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CORRECTIVE INTERVIEW FORM

EMPLOYEE NAME: Maxine Evans

-----------------------------

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 OF OCCURRENCE: --~~---------May 12,2014


DATE OF INTERVIEW:May20,2014
--~-------------EMPLOYEE REBUTTAL/COMMENTS:

~~~~....,._.=----

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.

ADMINISTRATIVE REVIEW & SIGNATURE_~-=----'=-~...,----'-'-..:.....:.....:'-->1-'----'--"


(Captain)

ADMINISTRATIVE REVIEW & SIGNATURE___,'---+-------><--..:....__ _ __


(Major)

G_f...r.......;.~-';....;Z::;..;f;....~~f1......____ DATE ENTERED INTO EMPLOYEE PERSONNEL FILE

....... ~-- ......

--..--

MEMORANDUM:
TO:

Lt. J. Brown
Cpl. M . E\lans.
Mrs. W. Perry-Cotton
Nurse Michelle Holloway

FROM: RoyJ. Harris

DATE: March 7, 2013


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 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

Chief Deputy Roy J. Harris

Office: 912.652.7603

Chatham County Sheriffs Office


I Cell: 912.660.7603 I RJHarris@chathamcounty.org

OFFICE OF 'T HE SliERl_~f


CHATHAJ\1 COUNTY, GEORGIA

Sheriff

ASJistant jai/ Adminisrr.ttor

AI Sr Lawrence

Lr. Colonel Thomas M. Gtlberg

C!JiifDeputy
Roy]. Harris

Assistant Enforcement Adminutrator


Major Russell A. Smirh

jail Administrator
Colonel John T Wilcher

Major Robert A. Lamb

jail Opmrtiom

E11forcement Operatiom Administrator

jail Security

Colonel Brian M. Counihan, Sr.

Major Kimberly G. Middleton

February 7, 2013

Corporal Maxine Evans


Chatham County Sheriff's Office
RE:

Officer of the Year 2012

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:

Chief Deputy Roy Harris


Colonel. John Wilcher
Lt Colonel Thomas Gilberg
Major Robert Lamb
Major Kimberly Middleton
Human Resources
File

Enforcement Bureau - P.O. Box 10026 - Savannah, GA 3 111 2


Jail - 1050 Carl Griffin D rive, Savannah, GA 3 1405

Telephone (9i2) 652-7634 - Fax (~ 1 2 ) 652 7660


Teleohone (912) 6)2-7752 - Fax (9 12) 6~2 - 777'i

Sheriff
AI Sr Lawrence

t)FFICE OF THE SHERlflF


CHATI-IAM COUNTY, GEORGIA

AniJtant }ad AdminiJtrator

Lr. Colonel Thomas M G1lberg

ChiefDeputy
Roy ] . Harris

AJJiJttt11t Enforcemtnt Admmistraror


Major Russell A. Smith

j'lil Administrator

Jail Operatiom

Colonel John T. Wilcher

Major Robert A. L1mb

Enforcemmt Operlltiom Adminismt.tor

Jail SrcurifJ

Colond Brian M. Counihan. Sr.

Major Kimberly G . Middleton

March 13,2013

Georgia Jail Association


P .O. Box 492553
Lawrenceville, Georgia 30049
Re: Nomination for Officer of the Year
To Whom It May Concern:
Please allow me this opportunity to recommend, Corporal Maxine Evans, as a nominee for
Conections Officer of the Year.
On October 9, 2012, Corporal Evans was the supervisor of Housing Unit 5 of the Chatham
County Detention Center. At approximately 1955 hours, she responded to a Signal 55 (sick
person) on C-wing within her Unit. Upon an-ivai to the housing area, Cpl. Evans observed an
officer in the hallway attempting to speak to an inmate. The inmate did not verbally respond to
the officer, but instead made hand gestures toward his throat. As she approached the situation,
she noted that the inmate appeared to be in distress. Corporal Evans encouraged the detainee to
cough, but he could not. He then began to put his hands on his neck, in which he gave Corporal
Evans a clear indication that he was choking.
Corporal Evans then grabbed the inmate and assisted him by rendering the Heimlich Maneuver.
She performed the procedure until a piece of meat was dislodged from his throat and he was able
to regain his breathing. When the inmate regained his composure, he explained "I was sitting
down eating when a piece of meat got stuck in my throat and I couldn't get it out and the whole
time I was thinking, I don't want to die .... then Corporal Evans came and did that thing to my
stomach and that's when most of the meat came out and the other part went down ... If it hadn't
been for her, I thought I was going to die."
Corporal Maxine Evans has been employed with the Chatham County Sheriffs Office since April
2000.

Enforcem ent Bureau - P.O. Box 10026- Savannah, GA 3 1412


Jail - 1050 Carl Griffin Drive, SaV'd nnah, GA 3 1405

Telephone (912) 652-7634 - Fax {912) 652-7660


Telephone (912) 652-7752 - F-.>X {912) 6~1.- 7775

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\~.~~

Major Kim erly G. Middleton


Security Commander
Chatham County Sheriff's Office

@]{](jJ710tliJ(fl]~tm

[JfKJ@filDfFI?a~

fii!FQ&C3

MEMORANDUM:
TO:

Lt. J. Brown
Cpl. M. Evans
Mrs. W. Perry-Cotton
Nurse Michelle Holloway

FROM: RoyJ. Harris

DATE: March 7, 2013

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

Chief Deputy Roy J. Harris


Chatham County Sheriff's Office
Office: 912.652.7603 1 Cell: 912.660.7603 1 RJHarris@chathamcounty.org

Inter-Office
Correspondence

DATE:

March 06, 2013

TO:

Capt. Harley

FROM:

Lt. R. Brooks/Operation New Hope

RE:

Babe (New Hope Dog)

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

OFJF][CJE OF THE HJERJIFt'


<CHATHAM COUNTY, GEORGJLA

Anitant Enforcemmt Adminiurator


Major Brian M. Couhihan, Sr.

ChiifDeputy

fail Operations

Roy J. Harris

Major Thomas M. Gilberg

Enforummt Operatio>H Adminirrator

Jail Suuriry
Major Kimberly G. Middleton

Colonel John T. Wilcher

November 7, 2012

Corporal Maxine Evans


Chatham County Sheriffs Office

Re: Letter of Commendation


Corporal Evans:
On behalf of the Sheriff's Office, I congratulate you on being named Corrections Bureau
Officer of the Month for October, 2012. This honor is bestowed on you as a result of being
recognized by your peers and Supervisors.
You have earned this recognition based on your professionalism, dedication and
commitment to your job. For achieving this, you will receive this letter of commendation,
automatically becoming a candidate for Officer of the Year and have your name placed on the
2012 plaque listing the twelve (12) officers who are so honored.
Again, congratulations on being selected "Officer of the Month" for the
Bureau. This letter will become a part of your personnel file.

~
Sheriff

Correction~

~ct1-~ ~

RoyH s
Chief Deputy

Cc: Major B. Counihan


Major T. Gilberg
Major K. Middleton
.Lt. I. Orr
Human Resources
File

Enforcement Bureau

P.O . Box 10026

~Savannah,

GA 3 1412

Tdephone (912) 652-7634 ~

Fax

. .. -

(912) 652-7660

- .. __ ----

~~~

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..

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This is to Certijj tliat

Maxine Evans
Has

successfufCy compCetecf a 40

fwur

course of stucfy entitfecf

Supe1Vision Training Levef III


(CAM43G)

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

This is to ~ertiJY tliat

Maxine Evans
Has success_fU[[y compfetecf a 40 hour course of stucfy entitfed

Supe1Vision Training Leve( Il


(CAM42G)
In witness thereofi the seaf of the State of Georgia am the si9natures of cfufy autFwrizecf officers affixed.
Given on the 16th Day of Octo6e1j 2009.

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

Supe1Vision Training Leve( I


(CAM41G)

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:

November 14, 2007

To:

Private Maxine Evans

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:

Cpl. Maxine Evans, Unit 5

From:

Lt. M. Bryant}~

Re:

Facility Training Officers-Unit 5 (Inactive)

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

CHATHAM COUNTY SHERIFF'S DEPARTMENT


EMPLOYEE DATA SHEET

~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 _
-

CURRENT HOME ADDRESS

""r--

STREET
.1\

MAILING ADDRESS

CITY

STATE
........,

CURRENT HOME PHONE#__

CITY

STATE
LL

J,

ZIP

STREET/P.O.BOX

"

..

ZIP

tf4

EMAILADDRESS_______
~+-4~--------------------------------SPOUSE'SNAME_____________TELEPHONE#ATWORK

GSI-

37~

IN CASE OF EMERGENCY, PLEASE NOTIFY:

<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...

*FAILURE TO MAINTAIN ACCURATE INFORMATION WILL RESULT IN


DISCIPLINARY ACTION

I, Maxine Evans, request that 40 hours of my holiday be used to wipe out the deficit in my sick
leave.

Page 770

Pay Period Ending ......... 4/17/09


Employee#

Employee

Rate
1659.48 20 .74

MAXINE EVANS

1373

CODE

HOURS

TYPE

001

Regular

030

Sick Leave

031

Vacation

010

O.T. Straight

011

O.T. -Time 1/2

HOURLY
RATE

3326

AMOUNT

Pay Group

COMMENTS

KO

040

Comp Time Earned

041

Comp Time Used

LEAVE BALANCES

Dept.

100

163.00

202

287.00

400

334.0000 510

22.5000

,PI - HUMAN

PAGE NUMBER: 305


MODULE NUM: PAYCHK33
PAY PERIOD END 05/01/2009
CHECK DATE 05/01/2009

RESOURCES

DATE: 04/29/ 09
TIME: 12 : 2 8 : 53

DEPARTMENT 3326

CHATHAM COUNTY, GEORGIA


PAYROLL JOURNAL
PAY RUN 909 05/01/2009
DETENTION CENTER

<- - - ---- - -- ----- ----- ---EARNINGS--- -- ---- --- ---- --- ----- > <-- --- ----- -- --- DEDUCTIONS- ---- -- --- - ---- - > <----- - -- - --LEAVE-- - ------ - -- >
TYPE
HOURS
AMOUNT FUND/DEPARTMENT PROJECT DEDUCTION
AMOUNT
YTD
EMPLOYER TYPE
TAKEN YTD
BALANCE
3710
REGULAR
OVERTIME
OT -1 1 /

JOHN D ELDER (FED TAX: M


80 .000 0
2,003.55
6.0000
150.27
1 5.0000
563.50

TOT EMPL

101.00

5258
REGULAR

GREGORY S ENOCH (FED TAX: S


80.0000
1,196.34

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

CHECK NUMBER - 30387797


152.07
1,118.87
1,118.87
35.57
261.67
261.67
199.43
959.4 1
.00
127.4 1
666.85
.00
7 0.12
667.55
.00
.00
.00
.00
1 03.2 0
928.80
.00
.00
.00
1. 47
150.00
650. 00
.00
125 .00
1,125 .00
.00
27.00
243.00
.00
43.29
389. 61
. 00
20.31
182.79
.00
27.80
250 .20
.00
29.08
261 . 72
. 00
53.65
4 82.85
.00
2.35
21.15
.00
1. 89
17.01
.00
1 , 549. 1 5
12,097.49
. 00

DED TOT

2,717.32

0 0.00)

1,196.34

MAXINE EVANS (FED TAX: X


80.0000
1,6 59.4 8
.00 00
25.00

80.00

2 0.00) DIR DEP

NET PAY

.00

FICA
MEDICARE
FEDERAL
STATE

CHECK NUMBER - 30387798


74.17
74 . 17
74 . 17
17.35
17.35
17.35
131.85
131 .85
.00
59.17
59. 1 7
. 00

OED TOT

282.54

1 0.00) DIR DEP

NET PAY

913.80

FICA
MEDICARE
FEDERAL
STATE
PENSION
PENS INT
INSURANC
FLEX-MED
NACO
GUARD. p
CANCER P
DISABILI
ANDREWS

CHECK NUMBER - 30387799


88.97
859 .63
859 .63
20.81
201.04
201.04
.00
343 .70
. 00
68.53
673.82
.00
58.96
526.93
.00
.00
.00
.00
20.77
1 86.93
.00
1,080.00
120.00
. 00
25.00
225.00
. 00
1 2.19
109.71
.00
11.08
99.72
.00
26.49
238.41
.00
1,231.68
11,385.70
.00

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

PVT. DICKENS, V."

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

SGT. FLOYD, G."

Sick
Vacation
Holiday
Misc.
O.T.

12

12

12

12

OFC. GARFIELD, J~

Sick
Vacation
Holiday
Misc.
O.T.

CPL. EVANS, M.'ll

0.5

OFC. DUNCAN,T~

BI-WEEKLY ACTIVITY REPORT UNIT FIVE


ENDING
4/18/2009
Work
DAYS
14
15
10
11 Week 12
13
MO
TU
WE
FR
SA Totals su
X
X
36
X
12
12
X

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.

,.......?

'

/./,..,.,.,
/~
Employee Sign

c:; ..11::.

~~J

I~ 1/~_;
~~
Employee Sign

()IJ~

72
~~
8
0
Employee Sign
0
0
4 {
80
v ~~
0
0
0
Employ~ Sign

)}i~

9.25'

weI

Inter-Office
Correspondence
Date:

January 9, 2009

To:

Maj. H. Ham
Maj. J: Wilcher

From:
Re:

~--Reassigrunent List

Effective January 11 '\lieutenant listed below will be reassigned as follow:


NAME

FROM

Dixie Barbour

Housing Unit 3

Watch Commander A-watch

Effective January 18th, Sergeants listed below will be reassigned as follow:


NAME

FROM

To

Larry Ransom
Douglas Blanchard
Benefred Gastin
Jennifer Moultrie

Housing Unit 4
Housing Unit 4
Transport
Property

Housing 5
Housing 3
Housing4
Transport

Effective January 18th, Corporals listed below will be reassigned as follow:


NAME

FROM

Patricia Simpkins
Floyd Jackson
James Strickland
Inga Washington-Smith
Henry Mallory
Maxine Evans
Daniel Mares

Lobby & Control


Housing Unit 1&2
Housing Unit 1&2
Housing Unit 6
Remain in Housing
Remain in Housing
Remain in R&D

Housing Units 3 & 4


Housing Unit 3 & 4
Housing Unit 6
Medical
Unit 6
Unit 5

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

OFFICE OF THE SHERIFF


CHATHAM COUNTY, GEORGIA

AI StLawrence

Enforcmunt Administrator
Major John H . Murray

Undersheriff

ugal Officer

Donald E. Anderson

Major R. Dennis King

jailAdministrator

Asst. fail Admini!trators

Colonel McArthur Holmes

Major H oward L. Ham


Major John T. Wilcher

March 2, 2005

Ms. Maxine Evans


7225 Grant Street
Savannah, GA 31406

Dear Ms. Evans,


Thank you for your interest in the Comihouse Deputy positions within the Sheriffs
Depa1iment. After careful review of each applicant's qualifications, the interview panel has
selected other individuals to fill our most recent vacancies.
If you are interested in being considered for future positions within Court Services, you
may submit a letter of interest to Major John Murray or myself after six months from the date of
this letter.
On behalf of the interview panel members, please accept our best wishes for continued
success with your career.

~~e f!LL

Captain Terry L. EnoE


Assistant Division Commander

Enforcement Bureau ~ P.O. Box I 0026 ~ Savannah. GA 3 1412

Teleohone (9 12)

ll~2-71l~4 ~ Fox

(911)

{,~2-71lll0

Inter-Office
Correspondence

Date:

May 4, 2004

To:

Pvt. Maxine Evans

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:

Pvt. Maxine Evans

Re:

Re-assignment

Effective Sunday, November 03, 2002, you will be assigned to Central


Lobby/Control. You are to contact Capt. E. Davis or Sgt. W. Burke for watch assignment
and further instructions.
If there are any questions, please contact me.

cc:

Col. Holmes
Maj. Harn
Maj. Wilcher
Capt. Davis
Lt. Lamb
Watch Commanders
Sgt. Burke
Personnel File

Inter-Office Correspondence

Date:

April 15, 2002

From:

Capt. Eathen D. Davis, Jr. - Oper

To:

Pvt. Maxine Evans, HU-1

Re:

Classification Officer Position

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

GEORGIA CRIME INFORMATION CENTER


AWARENESS STATEMENT

Access to Criminal Justice Information, as defined in GCIC Council Rule 140-1-.02


(amended), and dissemination of such information are governed by state and fede.ral laws and
GCIC Council Rules. Criminal Justice Information cannot be accessed or disseminated by any
employee except as directed by superiors and as authorized by approved standard operating
procedures which are based on controlling state and federal laws, relevant federal regulations,
and the Rules of the GCIC Council.
O.C.G.A. 35-3-38 establishes criminal penalties for specific offenses involving obtaining,
using, or disseminating criminal history record information except as permitted by law. The
same statute establishes criminal penalties for disclosing or attempting to disclose techniques or
methods employed to ensure the security and privacy of information or data contained in
Georgia criminal justice information systems.
The Georgia Computer Systems Protection Act (O.C.G.A. 16-9-90 et seq) provides for
the protection of public and private sector computer systems, including communications links to
such computer systems. The Act establishes four criminal offenses, all major felonies, for
violations of the Act:: Computer Theft, Computer Trespass, Computer Invasion of Privacy, and
Computer Forgery. The criminal penalties for each offense carries maximum sentences of
fifteen (15) years in prison and/or fines up to $50,000.00, as well as possible civil ramifications.
The Act also establishes Computer Password Disclosure as a criminal offense with penalties of
one (1) year in prison and/or a $5000.00 fine.
The Georgia Criminal Justice Information System Network is operated by the Georgia
Crime Information Center in compliance with O.C.G.A. 35-3-31. All data bases accessible via
CJIS Network terminals are protected by the Computer Systems Protection Act. Similar
communications and computer systems operated by municipal/county governments are also
protected by the Act.
By my signature below, I acknowledge that I have read and understand this Awareness
Statement.

