY
GOLDENROD
--, ..
~-:-
\'" Y , i'
( \
. \. ~).
(. .
"\
\\_
D~partment
Employee Numb e r - - - - - - - - - - - - - -
EEOC Number
---~~----------
-----------------------------~
Re-Employment
Leave Without Pay
Leave of Absence
Military Leave
Maternity Leave.
Workers' Compensation Leave
Educational Leave
Ne:N Hire
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish Existing Position
'Employment Application Must Be Attached
PAY
GRADE
CLASSIFICATION/TITLE
ANNUAL
SALARY
DEPT: #/CLASSIFICATION#/POSITION#
HRS. PER
WORKWEEK
HOURLY
RATE
Present
Recommended
) ~ er.
Dt:p . CorJ: .
'3 ,c:;r=,
30 1
1. 1 70R9 6
40
\ \ -
NEW EMPLOYEE: Has this pers;n previously been employed by the County? ) \ No_Yes
Previous Statusffit_le: - - - - - - - - - - . . . , . . , . , . - - -- - - - -- -- -- - - - -- -- - - Name of person last occupying this postition _ _ ____:C:..:::b:.:
.C.:.:..\'t::.::~:L
::.-~=-=
: 3__::B..::.:-."y
'-...:u::..
' ---------------
REASON FOR ACTION: (To be completed in all types of action except new employee)
.... :
:'.'
i.
.,
_.t
.
Signed
Approved
_L Disapproved _____
/ I~
IJ .(,., riYQ
'\.l/II.(LY...-V
( , r <1 ()...qK._p.--t
County Manager
Dale
1 .. ,,..
Dale
'V
r
;r-:
_J~--,.
Date 1.._1'
Financ.e DepartmentJ Budget -Fun ds Avar1able _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _v_ _v
~"'-:
/:-i.'/ =-'""
'Finance DepartmentJPayroll - Records Changed By
'I
1/ FT
I
TEMP
NONCL -'HRLY
.
\A/UITC:
f (.
k.
1'
, '-( _;)
,r_).
p ostTtonan d P ay Stat us
REGL) ELE,C
MON
--Pi____
SEAS _ CLAS .I B!W
---
I 1
,,
f!
'v' '
Pension E.ffective D a t e - - - - - -
12/24/-01 /06
01/07-01/20
0 1/21 -02/03
02/04-02/17
02/18-03/02
03/03-03/16
03/17-03/30
03/31-04/13
04/14-04/27
04/28-05/11
05/12-05/25
05/26-06/08
06/09-06/22
06/23-07/06
07/07-07/20
07/21-08/03
08/04-08/17
08/18-08/31
09/01-09/14
09/15-09/28
09/29-10/12
1 0/13-1 0/26
10/27-11/09
11/10-11/21
11/22-12/07
12/08-1 2/21
Accrued Used
5.00
5.00
5.00
5.00
5.00
5.00
0.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
0.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
TOTALS 120.00
0.00
20.00
68.00
88.00
97.00
102.00
107.00
112.00
117.00
122.00
122.00
127.00
132.00
137.00
142.00
147.00
152.00
157.00
162.00
167.00
172.00
172.00
177.00
182.00
187.00
172.00
177.00
182.00
187.00
124.00
249.00
Accrued Used
6.50
6.50
6.50
6.50
6.50
6.50
0.00
6.50
6.50
6.50
6.50
6.50
6.50
6.50
6.50
6.50
6.50
0.00
6.50
6.50
6.50
6.50
6.50
6.50
6.50
6.50
156.oo
52.00
2.50
Donated Balance
255.50
262.00
268.50
275.00
281 .50
288 .00
288.00
294.50
301.00
307.50.
314.00
320.50
327.00
313.50
288.00
294.50
301 .00
301.00
307.50
314.00
320.50
327.00
333.50
340.00
346.50
353.00
20.00
32.00
0.00
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50 .
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
2.50
0.00
0.00
0.00
435.00
Accrued Used
Donated Balance
16.00
8.00
8.00
8.00
451.00
459.00
459.00
459.00
459.00
459.00
459.00
459.00
459.00
459.00
451.00
459.00
459 ~ oo
459.00
459.00
459.00
459.00
459.00
459.00
459.00
459.00 .
459.0.0
459.00
459.00
459:00
459.00
32.00
0.00
8.00
o/ld/88 ~----.-------------------------
EVANS Maxine
'
2011
MONTH
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
ANNUAL
SICK
SAL
59'
3~
~0
;a
MARI ,;)-;9-
!o 32.
IIJ 37
USED
FEB I dU
APR I ~ 7
MAY
TOTAL
IJUN
JUL
AUG
SEP
DEC
3i' ;?
::)
COMPTJME
BAL
Evans, Maxine
04/10/00
2010
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