Print Name:

MAXI ,.Jt;"

vt1Ac]

Date:

Witnessed:

_._L,~~~I!:..J.~
~v _:::Jt:~-~~==-:.-----_

GCIC Awareness Statement


Rev. Feb 2000

f'- ..?-()I

INTER OFFICE CORRESPONDENCE

DATE:

May 17, 2000

TO:

UNIT MANAGERS & C.O.T. 'S

FROM:

Capt. M. Bryan, Secunty

SUBJECT:

C.O.T. UNIT ASSIGNMENTS

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

OFFICE OF THESH, UFF


Al Sc

CHATHAM COUNTY, GEORGIA

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

This agreement is made and entered into on the ~,/ /0


day of
~r~\
1
l.8 0 0
bv and between the Chatham Countv She=:.::.::' s
Deparonent:, he1:einafter refe~~d to as d:le DEPARTMENT, and MAVA.Jfi
Ed JJ.,JJ
he.!:eina:Ete.!: refe.!:.!:ed to as &'1PLOYEE.
1
wnereas Georgia law requi=es t~e Ch~~~am County She.!:iff's Depa~~en~
send its sworn employees to ~~e Peace Office.!:'s Standards and T=~i~i~q
c~uncil's
Law Enforcement T=aining Acad~y ~o receive ce~:..f:..cat::..c~
before pe=fo~ng duties as a deputy she.!:iff,
~o

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

will at:-:an.d t;:e


att~t
to g=aduat:e

That uoon successful comoletion of the above-soecified course,


lfv1/-,V.J
agrees to rernain in the employ of
County for a period of two (2) years from the date of graduation.

IJAXt,; {{"
I

Chatha~

Should the EMPLOYEE voluntarily resign from employmen~ with Chatham


County to accept employment with a law enfcrcement agency not ccve=ed by
Chatham County employment benefits, within the two (2 ) yea= period
spec:..fied, it is agreed that: the EMP~OYEE shall reimburse the County ar.
amount equal to the base salary paid the ~~LOYEE during attendance at
the acade!lly, plus expenses inc.:==ed by the Cou..'1.ty for suc.'"l atter:.dance.
E..:u0=t 5u=u- P.O. Box 10026- ~ GA3l-ll2

J>.il-

i 050GdGnmnD:Ive..~GA3140S

Td~OoQC (91:1652-7634 -;:,; ~~1:) 652-7600


Tc!c;:i:oQe t91:) 65:-7752 ;:-...:::; :~1 :: 65:-777"';

Such reimbursement shall be the full amount i f such 1:esignation cce'.J.rs


within the first year after graduation.
If such resignation occurs subsequent to u~e fi=st anniv e1:sarf cf
qraduation fz-om t.h.e academy, rei.mbuxsemen-c shall be made on a pro-1:a::eC.
basis beginning with the thirteenth (13th} mcnth and shall dec:=ease to
a zero ( o} amount upon completion of the second year anniversary of
graduation.
The pro-rated share reimbu=semen.t shall consist of ele~ie!'..
t,.;elths (11/12} at t"le end of the t.'lircee!!t.h month, five-sixths (5 /6)
at the end of the ow:teentii month, t.ilree-fourths (3 / 4 ) at the e!ld of c::...'"le
f.:.fteenth month, an~ so on to the ze1:o (0) amount.
This agreement shall not in any way be cons::rued or interpreteC. as
an. employmen-c cont:::ac::, and the DEPARTM&'IT rese=ves the r.:.ght to ciismiss
an EMPLOYEE, who is an EMPLOYEE at will, at any time.

EMELOYEE

signar~re affi~

and accepts the

te~

that he /she has read, fully understanc2 ,


of this agreement.

Subsc:=ibed and witnessed this ~ cay of

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

EMPLOYEE DATA SHEET

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_

CURRENT HeME ADDF.ES~

.-:>".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~-------

IN CASE OF EMERGENCY, PLEASE NOTIFY:

1141f/ IJ~$YAAJ.J

Plttlft# Eft@t~S

--.........

f'~

~ELEPHONE #/ALTERNATIVE #

NRME '

RELATIONSHIP
IN CASE OF
YES_

_,..-__

ID~RGENCY,

PLEASE NOTTIFY MY CLERGY TOO.

NO_

_ _ __

PASTOR, REVEREND, PRIEST, ETC

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~

job Class 'l.'icle & Number ..De;. Carr. Ofcr ./3050


Position wn. ::: v~1C:l ted by:

Charles Boyd
4/3/ 2000
(Nama, l.)at:e}

Please check the spucific reason(s) for the employment/promo tion


reconunendacion cf cnis individual in relat:ion co ocner applic~nt.s.
_____ Has most: or besc-suited job-related experience.
_____Has most: or best:-suited job-related cducationjtraining.
_____ Has highest: lavel or combination of job ralated skill(s}.
Specified skills(s) =---------------------------------------~~
_____ Has great:t:sc i:.lJnounc. of job-relaccd knowledge.
Specitied kncwlcdge: _____________________________________________
___ Has greac.e:::c tilllount o.f job-rclaccd nnillty.
Specified ~bilic y: __________~-------------------------xx

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

c he cka.d and p y w11 ~ 111

Strickal dnOa -ca criminal records check conducted and by vll"lom.


r vehicle rocord checked and by whom.

(Signat:.ur~

oi ll iri ng O! r icial)

Please submit wich Personnel Action Form, cundidate'~ application


and list:. a~ t:.op ca ndidat:es int:.erviewed.
Also, please ret:urn all
ocher .a ppl1.cat1.ons to t:l\e Human n.es:ources oapurt1 nent:~

Name:

J/;t,t;AJ

Vf/IIS

LAST

FIRST

Position Applied for:

0Ltoh.<lc)

cfJL

1\'IIDDLE

~tdr&J

CHATHAM COUNTY
SHERIFF'S DEPARTIVIENT
EMPLOYIVIENT APPLICATION

AND
BACKGROUND INVESTIGATION

QUESTIONNAIRE

IlVIPORTANT Nf

~ICE

IT IS TO YOUR ADVANTAGE TO BE ABSOLUTELY TRUTHFUL I


ANSWERING ALL QUESTIONS IN YOUR INTERVIE"\-VS, ON YOU
APPLICATION AND PERSONAL IDSTORY STATEl\'IENT.
A 1\'llS-STATE:MENT OF FACT OR THE OMISSION OF REQUESTE
INFORl\'IATION IS GROUNDS FOR AUTOMATIC REJECTION.
WE HAVE FOUND IN THE PAST THAT SOlVIE APPLICANTS HAVE BEE
REJECTED BECAUSE OF A :MIS-STATEl\'IENT OR OlVllSSION WHER
THE FACT WHICH THEY ATTElVIPTED TO BIDE WOULD NOT HAV
BEEN A REASON FOR REJECTION.

WE ENCOURAGE YOU TO BE ABSOLUTELY TRUTHFUL IN THES


MATTERS.

IN~ aUCTIONS Al'ID I~y )RMATION

PLEASE READ CAREFULLY BEFORE


BEGINNING
1.

An investigation will be conducted by personnel in the Internal Affairs unit based on


the information you provided in this application. It is critical that you fill out this
application completely, truthfully, and accurately. If at any point during the
background investigation, or thereafter, it is found that you misrepresented,
deliberately omitted or falsified any information, you will be automatically disqualified
from further consideration. It is imperative that you list any convictions to include a
finding or a verdict of guilt or a plea of guilty and a plea of nolo contendere in a
criminal proceeding, regardless of whether the judgement . of quilt or sentence is
withheld or not entered thereon. This includes first offenders (Georgia State Law 35-87.1). Do not leave any blanks in this booklet. If an item does not apply, write NA.

l/,1 ~Q/ff_
/

Date

V~r:s;.w;; Expires Dec. .29, 2n -;;a )./!Jv 1J


1

----~----------------------------Notary Signatur~

Date

Investigator Signature

Date

.,

Please complete the application in YOT.JR OWN HAl'IDWR1TING.

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.

Conviction in any Court of a felony offense.


Conviction in any Court of a drug related offense.
Less than twenty-one (21) years of age at the time of appointment.
Any medical, physical, or mental condition which would prevent an applicant
from satisfactorily performing assigned duties or complying with regulations of
the Georgia POST Council.

The following situations MAY prohibit an applicant from serving as a Law


Enforcement Officer:
a.
b.
c.
d.

Any pending criminal action in any court.


A military Discharge other than Honorable.
Seven (7) or more points accumulated against drivers ' record at the time of the
application.
Not a citizen of the United States of America.

**

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".

_ _ I have attached Copies of the following documents:

~rth Certificate

~alid Drivers' License

~High School Diploma or GED


~Social Security Card

_ _ DD-214 LONG FORl"\1 (If applicable), showing character of service

WA/
/

Marriage License(s) and/or Divorce Decree(s)


(The Human Resources Department cannot make copies)
.The application is signed and dated

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.

Present address(citv. state. street zip): _ _ __ _

Work phone number:_ -

Home phone number,

__.-__
Own? __

Rent? _ _ _ _ _ __

How long?

!(/&

Name ofLandlord:
Previous address(s) of less than 5 years at current address:

Own?_ _ _ _ __

How long?_ _ _ _ _ _ _ Rent? _ _ _ _ _ __

?/, S, ll-lz&r

Name of Landlord:
Other addresses:

/& 7fl ,/olJ..tlh)

(fi;u@1 ettfi

l/

ff/u.; bcv-1 VA

(By ,.s

/i;N y/6Wo!J/ /tpll&-/&c:r,/.c


4.

[lt;N-1

Social Security number: _ _

:!/.C ;l

5.
Date o(Birth (1\.ThiiDDIYY) Place ofBirth(City, State, Country)

6.
Height

Weight

7.

Are you a U.S. Citizen? Yes~

8.

Have you ever used any other name? Yes_ _

Nicknam~s

Eye color

Hair color
No _ _

Natural Born~
No

used

9.

Have you ever legally changed your name? )/0


If "YES" what was your former
name?_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _

10.

What court ordered the name change?_ _ _.LN;-4~'-Llll:l------------

I1

MILITAR .. SERVICE

11.

Complete Military Service:

4 eMv

Branct/

Service#

Dates Served

{E-z)
12.
Type of Disc arge (If other than Honorable, explain)
13.

If member ofReserve or Guard Unit, specify Branch and Unit

14.

Have you received anything other than an honorable discharge from the military?

~No

_ _ _ _ _ Yes

Did you ever receive any type of disciplinary action?


_____
~ No

_ _ _ _ _ Yes

C~urt Martial?
Article 15?

15.

Aj/11

Ajlll-

A~OL? #/A

Reduction in Rank?

Any other?

x//A

;--

/1/b
7

J/;~fiEnAiL /.tvtJ& Lvsk

Name of your last supervisor: &u~e"r/


Phone number:
9/2 srz, ~tJftf'

IlL FORMAL EDUCATION


. '7

-h...

16.

/
Highest grade of school complete?_ ___._'--=~'-----------------

17.

Did you graduate from High School?

18.

Name of High

)!~ S

Dates Attend ed-'~-"-"'(.4""',.;"'---_,2'---""''-

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.

Do you have a GED certi.ficate?_ _ _

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.

Circle highest year of college completed:

1 ~ 3 4 Degree!Y ear obtained

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.

Do you fluently speak or write any foreign languages?____ Yes

~No

If so, please Iist:_ _ _ _-J...J.!!.../r-/


.....14-L..<.-_ _ _ _ _ _ _ _ _ _ _ _ _ _ __

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.

LAW ENFORCE1\1ENT EMPLOY1YIENT IDSTORY

26.

List previous law enforcement employment starting with the most recent first:

N/4
Name/Address of Ageljly

Reasons for leaving

Name and telephone n mber of immediate supervisor

llJA

Job Title and Duties

"-f-:...r-~-""'-.ti=---------------

l\'Iay we contact this agency?_ _ _ _

. 1P-

27.

Name/Address of Age cy

Dates ofEmployment

Name and telephone

Job Title and Duties

~fay

Reasons for leaving

nu~immediate

supervisor

we contact this agency?_ ____,/;_


7 /:'----',4--'-----------------/

28.
Name/Address of Agency

411-

Dates ofEmployment

Re:1sons for le:1ving

Name and telephone numblr of immediate supervisor

#a
Job Title and Duties

/I!__
__.:_,A/~'-/L

/.c.________________

May we contact this agency? _ _


29.

~
11!/

Name/Address of Agency

Dates ofEmployment

Re:1sons for leaving

Name and telephone numbe

Job Title and Duties

J!/-7J-~- J.f : . . . ._L. _ _ _ _ _ _ _ _ _ _ _ __

M:1y we cont!lct this agency? _ _ _ _

COl\IIPLETE THIS SECTION ONLY IF YOU ARE CURRENTLY OR HAVE BEEN A


LAW ENFORCEMENT OFFICER
THIS DOES NOT INCLUDE SECURITY
EXPERIENCE.
30.

Are you currently a Peace Officer?_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

31.

lf"YES'', State of Certification:

32.

Certification date:

33.

How many years oflaw enforcement experience do you have? _ _ _ _ _ _ _ __

34.

Have you ever been the subject of an internal investigation? _ _ _ _ _ _ _ _ __


If "YES", att!lch an explanation to this application giving full details.

35.

Have you ever qualified with a we:Jpon? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __


If "YES", what type of weapon? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

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

1-!AA 6~ :SI t{o'f

Av0

Name/Address of Age cy

10-- Z.-]9
Dates ofEmployment

Reasons for leaving

Name and telephone number of immediate supervisor

Job Title and Duties


38.

S MA ILT .S. '"[\.( \ ~


Name/Address of Agency

Dates ofEmployment

Reasons for leaving

Name and telephone number of immediate supervisor

Job Title and Duties

39.

-v,e...\IG'r-.L~C< .S.T
C..Ou...~
Name/Address of Agency

Dates ofEmployment

r-j

Q \!.!. 'b

Reasons for leaving

Name and telephone number of immediate supervisor

Job Title and Duties


40.

Name/Address of Agency

q _ q)<
Dates of Employment

7::>-t ILl e ty::p/oqeJ


Reasons for leaving

Name and telephone number of immediate supervisor

pAt=f--41~<,;

Y1

CRIMINAL RECORD (PLEASE CHECK APPROPRlATE RESPONSE)

YES

NO
/ 41.

~2.

Have you ever been arrested, charged, convicted of a felony


offense?
Have you ever been arrested, charged, convicted of a firearms or
explosive charge?

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)

Have you ever been arrested, booked, charged, convicted


of any type of offense (including traffic citations, warrants
or misdemeanors)?
Have you ever been arrested, charged, or convicted of a
domestic violence offense?
Are you currently or have you ever been under .
investigation?

EXPLAIN BELOW ANY QUESTIONS THAT YOU ANSWERED YES TO ABOVE.


Date of
Offense
0-.1 Ot. QJo~c...+

..\~"' ,~

bt:C. qg

Offense

Law Enforcement Authority/Court

YI1 DRIVING RECORD


46.

Can you operate a motor vehicle?_ _ _ _-ly~t?"::.......:::J:!..-____________

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.

Has you license ever been suspended or revoked? _ _-l:~f-/.IO<e~So~-.._ _ _ _ _ _ _ __


If yes, for what reason?
<C r~e-.s c, c11:::- SP(;! Fd
If yes, was it restored?
'

50.

Have you ever been refused a license by any State?_ __.-N...:.._:O=----------

51.

Give details of any motor vehicle accidents you have been involved in.

vTII. PERSONAL REFERENCES


52.

Personal reference (other than family members)

~ _......:F,-L..;/E=-::M~~;...;....:....:'. J . : . . . . , < ; - j i ! - - - - - - - - - - - - - Name: _ _~(!L_,_V..>::::~...::::~-

Address:_-~./--rf--t.. .:~:.,. ~~s~V..:..t.!.-'llwoe,_


:
- _---=t?.....:...d=-----'--------------Telephone:._ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ __

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: ___________________________________________

Telephone:__________________---:=---------------------------Type of Account: ____f?.'-+-!"e"--!v'd~/.:...c.v~'..d."..,.__....~..C..:J..e~al0<"::~~n~t_!._/_ _ _ _ _ _ _ _ _ _ __

X..

BACKGROUND INFORMATION <Marital and Familv Information)

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

Spouse's length of employment

61.

Is your spouse in favor of you becoming a law enforcement officer?_

62.

Father's full name:


Address: .. ... . , . . ,.

I .

Livmu~-------------------63.

_./'---r'
.V.~~----.J
/

.Mother's full name:


Address: .. v w2" ~~.,
Li~nu~------------------

Deceased_.......::t..--"
::.._--"-:- - - - - - - -

Deceased _____________

64.

Brothers:
Name: /S fl&#l
Address:_ I

biJo/WtAI

Age:----~~~3~-----------

~. .YA~S

Age: _ _~~~=z~-------------

Name: f!de C(l


Address:_ <'- '
Name:
Mvrd
Address:_ -,65.

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 ~

Name: ""\=' e-v.. l


Address:_ ,...

Age:_ _~LL-------------

66.

Father-in-law's full name: _ _ _---'N~.,~,o!o:;'f-F--------------------------.Address: _ _ _ _ _ _ _ _ _ _ _7_________________

67.

Mother-in-law's full name: ___-t


477/
'-/''::z~~------------------------7
Address: ___________~_'-----------------------

68.

Closest living rei a tive:_-&-....:....:::::..!-f.,.Ou~...!U.(...x.r..:..<-r--:p...!-...:A=...!:V..=-)1..--.i~'-Y---l......:hL.l..l:.'~ll!:..b,..;fo!--,.;K_.::::.....!.\::::::c::J..=e.c~dcL.....::o:::...fL..

N.C.

69.

List every child born to you:


Address where child resides

Child's Name Date ofBirth

1/

70.

Are you supporting all children born to you or adopted by you? (Yes) __(No) ..........-

71.

Are you related to any Chatham County employee? (Yes) __ (No)

If yes, please name the employee:._ _ _....;N:.._:...-f-/.d:.A-:.~..-_ _ _ _ _ __

What Department do they work in:_ _ _....L.~~-1-/..:tA:...L.__ _ _ _ _ __


72.

Do you know any employees of the Sheriff's Department? (Yes)

(No)_ _

XL

OTHER INF< , ..MATION

73.

This position may require you to :


Wear a uniform.
Do you object to doing so ?_ __...:~-=---7=?;~--------
Work rotating shift. Do you object to doing so?_ _---';V';::...;--~0'----------Do you object to doing so?_ _....~.AI~...~.O.c.__________
Work overtime.

74.

Have you ever had experience worki: shift work? _ __,..'I{:_,M-.....,_ _ _ _ _ _ _ __


If so, where and when:
M I ll_j
<'
.#tc 7

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_ _ _ _ _ _ ___

Date 10 "'Z..-] S'


Purpose b' p-hA oc \;; - ~ .Stcwt'~lf
Date_ _ _ _ __ Purpose
tl~~~

Do you drink alcoholic beverages?

NtJ

77. Have you ever used marijuana?

If yes, when was the last time? _ __

yes, when was the last time? _ _ _ _ _ _ _ __

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.

In the spa~'". vided below, give a brief biograpl-


history of yourself. Begin with
1
your past. ring yourself into the present, and 1- Jject yourself into the future. Tell
where you were born, where you grew up, significant experiences and accomplishments
in you life. Tell something about your hobbies, special interests, and any other subject
which "zeros' in on your individuality. Also describe your reasons for applying for a
position in Chatham County law enforcement? If you need additional space, attach a
separate sheet to this applic:~tion.

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CHATHAM COtJNTY SHERJFF'S DEPARTMENT

FAIR CREDTT REPORTING ACT

~UTHORIZATTON

TO OBTAIN TNFORl\tfATTON

In undertaking:- this ag:reement.. I unde::stand that I have certain ri!rhrs


uncle:- the Fair Credit:
Re~orcing:
Act which include but are.. not limited to the following:;
...
-

You mus-. be told if information in your fiie has bee:1 used. a gains you ...

* You can find out what is in your fiie


* You can dispute inaccurate information with the CRA.
*Inaccurate information must be correc:e::i or ddeted

* You c~ disoute inaccurate ite:ns wich the source of information


* Outdated information may not be re~or:e::i
Your canse:1t is reauired
for re:::or~
that ~e ...orovided to e:-nolove~s.
or re::om
..
...
- ,
. l.har camain
me::iical information
You ruay choose to exdude your nc.-ne fror11 CR.!.. !isc.s for unsolicited c:e::iir ar.d insurc..r1ce
offe:-s
*You may seek damages from vio[arors
If you desire a more de~ailed expi~~ation of your righrs, you may receive a copy of a
SU.rrL.''TU!.~,-y of your righrs uncle::- me Fair Cre::iit Repordng Act on reques-. and at no cost from the
deparllllent le~cl office or from the training unit.
Being !cnow[edgeab[e of my rights unde::- the Fair Credit Re~or:ing Ac:, I he~eby
authorize the Chatham County Sheriff's De;Jarune:1.t to order and obtain a Consume:- Report to be
used for e~ployme:1.t conside~tion purposes.

Printed Full Name

Date

\1\!Sn\CiS
l

Departrne:1.t wi mess

CONSE~~

~o

3ACKGR0f~

DRUG ~SSI!~G
PSYC..:QLQGIC;l i. TESTiNG

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COON!"! S~R!:"?"' S
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SAVANNA..t!, GA. 3HOS
C:~'\.':4.-iA1'1

DE:s'.n...~'Df~

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DR!VERS L.!C:::NSC:

DOS

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sc:=~~~=-~s- p=::ce5s, !le .. ;o;,a.c!e k...~o~ ::1 t~e o!!!.::~::s a::::i e~?!oye~:s o! t::~~ C~ac...~ac C.:~c....,.~y S~e::!.!'!' s
~e;a==:e~c, a$ ~ell as =~ ~~!ic~=~ ~d e:?loye~~ o~ ~~e ~~a~~a~ C=~~=t ~~a~ ~escc==~s De?a=~=e~=

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St:ar..c!a::!.s ant! ':':ai~:-:.g C=t.:..-::.:..1, 'Jho :::ay have a :-:.e~d ::o k.-:o.J . :;: act
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Ylty Commtss1on t."Y1

L~~

SHERIFF

AL ST

LAWRENCE

UNDER SHERIFF

}AIL ADMINISTRATOR

Donald Anderson

January 28, 2000

Gary Blake

MR. MAXINE EVANS


7225 GRANT STREET
SAVANNAH, GA
31406
MR. EVANS:
YOU HAVE MADE APPLICATION FOR EMPLOYMENT WITH THE CHATHAM COUNTY
SHERIFF'S DEPARTMENT.
INFORMATION SUPPLIED BY YOU ON YOUR
APPLICATION MEETS THE CRITERIA OF MINIMUM QUALIFICATIONS FOR DEPUTY
SHERIFF CORRECTIONS OFFICER.
AS PART OF OUR SELECTION PROCESS,
YOU ARE . REQUIRED TO TAKE A REID PSYCHOLOGICAL EXAM .
YOUR TEST DATE WILL BE MONDAY, FEBRUARY 7, 2000 AT 10:00 A.M. AT
THE CHATHAM COUNTY SHERIFF'S COMPLEX, (THE JAIL) 1050 CARL GRIFFIN
DRIVE, SAVANNAH, GEORGIA. (LOCATED OFF U.S. 17 OR INTERSTATE 16 ON
CHATHAM PARKWAY. ) TESTING WILL BE HELD IN THE TRAINING UNIT (SECOND
NO ONE WILL BE ADMITTED FOR TESTING AFTER
FLAGPOLE AT UNIT 5).
10:00 A.M. PLEASE ARRIVE AT LEAST 20 MINUTES EARLY TO AVOID DELAY.
YOU MUST BRING A DRIVERS LICENSE AND A BLACK INK PEN.
NO OTHER
SUPPLIES ARE NEEDED. PLEASE BE PREPARED TO STAY ABOUT 4

HOURS AND DO NOT WEAR SHORTS OR TIGHT FITTING CLOTHES.


DUE TO THE NUMBER OF APPLICANTS BEING TESTED FOR THE POSITION AND
OUR LIMITED SPACE AVAILABLE, TESTING CANNOT BE RESCHEDULED . IF YOU
HAVE TAKEN THE TEST (HERE AT THE JAIL) BEFORE AND PASSED IT,
PLEASE CALL US AT (912) 652-7795.
WHEN YOU RECEIVE THIS LETTER.

YOU DO NOT NEED TO CALL US

SINCERELY,
CHATHAM COUNTY SHERIFF'S DEPARTMENT
RECRUITMENT AND TRAINING UNIT

RECRUITMENT AND TRAINING UNIT

1050 Carl Griffin Drive- Savannah, GA 31405


Captain Dan Fogarty, Director

Telephone (912) 652-7795


Fax (912) 652-7776

&

Ulll tlUliU ltPllliHT II JIIIU l[SIIltlS


mn uuus nuca .. mm 1. t.

~IHH REG \ STRATIOM CUD

:;-.

M~vinP.

Evans

~~

OlTE tRD I SSUEO: ..l-"-"-"'-"=--'- '


TH IS CERTIFIES THAT THE UOYE IS A TRUE COPY Of FACTS RECORDE D
OM THE BIRTH RECORD Of THE IMD IVIDUH HAHED 180Vl.

n~~

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MAX INE EVANS

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CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM

.~

~\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

DATE OF APPRAISAL SESSION


10-27-2011

g~

ACTUAL ACHIEVEMENT
(Narrative Comments) -

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I. SECURITY

13 12 11
A

A. Ensures that shakedowns and security :inspections are


conducted thoroughly and in a timely manner.

A. CPL. EVANS ENSURES S/D'S ARE CONDUCTED


THOROUGHLY.

B.

B. SHE HAS A MATURE MANNERISM OF


RESPONSIBILITY.

Maintains control in assigned areas of responsibility.

C. Ensures that good key, weapon, and tool control basics


are used by the staff.
'

D. Ensures that the staff practices proper use of security


restraints.
E.

Ensures the timely and accurate conducting of counts


by staff, and forwards the results to the supervisor
and/ or Shift-Cominan:der in a tim~ly'manner.
.

c.

CPL. EVANS ENSURES STAFF USES GOOD KEY AND


TOOL CONTROL.

E. CPL EVANS ENSURES TffiS TASK IS DONE IN A


TIMELY MANNER.

D
E

F. CPL EVANS ADVISES HER SUPERVISORS OF SECURITY


VIOLATIONS AND INITIATES CORREctiVE ACTIONS.

G. CPL. EVANS IS ALERT AND RESPONDS


APPROPRIATELY.

F.

Immediately reports security violation~ to the


supervisor. Ensures that appropriate corrective actions
are taken.

G.

Remains alert for and responds to incidents in an


appropriate manner. Ensures that required r,e ports are
filed and submitted m a timely manner.
SUBTOTAL:

CATEGORYTOTAL: 20

18 I 2

10

.. ..

. ':,.

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(N arrative Comments)

or

II. FIRST-LINE SUPERVISION SKILLS

"'""

-.

A. CPL. EVANS
.. IS FAIR, BUr FIRM WITH . .
INMATES.

..

G. Refers all matters that are beyond their scope of

e.

iil'

"g

.. . D

F
G

E. CPL. EVANS COMMUNICATES WELL


TO THE SUPERVISORY STAFF.
F. CPL. EVANS WORKS CLOSE.LY WITH
STAFF TO ENSURE THEIR HIGHEST
PERFORMANCE.

. .
..

G. CPL. EVANS OOESN'T HESITATE TO


INFORM AND ADVISE THE PROPER
AUTHORITIES FOR MATTERS BEYOND
HER AUJ'HORITY.

authority to the proper person(s).

:.

'

: -5!
OS
lit

C. OFTENTIMES, CPL. EVANS HANDLES


EMERGENCY SITUATIONS DEALING
WITH INMATES, BUT IN A MANNER OF
POLICY.

E. Communicates with supervisory.staff iri. order to


provide them with information related to the
operations of the area.

F. Assists the supervisors in identifyi.pg special needs of


staff (i.e. training, development, etc.) and works with
the staff to achieve the highest possible level of
performance.

D. CPL. EVANS HAS DEMONSTRATED


. GOOD PERFORMANCE UNDER
STRESSFUL CONDITIONS.

D. Functions eff~ctively under stressful conditi~ns. Does


not allow difficult situations to create a lack of control.
Maintains composure and provides an acceptable rolemodel for subordinate staff.

iil'
n

B. CPL.EVANSIS.AWAAE.OFHER
RESPONSIBILITIES AND ALWAYS
DISPLAYS A PLAN OF ACTION.

Maintains schedules of activities within areaof


responsibility.

C. Handles emergency situations in a: manner that is


keeping with policy and acceptable practices. Is
familiar with Policy and Procedures as related to
responding to emergencies.

""

(/')

!?;:

,.

A. Manages staff and inmates in a firm, but fair manner.


..
Does not show partiality.
B.

s:

oq

..

trl
)(

CATEGORY TOTAL: 22

18

SUBTOTAL:

i...,.

.,

PERFORMANCE GillDELINES

ACfUAL ACIDEVEMENTS
(Narrative Comments)

~
"'"'

(;!"

!;'
p.

5-

Qq

. INTERACTIONS WITH PUBLIC, FELLOW EMPLOYEES, AND

(f)

"'g.

[
0

-<

A. CPL. EVANS ATTEMPTS TO RESOLVE


ISSUES IN A PROFESSIONAL MANNER.

B.
c.
D.

"
E.
F.

Greets the jniblicm a courteous manner. Makes every


attempt to resolve issues and handle requestSin a professional
manner.
Channels matters that are outside their scope of authority to the
appropriate person(s) for handling.
Work~ .well
with. co-workers.
Performs
as a. .
'~T~am- Member".
:
.
.Works well with supervisors. Is responsive to supervision and
works towards the achievement of the Department's goals,
objectives, and philosophies.
'

Presents self-image to the public in a manner that is professional,


and positive for the Department.
Uses effective communications skills. Resolves/ diffuses
potentially dangerous situations. Conducts appropriate follow up.

G. Communicates in a manner that is productive and effective.

B. CPL. EVANS REFERS MATTERS BEYOND


HER SCOPE TO THE APPROPRIATE
PERSON(S).

C. CPL. EVANS IS A "TEAM PLAYER. .

D. CPL. EVANS WORKS WELL WITH HER


SUPERVISORS.

F
G

E. CPL. EVANS HAS A PROFESSIONAL'


MANNERISM.

H
F. CPL. EVANS' ATTENTIVENESS TO
DETAILSDIFFUSES.POTENTIAIDANGEROUS SITUATIONS.

J
..

Promotes an open line of communications between the staff, staff


and inmates, and staff and supervisors and management.
Responds readily and in a non-intimidating manner to requests
for additional information or clarification. Listens actively and
encourages feedback.
' H. Completes accurate, thorough, and intelligible reports. Conducts
information gathering for Administrative Repor~ in a timely
manner and forwards them to the proper person(s).
I. Maintains logs, records, etc. according to policy and acceptable
practices.

J.

K.

Ensures that reports being submitted by staff are complete and


appropriate to the incident. Assists subordinate staff in meeting
:
achievement levels in ~eport Wt:i~g Skills ~
'

. ..

Forwards completed reports to supervisors or other appropriate


staff in a timely manner.
.

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.

D. WHEN GIVEN A TASK, CPL. EVANS


ENSURES THAT IT IS COMPLETED.

F.

Responds to requests and suggestions from staff


relating to improving the sanitation levels of the area.
Forwards these suggestions to the supervisor.. .

..

...

Promotes and insists upon the need to maintain a


clean and sanitary environment.

or

..

Monitors and inventories the use of sanitation


equipn;tent and supplies to ensure proper use, with
.
. .
..
minimal waste.

E.

-.<

Effectively uses resources to complete sanitation tasks.

Ensures that.sanit11-tion tasl<s are conducted in a


timely manner.

~
g.

.!ll

A
A. CPL. .EVANS IS VERY PARTICULAR OF
THE CLEANLINESS INHER AREA.

D.

--B::

..

Eilslires that assigned area of responsibility is kept


clean and sanitary at all times.

B.

w "5e.l!l

..
'

..

SUBTOTAL:

. .
........:..__

...

.
- --

..

..

.-. .

CATEGORY T01'AL: 14.

.-

..

,!; .,..,~

PERFORMANCE GUIDELINES

..

v.

.'

B.

c.

ti1

)(

~0<>

..

GENERAL OBSERVATIONS
A.

2Gr

ACTUALAC~MrnNT

.. (Narrative Comments)

--

Maintains regular and prompt attendance, in


accordance with Departmental policies.
Is familiar with-and-complies with Departmental ....
. Policies and Procedures.

D. Supports and p romotes the goals, objectives, and


philosophies of the Department and the Corrections Bureau.

Po
Po

Ill

Maintains standards of appearance and p ersonal - .


hygiene, in accordance with Departmental policies.

Ill
Ill

A. CJ.>L. EVANS HAS A PROFESSIONAL


. APPEARANCE.

B. CPL. EVANS MAINTAINS REGULAR


ATTENDANCE.

C.. CPL. .EVANS IS FAMILIAR WITH


POLICY AND PROCEDURES.

..

.
.

D. CPL. EVANS DOES SUPPORT THE


CORRECTIONS-BUREAU'. S POLICY-AND .
PROCEpURES.
..

'

..

..

..

.
'

,.

. ..

..

'

>

..

,_

...

...

..

'

..

..,
'

...

SUBTOTAL:

CATEGORY TOTAL:

..

12

12

g.

rr "5e.
()

-<
2

~
r.

~
1

*WHAT ARE THE EMPLOYEE' S STRENGTHS?


CPL. EVANS HOLDS HERSELF TO HIGH STANDARDS. SHE
TAKES HER JOB VERY SERIOUSLY AND CARRIES OUT HER
MARCHING ORDERS WITH PRECISION. CPL. EVANS IS A
TEAM PLAYER TOWARDS HER CO-WORKERS AND WORKS
1.WELL WITH HER SUPERVISORY STAFF. SHE ATTENTIVELY
ACCEPTS CRITICISM AND DOES NOT HESITATE TO CHANGE
HER COURSE OF PERFORMANCE. IF CPL. EVANS CONTINUES
TO SHOW DILIGENCE AND FORTiTUDE, sirn HAS A STRONG
POSSIBILITY OF FUTURE PROMOTIONAL STATUS.

*WHAT ACTIONS ARE PLANNED 'TO IMPROVE EMPLOYEE'S


PERFORMANCE?
BECAUSE CPL. EVANS IS ALREADY A FRONT-LINE
SUPERVISOR, THE SUPERVISORY STAFF WILL CONTINUE TO
GUIDE, SUGGEST;' AND PROMOTE TiiE GOALS AND
OBJECTIVES AND PHILOSOPHIES OF THIS DEPARTMENT;
THEY WILL ENCOURAGE HER PERFORMANCE AND BROADEN
HER KNOWLEDGE.

1.;:2 /I I

*IN WHAT AREAS COULD THE EMPLOYEE'S PERFORMANCE


BE IMPROVED?
. .
SHE NEEDS TO CRITIQUE HER STATUS ACCORDING TO HER
PERFORMANCE FORM AND CONTINUE HER
FAMILIARIZATiON WITH POLICY AND PROCEDURES. ALSO,
SHE NEEDS TO CONTINUE TO GO TO THE TRAINING UNIT
FOR ANY MATERIAL THAT WILL ENHANCE HER
PERFORMANCE AND BROADEN HER KNOWLEDGE.

* EMPLOYEE'S COMMENTS (Optional)

(*Use additional paper if necessary)

Total Number of Categories Evaluated'-----'3=5'-----Total Category Points _ ___::.9. :::.6_ __


Total Score Average _ __:
2.~
7;.:.4_ __
Outstanding= 4
Exceeds=
3
Satisfactory = 2

Unsatisfactory= 0

Marginal=
Date:

9L Zo/(

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM

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

ILT. ORR, I/ SGT. GASTIN, B.

HOUSING UNIT 5
PERFORMANCE DATE INITIALS
PLAN

MAY19,2010

PERFORMANCE GUIDELINES

IO

PROGRESS
DATE
DISCUSSION

INITIALS

MAY19,2010

DATE OF APPRAISAL SESSION

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.

Maintains control in assigned areas of respon sibility.

ac

e.

rr0

OS

"'g.

c
D

D. Ensures that the staff practices proper use of security


restraints.

E. Ensures the timely and accurate conducting of counts


by s taff, and forwards the results to the supervisor
and/ or Shift Commander in a timely manner.

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:

Immediately reports security violations to the


supervisor. Ensures that appropriate corrective actions
are taken.

Remains alert for and responds to incidents in an


appropriate manner. Ensures that required reports are
filed and submitted in a timely manner.

SUBTOTAL:

21

CATEGORY TOTAL:
~--

~-

21
7

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(Narrative Comments)

"

"'g
~

tTl

~
"'0.

"'0.

""
II.

FIRST-LINE SUPERVISION SKILLS

B.

Maintains schedules of activities within area of


responsibility.

B) CPL. EVANS MAINTAINS HER AREAS


EFFECTIVELY.

c.

Handles emergency situations in a manner that is


keeping with policy and acceptable practices. Is
familiar with Policy and Procedures as related to
responding to emergencies.

C) CPL. EVANS HANDLES


EMERGENCIES WITHIN POLICY AND
PROCEDURES.

E) CPL. EVANS IS AN EFFECTIVE


COMMUNICATOR WITH SUPERVISORY
STAFF.

F. Assists the supervisors in identifying special needs of


staff (i.e. training, development, etc.) and works with
the staff to achieve the highest possible level of
performance.

G. Refers all matters that are beyond their scope of


authority to the proper person(s).

SUB TOTAL: 18
CATEGORY TOTAL:

:>

e.

D. Functions effectively under stressful conditions. Does


not allow difficult situations to create a lack of control.
Maintains composure and provides an acceptable role~
model for subordinate staff.

'!9.

E
A

A. Manages staff and inmates in a firm, but fair manner.


Does not show partiality.

E. Communicates with supervisory staff in order to


provide them with information related to the
operations of the area.

{}')

"'g.
or
n

12

~
or
n

"'g.
cr

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENTS
(Narrative Commen ts)

"r;;g
5-

1'11

~
:g

Q.

"'p.

()Q

INTERACTIONS WITH PUBUC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTERPERSONAL.)

III.

Greets the public in a courteous manner. Makes every


attempt to resolve issues and handle requests in a professional
manner.
B. Channels matters that are outside their scop e of authority to the
appropriate person(s) for h andling.

A.

c.
D.

E.

F.

Works well with co-workers. Performs as a "Team- Member".


Works well with supervisors. Is responsive to supervision and
works towards the achievement of the Department's goals,
objectives, and philosophies.
Presents self-image to the public in a manner that is professional,
and positive for the Department.
Uses effective communications skills. Resolves/ diffuses
potentially dangerous situations. Conducts appropriate followup.

g>
g.

OS

B) CPL. EVANS CHANNELS MATTERS


OUTSIDE HER SCOPE TO THE PROPER
AUTHORITY.

c
D
E

Communicates in a manner that is productive and effective.


Promotes an open line of communications between the staff, staff
and inmates, and staff and supervisors and management.
Responds readily and in a non-intimidating manner to requests
for additional information or clarification. Listens actively and
encou rages feedback.
H. Completes accurate, thorough, and intelligible reports. Conducts
information gathering for Administrative Reports in a timely
manner and forwards them to the p roper person(s).
I. Maintains logs, records, etc. according to p olicy and acceptable
practices.

G.

J. Ensures that reports being submitted by staff are complete and


appropriate to the incident. Assists subordinate staff in meeting
achievement levels in Report Writing Skills.
K.
'

Forwards completed reports to supervisors or other appropriate


staff in a timely manner.

SUBTOTAL:
CATEGORY TOTAL:

30

e.

[
"'g.

;;!'

"8"

A) CPL. EVANS IS COURTEOUS WI:IEN


INTERACTING WIT H THE PUBLIC.

E) CPL. EVANS ALWAYS MAINTAIN A


PROFESSIONAL DEMEANOR.

24

PERFORMANCE GUIDELINES

"'I'Dp.

s:

SANITATION
A.

B.

I'D

p.

~
2

s::

~s

e.

17:

-<
1

A
B

Promotes and insists upon the need to maintain a


clean and sanitary environment.

F.

Responds to requests and suggestions from staff


relating to improving the sanitation levels of the area.
:Forwards these suggestions to the supervisor.

'

:"

"" ... . ... .... '"'

,.

~ .,

...

t.

,. ,

.. ,. . ,. ...

. ...

'"

'

SUBTOTAL: 17
.

~
()

Ensures that sanitation tasks are conducted in a


timely manner.

E.

A- E) CPL. EVANS MAINTAIN


SANITATION IN HER AREA OF
RESPONSIBILITY AT A VERY HIGH
LEVEL.

Monitors and inventories the use of sanitation


equipment and supplies to ensure proper use, with
minimal waste.

D.

. ...

Ensures that assigned area of responsibility is kept


clean and sanitary at all times.
Effectively uses resources to complete sanitation tasks.

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.

Maintains standards of appearance and personal


hygiene, in accordance with Departmental policies.

B.

Maintains regular and prompt attendance, in


accordance with Departmental policies.

c.

Is familiar with and complies with Departmental


Policies and Procedures.

CPL. EVANS ALWAYS MAINTAIN


APPEARANCE AT A HIGH LEVEL..

e.

-<

OQ

v.

~-

()

5-

s::
e:

(J>

g.
"'

)(

~ I.

'

.,
'

. .

--

. ..
SUBTOTAL:

12

CATEGORY TOTAL:

if

-<

...

g.
()

D. Supports and promotes the goals, objectives, and


philosophies of the Department and the Corrections
Bureau.

*WHAT ARE THE EMPLOYEE'S STRENGTHS?


1) CPL. EVANS DEMANDS EXCELLENCES FROM HER
SUBORDINATES AND IS DEPENDABLE IN PERFORMING HER
WORK DUTIES.
2) CPL. EVANS HAS KNOWLEDGE OF POLICY AND
PROCEDURES AND IS A TEAM PLAYER.

*WHAT ACTIONS ARE PLANNED TO IMPROVE EMPLOYEE'S


PERFORMANCE?

*IN WHAT AREAS COULD THE EMPLOYEE'S PERFORMANCE


BE IMPROVED?
BE MORE OPEN MINDED WITH YOUR SUBORDINATES BASED
ON PERSONALITY DIFFERENTIAL; DELEGATE MORE TO
SUBORDINATE(S) STAFF; ACCEPT CONSTRUCTIVE
CRITICISM; AND ALWAYS STAY FAMILIARIZED WITH
POLICY AND PROCEDURES.

* EMPLOYEE'S COMMENTS (Optional)

THE SUPERVISORY STAFF OF HOUSING UNIT 5 WILL


CONTINUE TO MONITOR, ENCOURAGE, ADVISE AND GUIDE
CPL. EVANS AS NEEDED FOR FUTURE ADVANCEMENT.

S./ f .( 0 I

(*Use additional paper if necessary)

*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

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM
NAME OF EMPLOYEE

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

LT. GELLATLY,D./SGT. WILSON, P.

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

DATE OF APPRAISAL SESSION

ra je: i
J
j;l'

A. Ensures that shakedowns and security inspections are


conducted thoroughly and in a timely manner.
B. Maintains control in assigned areas of responsibility.
C. Ensures that good key, weapon, and tool control basics
are used by the staff.

c
D

D. Ensures that the staff practices proper use of security


restraints.
E. Ensures the timely and accurate conducting of counts
by staff, and forwards the results to the supervisor
and/ or Shift Commander in a timely manner.
F.

Immediately reports security violations to the


supervisor. Ensures that appropriate corrective actions
are taken.

G.

Remains alert for and responds to inddents in an


appropriate manner. Ensures that required reports are
filed and submitted in a timely manner.

SUB TOTAL:
CATEGORYTOTAL:

If
~

"S"

..:!

13 12 11 10
A

CPL. M. EVANS HAS SHOWN GOOD


CONTROL OVER HER AREA OF
RESPONSIBILITY.

:s::

I8

I6

I4

I2

I3

I2

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(Nanative Co~ents)

~
a-

'

a.

Cq

FIRST-LINE SUPERVISION SKILLS

II.

A. Manages staff and inmates in a firm, but fair manner.


Does not show partiality.

4
CPL. EVANS l<EEPS AND MAINTAINS
GOOD SCHEDULES OF ACTIVITIES IN
HER AREA OF RESPONSIBILITY

B. Maintains schedules of activities within area of


responsibility.

g>
8"

Q1

"'"'llo

B'
~

-<

..~

II
B'

6-<
0

A
B

C. Handles emergency situations in a manner that is


keeping with policy and acceptable practices. Is
familiar with Policy and Procedures as related to
responding to emergencies.
D

D. Functions effectively under stressful conditions. Does


not allow difficult situations to create a lack of control.
Maintains composure and provides an acceptable rolemodel for subordinate s taff.
E. Communicates with supervisory staff in order to
provide them with information related to the
operations of the area.

E
I

F. Assists the supervisors in identifying special needs of


staff (i.e. training, development, etc.) and works with
the staff to achieve the highest possible level of
performance.

G. Refers all matters that are beyond their scope of


authority to the proper person(s).

SUBTOTAL: .
CATEGORY TOTAL:
-- -

--

- ---

--

---------- -- - ------ -----

- --

-----

12

PERFORMANCE GUIDELINES

g"'
lA

INTERACTIONS WITII PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTERPERSONAL.)

III.

A.

Greets the public in a courteous manner. Makes every attempt to


resolve issues and handle requests in a professional manner.

B.

Channels matters that are outside their scope of authority to the


appropriate person(s) for handling.

c.

Works well with co-workers. Performs as a "Team-Member".

D.

Works well with supervisors. Is responsive to supervision and works


towards the achievement of the Department's goals, objectives, and
philosophies.

~..

ACTUAL ACHIEVEMENTS
(Narrative Comments)

CPL. M. EVANS SKILLS OF


COMMUNICATION HAS INCREASE
SINCE HER PROMOTION TO
CORPORAL.

~
oq

"'

g>
IF
;;:0.

A
B

c
D

E
positive for the Department.

Uses effective communications skills. Resolves/ diffuses potentially


dangerous situations. Conducts appropriate follow-up.

G. Communicates in a manner that is productive and effective.


Promotes an open line of communications between the staff, staff and
inmates, and staff and supervisors and management. Responds
readily and in a non-intimidating manner to requests for additional
information or clarification. Listens actively and encourages feedback.

Completes accurate, thorough, and intelligible reports. Conducts


information gathering for Administrative Reports in a timely manner
and forwards them to the proper person(s).

H.

I.

Maintains logs, records, etc. according to policy and acceptable practices.

J.

Ensures that reports being submitted by staff are complete and


appropriate to the incident. Assists subordinate staff in meeting
achievement levels in Report Writing Skills.

K.

Forwards completed reports to supervisors or other appropriate staff

in a timely manner.

SUBTOTAL:
CATEGORY TOTAL:

IF

;;:-

"cr

E. Presents self-image to the public in a manner that is professional, and


F.

27

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(Narrative Comments)

IV. SANITATION
A.

Ensures that assigned area of responsibility is kept


clean and sanitary at all times.

B.

Effectively uses resources to complete sanitation tasks.

c.

Monitors and inventories the use of sanitation


equipment and supplies to ensure proper use, with
minimal waste.

I!

Iii'

"'

p.

!"

lt

~
f.i'

AI'

g.
~

g.

<!'
n
8'

-<
1

CPL. M. EVANS WORK TOWARD


MAKING SURE HER AREA OF
RESPONSIBILITY IS KEPT CLEAN AND
IS DONE IN A TIMELY MANNER.

c
D

D.

Ensures that sanitation tasks are conducted in a


timely manner.

E.

Promotes and insists upon fue need to maintain a


clean and sanitary environment.

F.

Responds to requests and suggestions from staff


relating to improving the sanitation levels of the area.
Forwards these suggestions to the supervisor.

.-

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.

Maintains standards of appearance and personal


hygiene, in accordance with Departmental policies.

B.

Maintains regular and prompt attendance, in


accordance with Departmental policies.

c.

Is familiar with and complies with Departmental


Policies and Procedures.

D.

Supports and promotes the goals, objectives, and


philosophies o the Department and the Corrections
Bureau.

SUBTOTAL;

CATEGORY TOTAL:

..

g.
-<

S'

[..

rf
~
8'

* IN WHAT AREAS COULD THE EMPLOYEE'S PERFORMANCE


BE IMPROVED?

*WHAT ARE THE EMPLOYEE'S STRENGTHS?


1) SHOWS GOOD CONTROL OF HER AREA OF
RESPONSIBILITY.

CPL. EVANS ASSISTS SUBORDINATES STAFF IN ACIDEVING


LEVEL IN REPORT WRITING SKILLS.

2) HAS MAINTAINED OUTSTANDING STANDARD OF


APPEARANCE IN UNIFORM IS AWAY NEAT.
3) MAINTAINS SCHEDULES OF ACTIVITIES IN HER
ASSIGNED AREA.
*WHAT ACTIONS ARE PLANNED TO IMPROVE EMPLOYEE'S
PERFORMANCE?

I * EMPLOYEE'S COMMENTS (Optional)

TRAINING CLASSES.

DATE:

SUPERVISOR'S SIGNATURE

'- /.

G -<1/c.--tlv

;._R~IEWER'SCOMMENTS . /

y ~ 9t!}-12C/

$ '-

(*Use additional paper if necessary)

0- v?

r-..---~~
7. <t;:::::> :-- - (/ ..,

;- ,

Total Number of Categories Evaluated 35


Total Category Points _ _.::..94=----Total Score Average
2.70
Outstanding =
Exceeds=
Satisfactory =
Marginal=

4
3
2
1

Unsatisfactory = 0

Date:

/'-

.:5

CHATHAM COUNTY SHERIFF'S DEPARTMENT


'PERFORMANCE PLANNING AND APPRAISAL FORM .
cLASs TIT
. _LE Veputy co
_ rrecti_o_n_s. ott_ic_e_r_
) 1 cuss coDE
~Ff.Vs~N~sGT. wiLSoN, P.
_ Q~p_._Co~tions Ofc. T~ee(~rivate

~~ ~{JXf-?S';MAxiNE
~~

CorrectionsBureau

I w0 Oth!

.SECTIONHOUSINGU NITFIVE -D-WAT CH

~Pcfi'USAL

REVIEW PERIOD

MARCH 2007 TO 2008

J-~ATEOFPLAN . MARCH3l ,_2008 .

I PERFORMANCE
DATE INITIALS I PROGRESS DATE
PLAN
DISCUSSION

INITIALS

DATE OF APPRAISAL SESSION

o Probationary

PERFORMANCE GUIDELINES

ACTUALACff.rnVEMENT
(Narrative Comments)

If
llo

5'

(1Q

I. SECURITY
A

B.

Conducts thorough shakedowns.


Practices proper inmate transport procedures.

c.

Practices proper inmate escort procedures.

D.

Is able to m aintain control in area of responsibility.

E.

Conducts security inspections in an accurate, complete and


Timely manner

14

I PVT. EVANS CONDUCT.VERY GOOD

~
n

t
3

SHAKEDOWNS AND HAS GOOD


KNOWLEDGE OF POLICY AND PROCEDURES.

c
D
E
F

G
H

r.

J
K

F.

Practices good key, weapon, and tool control basics..

G. Is familiar with and accurately operates control panels and


other security equipment within assigned area
H. Practices proper use of security restraints.
I.

Conducts timely and accurate counts.

J.

Is alert for and immediately reports security violations to


supervisors. Takes appropriate corrective actions.

K Is .familiar with and complies with Policy and Procedures


relating:to facility security..

SUB TOTAL: 33
CATEGORY TOTAL: 11

1 33

111

ftl

~
in'

8'

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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,.,
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P.VT: EVANS H.As.A"VERY GOOD-TAKE

' P'

'

~..

-1.

-<

..
.,

"~
ii'
"S'

'iil'

"
~

:0

CHARGE AlTITUDE WHEN ASStnvrrNG POST.


p

...

A. Manages detainees in a firm, but fair manner. Does not


show partiality. ..

MANAGES DETAINEES-IN A FIRM BUT FAIR

A
. 'B

MANNER.

B. Maintains schedules of activities within assigned area of


responsibility. Creates a sooth flow of events (i.e. Meal
delivery, Irunate Commissary services, Medical, etc.)

c.

D
E
F
G

Handles emerg~ncy situations in a mrumer that is in


keeping with policy and acceptable practices. -Is familiar
with Policy and Procedures as related to handling inmate
emergencies.

D. Identifies special needs, such as improper classification,


mental health disorders, disciplinary problems of detainees
within area of supervision and makes the proper referrals
for appropriate action.
E. Functions effectively under stressful conditions. Does not
allow difficult situations to create a lack of control.
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.

:
I

H. Maintains a professional bearing with all detainees at all


times.

SUB TOTAL: 24

24

CATEGORY TOTAL: 8
-~--

------- - - - - - - - - ----

-- - - - - - - -- - - - - - -

----

---

8
---- - -

---

-----

--

L...

. .

PERfORMANCE GUipELTh.ffi.S

..

. . ..

(Narrative.Gomments)

..

ACWAL AC,J.llzyEMENTS

"'sr

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lr

'!

- ~

iii. INTERAcnONS WITII PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS..COMMUNICATIONS SKILLS (WRITfBN AND INTER
:PERSONAL.)

A. Greets th~ public in a courteous manner. Makes

PVT..EVANS WORKS WELL WITH CO WORKERS. COMPLETES ACCURATE


AND THOROUGH REPORTS IN A TIMELY
MANNER.

every :attempt to resolve issues and handle


requests/ questi6ns in a prof~ssional m~er.

lir
g. .
~

0
...";!

a,.c::: .
It-

iii'
n
0

-<
3

c
o
E
F
G
H
I

B. Channels matters that are beyond i:he.tr scope of


authority to the appropriate person(s) for handling.
C. Works well'with co-workers. Performs as a "TeamMember''.
D. Works well with supervisors. Is r esponsive to
supervision and works towards the achievement of
the departmental goals, objectives, and
philosophies.
E.

Presents self-image to the public that 1s professional


and positive for the Department.

F. Completes accurate, thorough, and intelligible


reports in a timely manner.

G. Maintains logs, records, etc. in accordance with


policy andacceptable practices.

H. Uses effective communications skills.


Resolves/diffuses potentially dangerous situations.
..
I. Communicates With detainees and. others in a
. ..
manner that is productive and effective.
"

'

..

.-

'

..

.. .

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

COMPLETES SANITATION TASK IN A


TIMELY MANNER.
'

. condition.

B.

Effectively uses resources to complete sanitation


functions ..

c.

Monitors 't he use of equipment and supplies to ensure


their proper use by detainees, :minimize waste.

D.

Completes sanitation tasks in a timely mmmer.

E.

Promotes and insists upon the need to maintain a


clean and sanitary environment.

'

1>.

lt

PVT. EVANS MONITORS THE USE OF


EQUIPMENT AND SUPPLIES TO ENSURE
THEIR PROPJ?RUS~ BY DETAINEES.

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.

Maintains standards of appearance and personal


hygiene, in accordance with Departmental polides.
'

B.

Maintains regular and prompt attendance, in


accordance with Departmental polides.

c.

Is familiar with and complies with Departmental


Polides and Procedures.

D.

"&r . ~
g
5- l

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4
PVT. EVANS MAINTAINS STANDARD .OF .
PERSONAL APPEARANCE IN
A
ACCORDANCE WITH DEPARTMENTAL
POLICY AND PROCEDURES.

..,. fOS .
Ul

a.
lil'
n
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c:

,.a
fi

e.... .nr.r

8"

'< .
3

'2 ' 1 . 0

c
D

. .

Supports and promotes the goals, objectives, and


philosophies of the Department and the Corrections
Bureau.

..

. .
..

..

. .

..

.
...

SUB TOTAL: 13
CATEGORYTOTAL: 4

WHAT ARE THE EMPLOYEE'S STRENGTHS?

* IN WHAT AREAS COULD THE' EMPLOYEE'S PERFORMANCE BE IMPROVED?

1. CONDUCT VERY GOOD SHAKEDOWNS


2. DOES NOT HESITATE TO TAKE CHARGE
3. FIRM=BUT-FAIR
4. MAINTAINS STANDARD OF PERSONAL APPEARANCE
WELL PRESSED 'AND POLISHED.
5. KNOWS POLICY AND PROCEDURES

BECOME MORE FAMILIAR WITH DEPARTMENTAL POLICY


AND PROCEDURES.

* WHAT ACTIONS ARE .PLANNED TO IMPROVE EMPLOYEE'S PERFORMANCE?

*EMPLOYEE'S COMMENTS (Optional )

KEEP AN OPEN DOOR POLICY, AND WILLING TO HEAR.


BE MORE PROACTIVE. SEEKS SUPERVISORY TRAINING
OFFERED.

DATE:

. ~-/fJ, 8
*

~~WER'S COM~!~~S~., h:

. L.

j?

(* Use additional paper if necessary)

.,......-~~

J:/A/~~~o

, ,

Total Number of Categories Evaluated --=3~7_ _ __


Total Category Points _....:1::...::1::...::1=----------Total Score Average _ ____,3::..:~0~0_ _ _ _ _ __
. Outstanding ;:::: 4
Exceeds=
3
Satisfactory =
2
Marginal=
1

Unsatisfactory = 0

Date:

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM

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

PVT. EVANS, MAXINE

cuss c oDE

SECTION. T

TYl'E OF APPRAISAL

D Annual

TO 04/07

PERFORMANCE DATE INITIALS

PLAN

DATE OFPLAN

I DISCUSSION
PROGRESS

ef.r.vsr&N~EscT. BROWN, c.

DATE

APRIL3, 2007

INITIALS

DATE OF APPRAISAL SESSION

D Other

nProbationary

PERFORMANCE GUIDELINES

I.

SECURITY

0
c

ACTUAL ACHIEVEMENT
(Narrative Comments)

A. Conducts thorou gh shakedowns.

a
~
~
Oq
14

PVT. EVANS IS KNOWLEDGEABLE OF POLICY


AND PROCEDURES.

g>
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13

P'
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0

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B. Practices proper irunate transport procedures.

c.

Practices proper inmate escort p roced ures.

D.

Is able to maintain control in area of responsibility.

D
F

E.

H
I

Conducts security inspections in an accura te, complete and


Timely manner

J
K

F.

Practices good key, weapon, and tool con trol basics..

G.

Is familiar with and accurately op erates control p anels and


other security equipm ent w ithin assigned area.

H. Practices proper use of security restraints.


I.

Con du cts timely and accurate counts.

J.

Is alert for and immediately reports security violations to


supervisors. Takes appropriate corrective actions.

Is fam iliar w ith and complies w ith Policy and Procedures


rela ting to facility security..
SUBTOTAL: 33

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.

PVT. EVANS ALWAYS TAKES CHARGE OF


HER ASSIGNED AREA UPON ARRIVAL. PVT.
EVANS USES HER OBSERVATION SKILLS TO
IDENTIFY INMATES WITH SPECIAL NEEDS.
SHE FUNCTIONS WELL UNDER STRESS.

B. Maintains schedules of activities within assigned area of

51'
0

""[

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n

c::

,~

[;.

51'

::..
0

A
B

c
D
E
F
G
H

responsibility. Creates a sooth flow of events (i.e. Meal


delivery, Inmate Commissary services, Medical, etc.)

c.

(f)

[-

Handles emergency situation s in a manner that is in


keeping with policy and acceptable practices. Is familiar
with Policy and Pr ocedures as related to handling imnate
emergencies.

D. Identifies special needs, such as improper classification,


mental health disorders, disciplinary problems of detainees
within area of supervision and makes the proper referrals
for appropriate action.
E. Functions effectively under stressful conditions. Does not
allow difficult situations to create a lack of control.

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.

I
I
!

SUB TOTAL: 24
CATEGORY TOTAL: 8

24
8

--

--

PERFORMANCE GUIDELINES

ACTUAL ACHrnVEMENTS
(Narrative Comments)

"!la
"s
Q.

.." ..."'"' "5.....;;::


.. " e:.
~

INTERACTIONS WITH PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTERPERSONAL.)

Greets the public in a courteous mru.mer. Makes


every attempt to resolve issues and hru.1dle
requests/ questions in a professional manner.

4
PVT. BVANS CONDUCTS HERSELF
PROFESSIONALLY. PVT. EVANS USES
HER COMMUNICATION SKILLS WELL TO
DIFFUSE POTENTIALLY DANGEROUS
SITUATIONS.

cr.

p.

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III.

en

c::

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;'

"0

A
B

D
E

F
G
H
I

B. Channels matters that are beyond their scope of


authority to the appropriate p erson(s) for handling.
C. Works well with co-workers. Performs as a "TeamMember".
D. Works well with supervisors. Is responsive to
supervision and works towards the achievement of
the departmental goals, objectives, and
philosophies.

E. Presents self-image to the public that is professional


and positive for the Department.
F. Completes accurate, thorough, and intelligible
reports in a timely mcumer.
G. Maintains logs, records, etc. in accordcu1ce with
policy and acceptable practices.
H. Uses effective communications skills.
Resolves/ diffuses potentiaJly dangerous situations.
I.

Communicates with detainees cu1d others .in a


manner that is productive and effective.

SUB TOTAL: 27
CATEGORY TOTAL: 9
-

27

PERFORMANCE GUIDELINES

ACTUAL ACIITEVEMENT
(Narrative Comments)

"t:rS'

"0..
:;

"'"'0..
"'p..

0'1

IV.

SANITATION
A.

Maintains area of responsibility in a clean and sanitary


condition.

B.

Effectively uses resources to complete sanitation


functions ..

c.

Monitors the use of equipment and supphes to ensure


their proper use by detainees, minimize waste.

D.

Completes sru:ritati.on tasks in a timely manner .

E.

Promotes and insists upon the need to maintain a


d ean and sanitary enviromnent.

PVT. EVANS ALWAYS KEEPS HER AREA


OF WORK CLEAN.

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.

Qq

v.

GENERAL OBSERVATIONS

A.

PVT. EVANS IS WELL GROOMED.

Maintains standards of appearance and personal


giene, in accordance with Departmental policies.
Maintains regular and prompt attendance, in
accordance with Departmental policies.

c.

Is familiar with and complies with Departmental


Policies and Procedures.

D.

Supports and promotes the goals, objectives, and


philosophies of the Department and th e Corrections
Bureau.

SUB TOTAL: 13
CATEGORY TOTAL: 4

a.

"'~

8"
..';!

03.::s

::s

"'"'
[i'

"8"

.:;)

c
D

B.

(J)

WHAT ARE THE EMPLOYEE'S STRENGTHS?

IN WHAT AREAS COULD THE EMPLOYEE'S PERFORMANCE BE Il'viPROVED?

1. EXCELLENT F.T.O.
2. FOLLOW POLICY AND PROCEDURES
3. TEAM PLAYER

4. GOOD ATTITUDE
PVT. EVANS IS READY FOR ADVANCEMENT.

WHAT ACTIONS ARE PLANNED TO IMPROVE EMPLOYEE'S PERFORMANCE?

EMPLOYEE'S COMMENTS (Optional)

CONTINUE TRAINING

DATE:

S - /ULJ.7

(* Use additional paper if necessary)

Total Number of Categories Evaluated -----"3"-7_ __


Total Category Points -~1""12=--------Total Score Average __,.3"".0"-=2= ------ - - -Outstanding =
Exceeds=
Satisfactory =
Marginal =

4
3
2
1

Unsatisfactory= 0

Date:

$ , /c:J-:07

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM
~Arv.U: Q!i El'v\P!-9XEE

t'VL l:N AN:J, MAXINE


DIVISION

CLASS TITLE Ueputy Lotrections Uffic. er


De.I>-S_o~gi_()ns Ofc:._Ira~_e, J'rivate

Corrections Bureau
REVIEW PERIOD
TYPE OF APPRAISAL
0 Almual
05/05
05/06
o Other
TO
0 Probationary

IsEcr

IcLAss coDE

NrlousiNG UNIT FIVE


PERFORMANCE DATE INITIALS

PERFORMANCE GUIDELINES

SUPERVISOR'S NAME

DATEOFPLAN

10

PLAN

LT. J, SIMS/ SGT. GRANT, J,


II
05.19.06

PROGRESS
DATE
DISCUSSION

INITIALS

I DATE OF APPRAISAL SESSION

ACTUAL ACHIEVEMENT
(Nanative Comments)

r;r
S"

::1
0..

r
c.

lt

l)q

I. SECURITY
A. Conducts thorough shakedowns.

B.

Practices proper inmate transport procedures.

LP-

AS ANY F.T.O. PVT. EVANS IS VERY


KNOWLEDGEABLE OF POLICY AND
PROCEDURES AS WELL AS THE USE OF IT'S
PRACTICES.

A
B

c
D

C.

Practices proper irunate escort procedures.

E
F

D.

Is able to maintain control in area of responsibility.

Conducts security inspections in an accurate, complete and


Timely manner

J
K

F.

Practices good key, weapon, and tool control basics..

G.

Is familiar with and accurately operates control panels and


other security equipment within assigned area.
I.

H. Practices proper use of security restraints.


I.

Con ducts timely and accurate counts.

J.

Is alert for and immediately reports security violations to


supervisors. Takes appropriate corrective actions.

K. Is familiar with and complies with Policy and Procedures


relating to facility security..

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.

B. Maintains schedules of activities within assigned area of


responsibility. Creates a sooth flow of events (i.e. Meal
delivery, Inmate Conunissary services, Medical, etc.)

c.

3
A
B

c
D
E
F
G
H.

Handles emergency situations in a manner that is in


keeping with policy and acceptable practices. Is fanilliar
with Policy and Procedures as related to handling inmate
emergencies.

D. Identifies special needs, such as improper classification,


mental health disordets, disciplinary problem.s of detainees
within area of supervision and makes the proper referrals
for appropriate action.

E. Functions effectively under stressful conditions. Does not


allow difficult situations to create a lack of control.
F. Refers all m atters 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: 24
CATEGORY TOTAL: 8

24

PERFORMANCE GUIDELINES

<

ACTUALACHrnVEMrnNTS
(Narrative Comments)

"!;!"
g
~

III.

INTI!RACTIONS WilH PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTER
PERSONAL.)
i

A Greets the public in a courteous m armer. Makes


every attempt to resolve issues and handle
requests/questions in a professionalmmmer.

CONDUCfS HERSELF PROFESSIONALLY


AT ALL TIMES IN KEEPING WITH
DEPARTMENTAL POLICY AND
PROCEDURES.

g>

e:jj;'
n

cr

.e:~

j;J'

D
E
F

B.

G
H
I

Omnnels matters that are beyond their scope of


authority to the appropriate person(s) for handling.

C. Works well with co-workers. Perfonns as a "TeamMember".


v

D. Works well with supervisors. Is responsive to


supervision m1d works towards the achievement of
the departmental goals, objectives, and
philosophies.
E.

Presents self-image to U1e public that is professional


and positive for the Department.
'

F. Completes accurate, thorough, m1d intelligible


reports in a timely matmer.
I
I

'

G. Maintaips logs, records, etc. in accordance with


policy'm1d acceptable practices.
H. Uses effective communications skills.
'
Resolves/ d:i.ffuses potentially da11gerous _situations.
I.

Communicates with detainees and others in a


mmmer that is productive and effective.
SUB TOTAL: 26
CATEGORY TOTAL:9
------

--

-----

---

-- ~

---

---- -

24

ACTUAL ACIDEVEMENT
(Narrative Comm ents)

PERFORMANCE GUIDELINES

=
~

6..

;!'

"

11>

p,

""

Ul

(')

s-

-<

,.
~

!':!..

"'a.
(')

Ci

-<

IV.

SANITATION
A.

Maintains area of responsibility :in a clean and sanitary


condition.

B.

Effectively uses resources to complete sanitation


functions ..

. B

c
D
E

C. Monitors the use of equipment and supplies to ensure


their proper use by detainees, minimize waste.

D.

Completes sru:ritation tasks in a timely marmer.

E.

Prontotes and insists upon the need to maintain a


clean and sanitary env:irmm1ent.

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.

Maintains standards of appearance and personal


giene, in accordance with Departmental policies.

Ef

a'
n
6"
.:-.1

c
D

B.

Maintains regular and prompt attendance, in


accord~ce with Departmental policies.

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,
I

SUB TOTAL: 13
I
-~ ---- - -

CATEGORY TOTAL: 4

---

"WHAT ARE THE EMl'LOYEE'S STRENGTHS?

IN WHAT AREAS COULD THE EMPLOYEE'S PERFORMANCE UE IMPROVED?

1. EXCELLENTF.T.O
2. FOLLOW POLICY AND PROCEDURES
3. TEAM PLAYER
4. GOOD ATTITUDE

.. WHAT ACfiONS ARE PLANNED TO IMl'ROVE EMPLOYEE'S PERFORMANCE?

" EMPLOYEE'S COtvlMENTS (Optional)

PVT. EVANS IS READY TO ADVANCE TO THE NEXT LEVEL

DATE:

S-3o~D~

(* Use additional paper if n ecessary)

Total Nwnber of Categories Evaluated ---'3"'7' - - - - - - - - Total Category Points--"1:.!:1.::.1_ _ _ _ _ _ __


Total Score Average ___3"".-"'0=-0_ _ __ __ _
Outstandin g = 4
Exceeds=
3
Satisfactory
2

Marginal =

Unsatisfactory = 0

Employee's Signature

Date:

t!Jf;

(*Signature does n ot)lqdicate agreem ent with appraisal, 'but docume11ts

r fCrt\&.;:'~,~~~

~~~

I reviewofappraisalco~ent).

r~l!i. (ffv~Ws~MAXINE
~~~

Corrections Bureau

REVlllW PERIOD

Ol/0'1-

CHATIIAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM
CLJ\SSTITLE u.eputy Lottec!ions U!ficer
CLASS CODE
SUPEJW.lSD~N~1ESGT FLOYD
Dep. Corrections Ofc. Tramee, Pnvate
. LT. J. ::,1M::,
.
,

TO 01/05 :

wO Other

IsEcno~OUSING

~JruusAL

UNIT

FIVE -D-WATCH

PERFORMANCE DATE INITIALs

1 PlAN

DATEOFrLAN

l'ROGREss

DATE

JAN. 5, 2005

INITIALs

DATE OF APPRAJSA L SESSION

1 DISCUSSION

0 Probationary

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(Nanative Comments)

t:

(;!"

r.

l:r

ig_

SECURITY
/\.. Conducts thorough shakedowns.

{J)
Ill

::1.
0
::]

'"'
1.

SHE CONDUCTS TllvffiLY AND ACCURATE


COUNTS.

1
A

K
J

D
E

Practices proper irunate transport procedures.

C.

Practices proper irunate escort procedures.

D.

Is able to maintain control in area of responsibility.

G
H:

E.

Conducts security inspections in an accurate, complete and


Timely manner

F.

Practices good key, w eapon, and tool control basics..

G.

Is familiar with and accurately operates control panels and


other security equipment within assigned area

H. Practices proper use of security restraints.


Conducts timely and accurate counts.

J.

Is alert for and immediately reports security violations to


supervisors. Takes appropriate corrective actions.

Is familiar with and complies with Policy and Procedures


relating to facility security..

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.

Manages detainees in a firm, but fair manner. Does not


show partiality.

B. Maintains schedules of activities within assigned area of


responsibility. Creates a sooth flow of events (i.e. Meal
delivery, Inmate Conunissary services, Medical, etc.)
C. Handles emergency situations in a manner that is in
keeping with policy and acceptf!ble practices. Is familiar
with Policy and Procedures as related to handling inmate
emergendes.

(;!"

SUPERVISION OF DETAINEES

A.

.
g
i
0

ACTUAL ACillEVEMENT
(Narrative Comments)

SHE EXHIBIT VERY KEEN SENSE OF


FAIRNESS.
I. D. SPECIAL NEEDS SUCH AS IMPROPER
CLASSIFICATIONlvfENTALHBALTH
DISORDERS, ETC.

(/)

[..
Iii'
"8"

r...
II
lil'
n
B"

c
D
E
F
G
H

SHE FUNCTIONS EFFECTIVELY UNDER


STRESSFUL CONDITION.
SHE HAS SHOWN NO PROBLEM WITH
D-WATCH MAINTAINING HER
PROFESSIONAL BEARING WITH INMATES
AND STAFF.

D. Identifies special needs, such as improper classification,


mental health disorders, disciplinary problems of detainees
within area of supervision and makes the proper referrals
for appropriate action.
E. Functions effectively under stressful conditions. Does not
allow difficult situations to create a lack of control.
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
paHern their behavior.
H. Maintains a professional bearing with all detainees at all
times.

SUB TOTAL: 24

'

CATEGORY TOTAL:8

24
8

'

...

r- - PERFORMANCE GUIDELINES

ACTUAL ACIDEVEMENTS
(Narra tive Comments)

r;r
"g

i
!TT.

INTERACllONS WI1H PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND I NTERPERSONAL.)

SHE IS A VERY COURTEOUS OFFICER

A. Greets the public in a courteous manner. Makes

SHE CHANNELS ALL MATTERS BEYOND HER


SCOPE TO THE PROPER PERSONS.

every attempt to resolve issues and handle


requests/ questions in a professional manner.

"'B..
B..

..It-

Ul

it'
8"

rr

;;r

!l
0

::!

A
B

c
D

WORKS VERY WELL WITH ALL SUPERVISORS.

B. Channels matters that are beyond their scope of


authority to the appropriate person(s) for handling.

~
n

USES EFFECTIVE COMMUNICATION SKILLS

E
F
G
H
I

C. Works well with co-workers. Performs as a "TeamMember".


D. Works w ell with supervisors. Is responsive to

supervision and works towards the achievement of


the departmental goals, objectives, and
philosophies.

E. Presents self..image to the public that is professional


and p ositive for the Department.
F. Completes accurate, thorough, and intelligible
reports in a timely manner.
G. Maintains logs, records, etc. in accordance with
policy and acceptable practices.

H. Uses effective communications skills.


Resolves/ diffuses potentially dangerous situations.
I
I

I.

Communicates with detainees and others in a


manner that is productive and effective.
SUB TOTAL: 27
CATEGORY TOTAL: 9

27
9

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(Narrative Comments)

t:

.j.

Q1

(/)

"'~-

01'

Er

.!;!

~
"'

['

01'

a.!;!

'

IV.

'

SANITATION

'

Maintains area of responsibility in a clean and sanitary


condition.

A.

B.

Effectively uses resources to complete sanitation


iu:nctions..

C. Monitors the use of equipment and supplies to ensure

ALWAYS MAINTAINS HER AREA OF


RFSPONSIBIU1Y IN A MANNER 1HAT IS
REPRESENTATION OF WHAT 1HE DEPARTMENT
WAN'IS.

.0

A
B

c
D
E

PVT. EVANS ALWAYS COMPLETE HER TASK Willi


IN A 'I'll\1ELY MANNER.

their proper use by detainees, minimize waste.

D. Completes sanitation tasks in a timely manner.

PVT. EVANS' ATIITUDESUGGFST1HATSHE


SUPPOR1S THE GOALS AND OBJECTIVE OF THIS
DEPARTMENT.

E.

Promotes and insists upon the need to maintain a


clean and sanitary enviromnent.
i
I

'

'

i
,

.'

SUB TOTAL: 15
CATEGORY TOTAL: 5

15
'

--

ACTUAL ACHIEVEMENT
(Narra.tive Comments)

PERFORMANCE GUIDELINES

~
or
:>
~
()q
lir

~
~

g>

8'

c.

,.~

[-

01'

8;\

'
!

. A. PVf. EVANS APPEARANCE is ABOVE AVERAGE.

V. CENP.RALOBSERV.ATIONS

A.

Mnintni.ns standards of appearance m~d personal


h ygiene, Jn <tccordance with Departmental policies.

H.

Mni.ntains reg1.1l ar and prompt attendance, ht


nccordnnce with Departmexttal policies.

c.

fg fantiliar wlth and complies with Departmental


PoUcies and Procedttres.

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

D. Supports <tnd promotes !he goals, objectives, and


phil n<ltJphies of the Department and the Corrections

Bure<tu.

!
!

-------

------

--

-------

-----

------

SUBTOTAL:ll

CATEGORY TOTAL: 4

WHAT ARE THE EMPLOYEE'S STRENGTHS?

"IN WHAT AREAS COULD THE EMPLOYEE'S l'ERFORMAN~EDE IMPROVED?

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

WHAT ACTIONS ARE PLANNED TO Il'vtPROVE EivtPLOYEE'S PERFORMANCE?

EMPLOYEE'S COMMENTS (Optionill)

ENCOURAGE PVT. EV:ANS TO ATTEND SELECTED TRAINING CLASSES THAT


MAY AND SHOULD ENHANCE HER CAREER AT THIS DEPARTMENT.

DATE>

5-

,-oS

(' Use additional paper if necessary)

Total Number of Categories Evaluated -~37;:._----+


Total Category Points __,1 :.::0:.:::6-:------Total Score Average -~2:::.8:!!6;:..__ _ _ _ __

Outstanding "" 4
Exceeds=
3
Satisfactory = 2
Marginal=
1

Unsatisfactory = 0

Employee's Sigllahuc

Date:

.,---.cate agreement with appraiBal,

bitr documents review of


I

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM
Deputy Corrections Officer
Corrections Ofc. Trainee, Private

~ss TITLE

NAlltE OF EMPLOYEE

PVT. EVANS, MAXINE

J~

DIVISION

Corrections Bureau

th
o 0 er

REVIEW PERIOD

TIP!' OF AJ,'PRAISJU,

04/2003 TO 04/2004

0 Probationary

X. Annual

SECTION

LOBBY & CONTROL

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)

DATE OF APPRAISAL SESSION

042704
t11

It

..,X

"nc.

g_

SECURJTY
A. Conducts thorough shakedowns.
B.

Practices proper inmate transport procedures.

c.

Practices proper inmate escort procedures.

D.

Is able to maintain control in area of responsibility.

E.

Conducts security inspections in an accurate, complete and


timely manner.

F.
G.

PVT. EVANS IS VERY KNOWLEDGEABLE


OF HER DUTIES AND RESPONSIBILITIES IN
LOBBY AND CONTROL.
I

fr

2
A

IB

IC

ID

IE

I
jG

I
I

IH

PVT. EVANS IS ATTENTIVE TO DETAIL


WHEN CONDUCTING INSPECTION.

Practices good key, weapon, and tool control basics ..


Is familiar with and accurately operates control panels and
other security equipment within assigned area.

"'c-.
en

'<

""
I.

rn

IF

H.

Practices. proper use of security restraints.

I.

Conducts timely and accurate counts.

1.

Is alert for and immediately reports security violations to


supervisors. Takes appropriate corrective actions.

II

K. Is familiar with and complies with Policy and Procedures


relating to facility security..

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.

PVT. EVANS EFFECTIVELY SUPERVISES


DETAINEES IN AFAIRBUTFIRMMANNER.

B. Maintains schedules of activities within assigned area of


responsibility. Creates a sooth flow of events (i.e. Meal
delivery, Irunate Commissary services, Medical, etc.)

NIA

Cll

c..

c..

6"

QQ

II.

.,a.

.,"'

"R

c::

~
~

&.

~-

'<

8'

'<

C. Handles emergency situations in a manner that is in


keeping with policy and acceptable practices. Is familiar
with Policy and Procedures as related to handling inmate
emergencies.

D. Identifies special needs, such as improper classification,


mental health disorders, disciplinary problems of detainees
within area of supervision and makes the proper referrals for
appropriate action.

E
F

E. Functions effectively under stressful conditions. Does not


G

allow difficult situations to create a lack of control.

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.

INTERACTIONS WITII PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTERPERSONAL.)

.."
n

0..

"

Q.

.."'g. !
"
;;;>

E.

A. Greets the public in a courteous maiUler. Makes


every attempt to resolve issues and handle
requests/questions in a professional maiUler.
B. Channels matters that are beyond their scdpe of
authority to the appropriate p erson(s) for handling.

PVT. EVANS NEEDS TO COMMUNICATE


MORE EFFECTIVELY TO CONVEY A CLEAR
UNDERSTANDING.

C. Works well with co-workers. Performs as a "TeamMember".


D
D. Works well with supervisors. Is responsive to
supervision and works towards the achievement of
the departmental goals, objectives, and
philosophies.

E.

Presents self-image to the public that is professional


and positive for the Department.

F
H

F. Completes accurate, thorough, and intelligible


reports in a timely manner.
I

G. Maintains logs, records, etc. in accordance with


policy and acceptable practices.

H. Uses effective communications skills.


Resolves/diffuses potentially dangerous situations.
I. Communicates with detainees and others in a
manner that is productive and effective.

--------

----------

~--

------

~.
"'

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.

Maintains area of responsibility in a clean and sanitary


condition.

B.

Effectively uses resources to complete sanitation


functions ..

SATISFACTORY COMPLETES SANITATION


REQUIREMENTS.

0
c

tl'

~
~
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n
p.

en

";;>~n

g
2

c.

Monitors the use of equipment and supplies to ensure


their proper use by detainees, minimize waste.

D. Completes sanitation tasks in a timely manner.

D
E

clean and sanitary environment.

SUBTOTAL:
CATEGORY TOTAL:

~-e.

c::

;1

"'"'g.
;:;>

I3

E. Promotes and insists upon the need to maintain a

: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.

PVT. EVANS IS KNOWLEDGEABLE OF


PROCEDURES AS IT PERTAINS TO LOBBY &
CONTROL.

D. Issues keys, radios, and other assigned equipment according to Policy


and Procedures.
E. Is knowledgeable of the responsibilities and duties of the Control Room
operation. In the event of an emergency, takes appropriate responsive actions.

E
PVT. EVANS IS WORKING TOWARDS
DEVELOPING HER KNOWLEDGE OF THE
DEPARTMENTS RESOURCES.

F. Is familiar with Visitation (Lobby) procedures (i.e. accepting property,


monitoring the lobby and visitors, maintaining all related logs, records, etc. Required
by policy.

G. Maintains a professional image when dealing directly with the public.


Ensiues that all visitors are provided information, when requested, regarding
visitation schedules, and directs the visitor to other sections/persons for additional
information, when needed.

A. Effective operates all electronic doors, slides, and gates within the
facility/unit.. Does not cause lengthy or unnecessary waiting.

PVT. EVANS HAS BEEN lNVOLVED IN


SEVERAL INCIDENTS DURING THE LAST
YEAR, HAVING BEEN COUNSELED ON EACH.

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

CONTROL ROOM/LOBBY FUNCTIONS

Monitors and responds to radio traffic.

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.

Maintains standards of appearance and personal


hygiene, in accordBnce with Departmental policies.

MAINTAINS HER UNIFORM IN A PROFESSIONAL


MANNER.

Maintains regular and prompt attendance, in


accordance with Departmental policies.

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.

ATTENDANCE MARGINAL DUE TO ILLNESS.

c
D

'

l-~-

I
1

SUBTOTAL:

CATEGORY TOTAL:

JN WHAT AREAS COULD THE EMPLOYEE'S PERFORI\IANCE BE 1111Pll.OYED?

WHAT ARE THE Ell1l'LOYEE'S STRENGTHS?

PVT. EVANS DISPLAYS STRONG LEADERSHIP SKILLS AND IS WELL


ORGANIZED. SHE HAS THE ABILITY TO PERFORM AT A HIGHER
LEVEL.

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.

WHAT ACTIONS ARE PLANNED TO ll\IPROVE EMPLOYEE'S PERFORMANCE?

EMPLOYEE'S COMMENTS (Optional)

ATTEND SELECTED CLASSES IN TRAINING.

SUPERVOSOcrl:~
.......
....__/

DATE:

i! /oz&_

(*Use additional paper if necessary)

Total Number of Categories Evaluated _4.:...4,__ _ _ _ __


Total Category Points ~1""'0~2'-------Total Score Average ---'2,.,..::.3_ _ __ _ _
Outstanding = 4
Exceeds=
3
Satisfactory = 2
Marginal =
1

Unsatisfactory= 0

Dale:

--

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRAISAL FORM
Ueputy Corrections Utlicer
Dep. Corrections Ofc. Trainee, Private

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

Central Lobby & Control

PERFORMANCE DATE I NITIALS


PLAN

SUP ERVISOR'S NAME

Sgt. L. Ransom 1 Sgt. W. Burke

DATEOFPLAN

PROGRESS
DATE
DISCUSSION

INITIALS

DATE OF APPRAISAL SESSION

o Probationary

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENT
(Narrative Comments)

~
:I

a.

:;

Ul

[11

~-

~
a.
n
a.

;;;>
n
0
.:.;;!

""
T.

SECURITY

13 12
A

B.

Practices proper inmate transport procedures.

C.

Practices proper inmate escort procedures.

D.

Is able to maintain control in area of responsibility.

E.

Conducts security inspections in an accurate, complete and


timely manner.

F.

Practices good key, weapon, and tool control basics ..

G.

Is familiar with and accurately operates control panels and


other security equipment within assigned area.

H. Practices proper use of security restraints.


I.

Conducts timely and accurate counts.

J.

Is alert for and immediately reports security violations to


supervisors. Takes appropriate corrective actions.

K. Is familiar with and complies with Policy and Procedures


relating to facility security..

control room in the short time she's been


assigned to the area.

Pvt. Evans is very alert and has become


efficient in both the lobby and the control
room.

5'
2!.

:I

f?

-<

A. Conducts thorough shakedowns.

Pvt. Evans has learned the functions of the

..

3::
ri3

SUBTOTAL:

15 I 12

CATEGORY TOTAL:

05 I 06

I 1

ACTUAL ACHIEVEMENT
(Narrative Comments)

PERFORMANCE GUID ELINES

"0.

5"

."

l'l'J

<>

"~

0.

;;;
;;;>
...,
0

"~

5"
!!!.

.::1

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C
::0

'

;;>

n
0

.::1

!I.

SUPERVISION OF DETAINEES
A. Manages detainees in a fmn, but fair manner. Does not
show. partiality.
..

B. Maintains schedules of activities within assigned area of


responsibility. Creates a sooth flow of events (i.e. Meal
delivery, Irunate Commissary services, Medical, etc.)

c.

Pvt. Evans does possess a take-charge


attitude and is firm but fai r when dealing with
inmates .

B
-'

Handles emergency situations in a manner that is in


keeping with policy and acceptable practices. Is familiar
with Policy and Procedures as related to handling irunate
emergencies.

D. Identifies special needs, such as improper classification,


mental health disorders, disciplinary problems of detainees
. within area of supervision and makes the proper referrals for
appropriate action.

E. Functions effectively under stressful conditions. Does not


allow difficult situations to create a lack of control.

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.

SUB TOTAL:

09

10

CATEGORY TOTAL:

03

05

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENTS
(Narrative Comments)

;;;

:;-

m
X

en

!:
c.

...

"0-

""
HI.

INTERACTIONS WITH PUBLIC, FELLOW EMPLOYEES, AND


SUPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTERPERSONAL.)

~-

.,e:

a.

~
0

-<
3

A. Greets the public in a courteous manner. Makes


every attempt to resolve issues and handle
requests/questions in a professional manner.

Pvt. Evans is notes as being one who is able


to get a task done!

B. Channels matters that are beyond their scope of


authority to the appropriate person(s) for handling.

c.

Works well with co-workers. Performs as a "TeamMember".

Pvt. Evans Works well with her peers and is a


dedicated "team-player".

D. Works well with supervisors. Is responsive to supervision


and works towards the achievement of the departmental
goals, objectives, and philosophies.
E.

F.

Presents self-image to the public that is professional and


positive for the Department.

Completes accurate, thorough, and intelligible reports in a


timely manner.

G. Maintains logs, records, etc . in accordance with policy and


acceptable practices.
H. Uses effective communications skills:- Resolves or diffuses
potentially dangerous situations.

I.

Communicates with detainees and others in a manner that


is productive and effective.

Pvt. Evans uses very good communications


skills.

--

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

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c: '
;;;

a.

i'
0

0
Q

IV.

SANITATION
A.

B.

C.

Maintains area of responsibility in a clean and sanitary


condition.

Pvt. Evans makes assertive effort to maintain .


cleanliness and sanitation in her work area.

Effectively uses resources to complete sanitation


functions.

..;..

Monitors the use of equipment and supplies to ensure


their proper use by detainees, minimize waste.

D.

Completes sanitation tasks in a t imely manner.

E.

Promotes and insists upon the need to maintain a clean


and sanitary environment.

SUBTOTAL:
CAT EGORY TOTAL :
-----------

06

06

02

03

ACTUAL ACHIEVEMENT
(Narrative Comments)

PERFORMANCE GUIDELINES

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n
0

.:<!

SUPPLEMENTAL

tl)

~
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CONTROL ROOM I LOBBY FUNCTIONS


A.

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.

Monitors and responds to radio traffic.

D.

Issues keys, radios and other assigned equipment according to Policy and
Procedures.

Pvt. Evans as become a very effective and


dependable L obby/Control operator and
strives to better herself.

E.

Is knowledgeable of the responsibilities and duties of the Control Room


operation. In the event of an emergency, takes appropriate responsive actions.

F.

Is familiar with Visitation (Lobby) procedures (i.e., accepting property,


monitoring the lobby and visitors, maintaining all related logs, records, etc.
Requ ired by policy.

Pvt. Evans has become ail asset to this area


and maintains policies and procedures.

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.

Maintains standards of appearance and personal


h~~iene, in accordance with Departmental policies.

!;;'
n

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g>

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~

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c .

Pvt. Evans maintains excellent appearance.


B

B.

C.

D.

Maintains regular and prompt attendance, in accordance


with Departmental policies.

Is familiar with and complies with Departmental Policies


and procedures.
Supports and promotes the goals, objectives, and
philosophies of the Department and the Corrections
Bureau.

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
<

WlL-\T AUE THE l!Ml'lOYEE'S SfRENGTHS?

IN WHA.T ARE.-\.5 COULD TI-ll! EMPLOYEE'Sl'ERFORMANCE llE IMPROVED?

Pvt. Evans has learned the Lobby/Control area very quickly


and attempts to improve herself daily.

Pvt. Evans can improve where her confidence in her abilihes


lacks.

Pvt. Evans is a "team-member" who is eager to assist where


needed.

WHAT ACTIONS ARE PLANNED TO IMPROVE EMPLOYEE'S PERFORMANCE?

EMPLOYEE'S COMMENTS (Optional)

Become more familiar with Departmental policies and


procedures.

DATE:

MA-t~ IS1 ZCt7l-

(* Use additional paper if necessary)

REVIEWER'S COMfvlENTS

Total N umber of Categories Evaluated


Total Category Points ---~11=.,:2:::..
_ __ _ _
2A9
Total Score Average
Outstanding =
Exceeds ::o
Satisfactory =
l'viarginal =

4
3
2
1

Unsatisfactory

45

::o

Date:

()5':?.203
te agreement with appraisal, b ut documents
t).

oa-~/-D3

CHA'ft:I,AM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND Al'PRAISAL FO~l

"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

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Dt..1

PERFORMANCE DATE 1NITIALS


PlAN

PROGRESS
DArE
DISCUSSION

INII1AtS

DAT'E OF APPRAISAL SESSION

D$~\0{
ACfUAL AOIIEVEMENT
(Na.rrative Comments)

GUIDELINES

a-

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~

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'

1. - SECURITY . -

~13::
~
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13

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-<
0

A. Conducts thorough shakedowns.


B.

I?actices proper inmate transport procedures.


~-:.:

C. PJ:a~ces proper inmate escort procedures.

(c

D. -Is-.able to maintain control in area of responsibility.

..

I~

Conducts security inspections in an accurate, .c omplete and


~ely manner.

E.

F.

Practices good key, w eapon, and tool control basics ..

G.

Is faiD.iliar with and accurately operates control panels and

(
,I&-

other security equipment .within assigned area.

----1

H.

Practices proper use of security restraints.

I.

Conducts timely and accurate counts.

rt

J.' i:s alert for and immediately reports security violations to


superv:isors. Takes appropriate corrective actions.

K.

r1

Ts familiar with and complies with Policy and Procedirres


relating to facility security..

IlL
?~

I(
;~

,:0:,~

,;:-.,: :;:,

,.:'

II.

--
SUPERVISION OF DETAINEES

A. Manages detainees in a firm, but fair manner. Does nc;>t


.
show partiality.

.:' '

..

..

I~

..

..

Handles emergency situations in a manner that is in


keeping with policy and acceptable practices. Is familiar
with Policy and Procedures as related to handling
inmate emergencies.

. ...

Functions effectively under stressful conditions. Does not


allow difficult situations to create a lack of controL
Refers all matters that are beyond their scope of authority
to the proper person(s).

.. .

..

!r
~

rr

Maintains a professional bearing with all def:ai?ees at all


..
times.

"

..

- ~ -

-- --

G. .Possesses a "Take Charge" attitude when assuming p ost.


Provides the detainees with the proper role-model to .
pattern their behavior.

'~

..

_ D . . Identifies special needs,.. such as improper. classification,


mental health disorders, disdplinary problems of
detainees within area of supervision and makes the
proper referrals for appropriate action.

.H.

..........-

'

F.

,;.

l!i

.-

responsibility. Creates a sooth flow of events (i:e. Meal


delivery, Inmate Commissary services,Medical, etc.)

E.

.. .. .

..

B. Maintains schedules of activities within assigned area of

c.

- .-

. .... ..

SUB TOTAL:
CATEGORY TOTAL:

1/0

..

~.:.,:.

:..
._

PERFORMANCE GUIDELINES

ACTUAL ACHIEVEMENTS
(Narrative Comments)

.
'

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...

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IT

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A. Greet:5 the public in a courteous manner. Makes eveiY attempt to


resolve issues and handle requests/ questions in a professional mannet.

..

B.. Otannels matters that are beyond their scope of authority to the
appropriate person(s) for handling.

c.

D. Works well with supervisors. Is responsive to supervision and works


. towards the achievement o the Departmental goals; objectives, and
philosophies.

..

-- ---

..

. ..

F. Completes accurate, thorough, and intelligible reports in a timely manner.

Communicates with detainees and others in a manner that is productive


and effective.

tt;

'

..
.

L_

..

--..

--

- - ~..:.,..

':

. .

.practices.

I.

..

G. Maintains logs, records, etc. in accordance with policy and acceptable

. .-

;:-

.. .

E. . Presents self-image to the public that is professional and positive for the
Department.

Uses effective communications skills. Resolves/ diffuses potentially


dangerous situations.

c::
.a

Works well with co-wox:kers. Penorms as a "Team-Member".

H.

~;

Cq

Ill. INTERACilONS WTIH PUBLIC, FELLOW EMPLOYEES, AND


SuPERVISORS. COMMUNICATIONS SKILLS (WRITTEN AND INTERPERSONAL)

,:!:

...

SUBTOTAL:
CATEGORY TOTAL:

-,....

...

13
"10( .

.. .

PERFORMANCE GUIDELINES

IV.

rr

i3.

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::2

..

0..

:;

-D.

~ompletes sanitation tasks in a

--

. ..
~

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.. . .. . ..
~

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..

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...

..

Promotes and insists upon the need to maintain a


clean and sanitary envii~nment.

..

-.

timely manner.

.
E

c:

a..

~-

Effectively. uses resources to complete sanitation


funCtions .
-'
Monitors the use- of equipment and supplies to ensure
. their proper use by detainees, in:inllnize waste.

c.

"'
co:;

;;-

..

A. , Maintains area of responsibility in a dean and sanitary


condition.

. .

"0

""

SANITATION

B.

..!i':n

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....

ACfUAL A~IENT
(Narrative Comments)

'

..

..

..

' -

'

'

'

...

--

':

..

.'

-- .. -

..

.. ..

'

.--,

SUBTOTAL:

/C

CATEGORY TOTAL:

.,

-.

PERFORMANCE GUIDELINES

ACTUAL ACHIEVThfENT
(Narrative Comments)

c
10
ff

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GENERAL OBSERVATIONS

....

:f)

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B.

Is familiar with and complies with D(;!partmental

If

Supports and promotes the goals, objectives, and


philosophies of the Department and the Corrections
Bureau.
.

'

...

--

..

SUBTOTAL:
CATEGOR.Y TOTAL:

h .

...... .

";;

fj

D.

lk

Polides and Procedures .


.

""

i'

.:;;

Maintains regular and prompt attendance, in


accordance with Departmental polides.

c.

:!.

Maintains standards of appearance and personal


hygiene,~in accordance with Departmental polides.

A.

..3: ~
:;-

;(

WHAT .U<E THE EMPLOYEE'S &TRENGTHS?

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" lN WHAT ."\RE.-\5 COULD THE EMPLOYEE'S PERFORMANCE BE IMPROVED?

.:C.

~\\e~ ~ e::,.c:t_ .EUM> \s C1\lA6)~

L.Uot~l~

h~\s I~ ~ M~~

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.

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~~\izc... -;-h\~, ~ ,.>.$.0~ ~ ~ ~)~

00..(

Q. -~~~ ~ 1;::A~L,..c.t.-~A.\(!

-\a ~ \)-'t.<A...r::J ,vr-,


~u.t-~ +~""";;~ ~ ~~~ -+- ~'i-c.~---\Us

\~

WHAT ACriONS ARE PLANNED TO IMPROVE EMPLOYEE'S PERFORMANCE?

.("-)..1'3

EMPLOYEE'S COM!vlENTS (Optional)

~~ - ~-~oo>JfCc.. '~,;\-u.'r~, "D//D<..~rh~

'r::..')(~{o.c- O~T~ -to~~-'=&~:.._,,~ ~~.a~4:<. .


~-,~tA..c.S.f ~ ~ -+k l~A'.U'v t;~-;r;.e.~ Yl>VL

o&~~s ~ ~\{c::>LJ ctol(.. ~u.\b~ ~~----~


L..:c-\ \ ~ 1
~ecilo-~ ..
o(AL

(*Use additional paper i necessary)


REVIEWER'S COMMENfS

Total Number of Categories Evaluated _3


_.2'----- - - Total Category Points
2
TotatScore Average _.Q.
.:l:LL....It?-~4....__ __

f'

Outstanding =
Exceeds=
Satisfactory =
Marginal =

3
2
1

Unsatisfactory = 0

Date:

{),S;;J.; & I

CHATHAM COUNTY SHERIFF'S DEPARTMENT


PERFORMANCE PLANNING AND APPRIAISAL FORM
NAME OF EMPLOYEE

CLASS TITLE DEPUI'Y

Evans, Maxine
SECTION

REVIEW PERIOD

DATE OF PLAN

Housing Unit 5

Corrections Bureau

04-30-13

TYPE OF APPRAISAL

PERFORMANCE DATE INITIALS

('} Annual

PLAN

( ) Other

()Probationary

TO 04-13

SUPERVISOR NAME

Lt. J. BrownjSgt. H. Gastin

Corporal

DIVISION

04-12

CLASS CODE

04-30-13

JB/BG

PROGRESS DATE INITIALS


DISCUSSION

DATE OF APPRAISAL
SESSION

JB/BG

PERFORMANCE GUIDELINES

-r

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ACTUAL ACHIEVEMENT
(NARRATIVE COMMENTS)

~
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SECURITY

A. Ensures that shakedowns and security inspections are conducted thoroughly and in a Cpl. Evans consistently supervises and
timely manner.

ensures thorough shakedowns are


conducted in a timely manner.

I 4.

lA

B. Maintains control in assigned areas of responsibility.


C. Ensures that good key, weapon, and tool control basics are used by the staff.
D. Ensures that the staff practices proper use of security restraints.
E. Ensures the timely and accurate conducting of counts by staff, and forwards the

She maintains excellent control of her


assigned area as well as being observant 1B.
of all that enters and exits her assigned
area.

results to the supervisor and I or Shift Conunander in a timely manner.

c
D
E

-.- F. Immediately reports security violations to the supervisor. Ensures that appropriate

corrective actions are taken.


''

- G. Remains alert for and respond to incidents in an appropriate manner. Ensures that
required reports are filed and submitted in a timely manner.

Cpl. Evans remains alert ad responds


immediately to incidents without
hesitation.
SUBTOTAL:
CATEGORY TOTAL:

7
24

I4

12

I 12

PERFORMANCE GUIDELINES
i

'

B. Maintains schedules of activities within area of responsibility.


C. Handles emergency situations in a manner that is keeping with policy and

t%1

Cpl. Evans management skills far


exceed expectations due to consistent
rotation of staff of which she does not
show partiality.

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II FIRST-LINE SUPERVISION SKILLS


A. Manages staff and iiunates in a firm, but fair manner. Does not show partiality.

(")

ACTUAL ACHIEVEMENT
(NARRATIVE COMMENTS)

:::

(J)

:><

A
B

acceptable practices. Is familiar with Policy and Procedures as related to


responding to emergencies.
D. Functions effectively under stressful conditions. Does not allow difficult situations
to create a lack of control. Maintains composure and provides an acceptable roe-

She is able to stay focused when faced


with emergency situations, while
keeping the situation in perspective.

model for subordinate staff.

E. Communicates with supervisory staff in order to provide them with information

Cpl. Evans effectively communicates


with supervisory staff as well as all
F. Assists the supervisors in identifying special needs ofstaff(i.e. training,
levels of management to achieve
development, etc.) and works with the staff to achieve the highest possible level of understanding and acceptance.
related to the operations of the area.

performance.
G. Refers all matters that are beyond their scope of authority to the proper person(s).

SUBTOTAL:
CATEGORY TOTAL:

23

15

PERFORMANCE GUIDELINES

requests/ questions in a professional manner.


B. Channels matters that are beyond their scope of authority to the appropriate person(s) for
handling.

- _.

C. Works well with co-workers. Performs as a "Team-Member".


D. Works well with supervisors. Is responsive to supervision and works towards the
achievement of the departmental goals, objectives, and philosophies.

(")

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

Cpl. Evans presents a self-image that is


appropriate in accordance with the
Department that is professional and
positive.

F
G

information or clarification. Listens actively and encourages feedback.

H. Completes accurate, thorough, and intelligible reports. Conducts information gathering for
- '

F. Uses effective communication skills. Resolves/ diffuses potentially dangerous situations.


G. Communicates in a manner that is productive and effective. Promotes an open line of

E. Presents self-images to the public that is professional and positive for the Department.
Conducts appropriate follow-up.

(")

Cpl. Evans works well in cooperation


with others for the benefit of the
Department.
She encourages the full participation of
all team members to accomplish the

"'~

"l

"

III INTERACTIONS WITH PUBLIC, FELLOW EMPLOYEES, AND SUPERVISORS..


COMMUNI CATION SKILLS (WRITTEN AND INTERPERSONAL SKILLS.)

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.

Maintains logs, records, etc. according to policy and acceptable practices.

J.

Ensures that reports being submitted by staff are complete and appropriate to the incident.

Assists subordinate staff in meeting achievement levels in Report Writing Skills.

K. Forwards completed reports to supervisors or other appropriate staff in a timely manner.


SUBTOTAL:

11

CATEGORY TOTAL:

25

16

PERFORMANCE GUIDELINES

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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

B. Effectively uses resources to complete sanitation tasks.

Cpl. Evans always ensures that all areas


C. Monitors and inventories that use of sanitation equipment and supplies to ensure are kept clean, organized and sanitary.

proper use, with minimal waste.


D. Ensures that sanitation tasks are conducted in a timely manner.

E. Promotes and insists upon the need to maintain a clean and sanitary
environment.

F. Responds to request and suggestions from staff relating to improving the


sanitation levels of the area. Forwards these suggestions to the supervisor.

SUBTOTAL:
CATEGORY TOTAL:

13

10

ACTUAL ACHIEVEMENT

PERFORMANCE GUIDELINES

~
&1
t>l

(NARRATIVE COMMENTS)

t>l
tl

A. Maintains standards of appearance and personal hygiene, in accordance with


Departmental policies.

'

B. Maintains regular and prompt attendance, in accordance with Departmental


Policies and Procedures.

.:->

V. GENERAL OBSERVATIONS

~
~
0

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.....
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~

Cpl. Evans conforms to proper standards


of professional dress which projects
poise and authority.

c
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"

WHAT ARE THE EMPLOYEE'S STRENGTHS?

Cpl. Evans displays the strengths of an exceptional leader and holds


herself to a higher standard. She takes her job very seriously and
carries out her orders with precision. Cpl. Evan possess additional
abilities such as computer skills I which will be earning her
Bachelor's Degree in Information Technology. Cpl. Evans possesses
the knowledge, experience and leadership qualities to achieve
success at a higher level of management.
e

WHAT ACTIONS ARE PLANNED TO IMPROVE EMPLOYEE'S


PERFORMANCE?

*IN WHAT AREAS COULD EMPLOYEE'S PERFORMANCE BE


IMPROVED?

Cpl. Evans continues to familiarize herself with Policy and


Procedures an she makes effective use of educational and training
programs which will prove beneficial to the Department as well
as herself.

EMPLOYEE'S COMMENTS (OPTIONAL)

Cpl. Evans is already a front line supervisor in which the supervisory


staff will continue to guide, suggest, encourage and monitor her as
needed.
DATE

(*Usc additional paper if necessary)

Total Number of Categories Evaluated


Total Category Points
98
Total Score Average
Outstanding = 4
Exceeds= 3
Satisfnctory = 2

2.80

/.

35

<it 7

Marginal = 1
Unsatisfactory = 0

** Employee's Signatute

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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.-...\"

K'. K\c:JM. JlJ)c:;-1'1 .... \

DATE OF PLAN

SECilON

L
. ~~OF APPRAISAL

REVIEW PERlOD

q4/of::, - Jo/vo

\W'"Annual
o Other
P"6obationary ~ t't~-

PERl10RMANCE DATE INITIALs


PlAN

PROGRESS
DATE
DISCUSSION

INITIAlS

ACTUAL ACIIIEV"mviENT
(Narrative Comments)

PERFO RMANCE GUIDELINES

DATE OF APPRAISAL SESSION

0
a-

r:

li"

1.

SECURITY

.
4

F.

H.

'I

}t

l:r:

Practices proper use of security restraints.

I~

Conducts timely and accurate counts~

J:

i:s ale~t for and immediately reports security violations to

.,j

stipE!rvisors. Takes appropriate corrective actions.

.}(

,_ -: -

Is fainiliar with arid complies with Policy and Procedures


relatinp, to faCility security..

rP

....

- ..
~~

~
;'

::1

{;:!

I.

K.

Conducts security inspections in an accurate, complete and.


~ely manner.

good key, weapon, and tool control basics ..

c
~

G. _ Is familiar with ~d accurately operates control panels and


other security eq~pment .within assigiled area.
. . ... . . ..

!!..

to maintain control in area of responsibility.

Pr~ctices

:r

~
b

C. Practices proper inmate escort proce-dures.

E.

"

Practices proper inmate transport procedw:es.

j). -'Is _able

~
~

A. Conducts thorough shakedoWns.

B.

!;;'

a.

&.

5'

&'

lr

JI

-t

II. SUPERVISION OF DETAINEES

..

A;

-:! '.~

A. Manages detainees in a firm, but fair manner. Does not


show partiality.
. .

.'

'

responsibility. Creates a sooth flow of events (i.e. Meal


delivery, Inmate Commissary services, Medical, etc.)

D.

'

Handles emergency situations in a manner that is in .


keeping with policy and acceptable practices. Is familiar
with Policy and Procedures as related to handling
inmate emergendes.

Ide_n tifies special needs, such as improper classification,


ment:ai health disorders, disdplinary problems of
detainees within area of supervision and makes the
proper referrals for appropriate action.

allow difficult situations to create a lack of control.

:
i

t:

..

E. Functions effectively under stressful conditions. Does not


F.

B. Maintains schedules of activities within assigned area of

c.

..

Refers all matters that are beyond their. scope of authority


to the proper person(s).

.. ...

..

..

G. Possesses a "Take Charge" attifude when assuming post.


Provides the detainees.with the proper role-model to
-
pattern their behavior.

~ ,

. H.

Maintains a professional bearing with all det:ai?ees at all


times.

rt

..
.. .

. .

. .-

..

CATEGORY TOTAL:
~-- -

-- - -

IJI,

5Ul3 TOTAL:
..

'<;[

-(.

"'-.~
'.
~
;:..:
,

r.

ACTUAL ACHIEVEMENTS
(Nanative Comments)

PERFORMANCE GUIDELINES

lr '

Cl'

II'
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;~ -

""

INTERACTIONS WITII PUBLIC. FELLOW EM).'LOYEES, AND


SUPHRVISORS. COMMUNICATIONS SKILLS {WRITIEN AND INTiiRPERSONAL)
A.

Greets the public In a courteous manner. Make eve.ry attetnpt to


resolve issue~ and handle reque5ts/ questioM in a professional manner.

B.

Channels matters that are beyond their scope of authority to the


appropriate person(s) for handllng.

c.

..
:l
0

::J

III.

en

"
!I

;c

c;'"

.g

:l

~-

..

If

"

k
I

Works well with co-workers. Performs as a "Team-Member".

Work! well with supervisors. Is responsive to supervl.9ion and works


towards the achievement of the Departmen~ goals; objectives, and
philosophies.

D.

E.

F.
G.

Completes-aoturate, thorough, and intelligible reports in a timely manner.

~
I{

Maintains logs, records, etc. in accordance with policy and acceptable


.
.
.practices.

Use effective communications sldlls.


. . -H. dangero\15
situations.

I.

..

Presents self-image to the public that is professional and positive for the
Department.

Resolves/ diffuses potentially

,-:r

Communicates with detainees and others In a manner that Is productive


and effective.

~-

---

--

..

: ~ ..:.

._

- ..

..

-.

..

.-

SUBTOTAL:

JZ

CATEGORY TOTAL:

10

ACfUAL AOIIEVEMENT
(Narrative Comments)

PERFORMANCE-GUIDELINES

-~ -

cr

i
3.

If
::J

Q.,

:r

SANITATION
A.

Maintains area of responsibility in a clean and sanitary


condition.

B.

Effectively uses resources to complete sanitation


functions ..

c.

Monitors the use of equipment and supplies to ensure


their proper use by detainees, minimize waste.
\

D.

..

Completes sanitation

tas~

3:
"'
CQ

fi-

s~

-<

""
IV.

ir
;-

~
ii"

;-

;::.

-<

B
~

. .

..

in a timely manner.

.,

E. Promotes and insists upon the need to maintain a


clean and sanitary enviro;unent.

'

..

-
-

..
.

.
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.

Maintains standards of appearance and perq9nal .


hygiene,,in accordance With Departmental polides.

A.

i'

\02-

Mainl:aiDs reguiar and prompt attendance, in .


.accordance with Departmental polides.

-,----~~~. ~~e.J

~\l-e....-r ~~u:z__

Is familiar with and complies with Departmental

fj

~(,LLS ~(~~~ ~~

t-

Polides and Procedures.


D.

Supports and promotes the goals, objectives, and


philosophies of the Department and the Corrections
Bureau.

l)
.

..

..

.
'

..

.,

..

..
.

...

..
..

'
SUBTOTAL: .
\.;':

CATEGORY TOTAL:

'

-:3

{p

I 3

IN WHAT AREAS COULD THE EMl'LOYEE'S PERFORMANCE BE IMPROVED?

WHAT ARE THE EMl'LOYEE'S STRENGTHS?

. ,?(&11~ hrr~c:e. t07fh tf"'-~ A,


1~- Veef dDPil ,~l$~+

~=foFo-- '"'""

;J~ ~tc:.=..

VFc:. uA45

h.deVQ-

k"r~ :

k.

-r.._, ~ Se.o il ~ .> J 4-L ...c

CP>S~~ tf.ecepil ~ -ft:.

CR-rf; ~ -to~~

~ ("0">1-n~o'6 &~

JY1 0ra1. u<f / t-1. o ~~<A.. "'ff ~c~

_j.

~oo4..... ~~: /t'A-L- td.-tt- ~o..u~ ,

..:5 k

WHAT AcnONS ARE PlANNED TO IMPROVE EMPLOYEE'S l'ERFORMANCE?

ft> ~a

f_l...Q.Qe$

w ~ I( COV'-Ti ..., CA.L <7b 1 4-1\ f l.tl~ _A::, .0--L.


n-).<5
<Z-1Lfl efi_;e-CII. ' ;.J.....u
s-1. ""l-"/1-et. /..e;ua...-;- L-cJ!l~ s 11..:_(/s .

*'

EMl'LOYEE'S COMMENI'S (Optional)

<g ~~. ~p.suc"";-

':flf(.UJ?.J

pos""i-Fi u-Lhe~ s,K.-; 1/.s

sm

~fljv

(*Use additional paper if necessary)

Total Number of Categories Evalu.a ted


Total Category Points
7.5
TotatScore Average
2 .0 J

;oZ,rJ?C?

Outstanding=Exceeds"'
Satisfactory =Marginal "' ..

4:
3
2
1

Unsatisfactory= 0

J.
/ 1-?o oa

/ .

CHATHAM COUNTY- NOTICE OF SALARY CHANGE

EFFECTIVE JULY 5, 2013, YOUR HOURLY RATE WILL BE INCREASED BY 2% TO


REFLECT A STEP INCREASE ADJUSTMENT. YOUR CURRENT POSITION DATA
IS SHOWNBELOW,AS WELLASYOURNEWPAYRATE.
EMPLOYEE NAME: EVANS, MAXINE.
DEPT NAME:

EMPL NO: 1373

DETENTION CENTER

DEPT AND POSITION NO: 3326/215


JOB CLASSIFICATION TITLE: DEPUTY SHERIFF/CPL
JOB CLASS CODE: 3055
07/4/13:

HOURLY RATE: $20.7435

07/5113:

HOURLY RATE: $ 21.1583

STEP: 9

.-"""

/ .
~ )
PERSONNEL ACTION AND PAYROLL FORMI

CHATHAM COUNTY, GEORGIA

TO: Hu man Resources Department


DepartmentName/Number ____c
_.l_l_
.l_
c_
il_
;_
i;_
, _C_v_u_n_t~Y~--J_
:t_l_
l~/_
3_3_l_6______________________________________________
Employee Name ____r_1a_ ._._
i_
' 1_
~_ _
h_'1_<J_JL_'>_______________________

Employee Number ____1_ 3__


73
___________

Social Securi ty Number

EEOC Number

----------------------------------

1
~

Effective Date ____


H_a.;;..
y_2_l_t_;~_o_l_~------ 1)

Type of Action _______s_. ,_11_._1 1....;-y


_ ;__
"\_d..;..
j_
u_s_c_m_r._l.l_t_ ----------------

~\\}.J

~-)

TYPES OF ACTION TO BE REPORTED


Re-Employment
Leave Without Pay
Leave of Absence
Military Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave

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)

\~

'Employment Application Mus t Be Attached

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

Date of Employment {if other thaN New Hire)___4_-___


l 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 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

/'

Approved _____ Disapproved _____

Date

County Manager

Finance Department/Budget - Funds Available


Human Resources Department - Records Changed By
Finance Department/Payroll - Records Changed By
FOR HUMAN RESOURCES DEPARTMENT USE ONLY
/""\ OSI Jt:>fl:"q.(l d

I (FT)
I PT

'

P ay Status

~_91)

~EQ

SE,t\S

G~

TEMP

NONCL HALY

MON

a;

.,

.)

IY:! --

Monthly Salary ---------------------------Insurance Coverage Date __________


Biweekly Salary - -----'- - - - -- - - - - - - - - - - - Pension Effective Date -----------

-...... -

.. ~

PERSONNEL ACTION AND PAYROLL FORM


CHATHAM COUNTY, GEORGIA

TO: Human Resources Department


DepartmentName/Number

Chatham County Jail/3326

Employee Nam,e _ _M_a_x_i_n_e_E_v_a_n_s_ _ _ _ _ _ _ _ _ _ __

Employee Number _ _ 1_3_7_3


_ _ _ _ _ _ _ _ __

Social Security Number

EEOC Number

-------------------------------Type of Action ______s_a_l_a_r_y__


A_d_j_u_s_t_m_e_n_t_______________

----------------------

Effective Date ___M_ay=--_2_1..:..,_2_0_1_


2__________

TYPES OF ACTION TO BE REPORTED


Re-Employment
Leave Without Pay
Leave of Absence
Military Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave

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)

Employment Applicat1 on Must Be Attached

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

Approved ____ Disapproved _____

Human Resources Director

Date

Finance Department/Budget - Funds Available--------- - - - -- - - - -- - - - --...;_ Date_ _ _ __


Human Resources Department - Records Changed By

Date _ _ __ _

Finance Department/Payroll - Records Changed By

Date

FOR HUMAN RESOURCES DEPARTMENT USE ONLY

P os1t1on an dP ay S latus

I
I

FT
PT

REGL

ELEC

SEAS

CLAS

TEMP

NONCL HRLY

MON
B/W

Monthly Salary _ _ _ __ _ _ _ ______ lnsurance Coverage Date_...__ _ __


Biweekly Salary

Pension Effective Date-- - - - -

-- ,

~ --

- --

.,.. __

-~

..- - -

- -- --- - ...---

..
/ ,'

'l hv
:]

PERSONNEL ACTION AND PAYROLL FORM

!{

CHATHAM COUNTY, GEORGIA

f\

TO: Human Resources Department


DepartmentName/Number __~I~~!~,~~~r~~~~~~~r~A~g~~r~'~
' ~~~~~i~l+/~1~~~?~{>~-------------------------------------------Employee Name --~~.~~'.;'Y~
J.; - ~*l
...-.>;;_'g._,_,;;:,.
_:;c.'~:~;g~~::::-----------------------

Employee Number ---------------------------

Social Security Number

EEOC Number

Type of Action __~P~...-:..<;'lg;f";>..;i;..;:


-.,.,;:.l,-~~--------------------------

Effective Date ___,;.._i..,_


"'~..-.,~.~
_.,.<>'-1-.r'-:7~7'---'1'-'-0-4-_">"-'~-'-''r'-'--H"'->--_______

-----------------------------

TYPES OF ACTION TO BE REPORTED


Re-Employment
Leave Without Pay
Leave of Absence
Milita,.Y Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave

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)

"Employment Applicalton Mu sl Be Attached

PAY
GRADE

CLASSIFICATION/TITLE
Present

Dep. Sher if f/Aciv .

Recommended

JJc n. Shcri:E x/Cpl ,

DEPT. #/CLASSIFICATION#/POSITION#

81

33 2i) /3053/ 213

82

3326/SOSS/215

,,

ANNUA L
SALARY

HOURLY

HAS. PER

WORKWEEK

1 RATE

~lltiL Jjjj-j;f}'.
~

42 , z99-

Dat e of Employment (if other thaN New Hire)_____4


_-_ 10
__-_0_0_____________________

I I --.z I . , I
/""--' I I '-,(. \'1

40

,..., }S

fll l '\

/1.

"-'\11

( cL, -~-- e

Date of Next Merit Increase _________________

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

Approved _____ Disapproved _ __

County Manager

Date

Finance Department/Budget - Funds Available ___--fy"="""{,_~


'-.------------- - - - - - - - - - - - - - - - - - -- Date I Jc..j
I '{I
Human Resources Department - Records Changed By
fr\ Date ( ttft,

J ;,y:;

Finance Department/Payroll -Records Changed By

ij ./iI

~~ I <

Date

j r'i~! ,/r)j

FOR HUMAN RESOURCES DEPARTMENT USE ONLY


p OSITIOn an dP ay Status

1/F-f-\

1--p:r--'"'

,-RE:Gl:.)

ELEC

MON

' St:AS. QCAS) Btw--~


'
TEMP NlJN"C~ L ..ARt y -

Mol)thly Salary ______-,--_________________ Insurance Coverage Date ________


Biweekly Salary

-~-yPJ\-: =:--r_
- ,

I \ ~ --~ --~ t

.. .

\ '\o 3 1/ t (
I

'

Pension Effect ive Date ______ _____

I )

CHATHAM COUNTY- NOTICE OF SALARY CHANGE

EFFECTIVE DECEMBER 30,2006, YOUR HOURLY RATE WILL BE INCREASED TO


REFLECT A STEP INCREASE ADJUSTMENT. YOUR CURRENT POSITION DATA IS
SHOWN BELOW AS WELL AS YOUR NEW PAY RATE.

EMPLOYEE NAME: MAXINE EVANS

EMPNO:

DEPT NAME: DETENTION CENTER


DEPT NO: 3326
JOB CLASSIFICATION TITLE: DEPUTY SHERIFF/ADVANCE
JOB CLASS CODE: 3053
12/29/06: HOURLY RATE:

$17.0339

12/30/06: HOURLY RATE:

$17.3746

STEP 9

1373

PERSONNEL ACTION AND PAYROLL FORM


CHATHAM COUNTY, GEORGIA
TO: Human Resources Department

Cllotham County Jail/ 33:?6

Department Name/Number---------------------------------------------------------;~~----------------

Haxine

Ev~ns

Employee Name ---------------------------------------

,_3_~w.._,'.S_. !. . __ _ _ __

Employee Number _____

Social Sec.urity Number------ - - - - - - --------------- - -

EEOC Number

Type of Action ______


s _a_l_a_r_'J_-_A_d~j_u_s_t_m_e_n__t --------------- - -

Effective Date ___D


_e_c_e_m
_b_e_r___

----------------------------I8_,_z_o_o_s____ _

TYPES OF ACTION TO BE REPORTED


New Hire
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish E;xisling Position

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)

'Employment Applicatton Must Be Attached

CLASSIFICATION/TITLE
Present

JJeputy She rHf Add.

PAY
GRADE

ANNUAL
SALARY

DEPT. #/CLASSIFICATION#/POSITION#

302

3326/3053/213

HOURLY
RATE

1':\ SM ?fl

HAS. PER
WORKWEEK

40

16. 1511

Recommended

Date of Employment (if other thaN New Hire) ____


0_4_/_l_O_/ O
_ _O_ __ _ _ __ __
Date of Next M erit Increase - - --------------NEW EMPLOYEE: Has this person previously been employed by the County? _

No_Yes

Previous Status/Title: ------------------------------------------------------------- - - - Name of person last occupying this postilion---------------------------------------------- - -

REASON FOR ACTION: (To be completed in all types of action except new employee)
~Incen tive

pay -

~TO

Approved _____ Disapproved _____

Coun ty Manager

Dale

m,1-;::r ;/ .Dzpmved~
I

Human 9 c es Director

' Ob

Date

Finance Department/Budget - Funds Available +j?)-'Ji'-'lfl=_,)i


=(A..==-~=,.,Jf'+---------------------v-----"'=!-,.....,.-,..-- Date

~.}!~)

Human Resources Department - Record s Changed By

FOR HUMAN RESOURCES DEPARTMENT USE ONLY

I Fi--.t

PosltiQJ.l an dPay Status


MON
' \ REG~, ELEC
~ -- PT~EAS-( . c l.A?>) ,ASIW--... i
TEMP

Rev. 4/90

\ AIUITC::

Date

f>:'-.._ Date

Finance Department/Payroll - Records Changed By

Mof)thly Salary _____ __ _ _ _ _____ Insurance Coverage Date _ __ _ _


Biweekly Salary

Pension Effective Date _ _ _ _ __

NONC L ' l-IRtY....t'A"-1/\0V

Jan

p. 1

11 OS 02:28p

Inter-Office Correspondence

Date:

Dec.

From:

Sgt. Sheree Rogers 0)1

To:

Pvt. Maxine Evans

Subject:

Facility Training Officer

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

TO: Evans, M, Adv


Detention Center
FROM: Michael A. Kaigler, Human Resources & Services Director
DATE: February 11, 2005
SUBJECT: Salary Adjustment

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:

Your current hourly salary is:


Your current annual salary is: _

$14.7449
$30,669

Your revised hourly salary is:


Your revised annual salary is:

$15.6351
$32,521

Personnel file of Evans, M 1373

\._

PERSONNEL ACTION AND PAYROLL FORM

r.

CHATHAM COUNTY, GEORGIA

/ ,I

TO: Human Resources Department

Department N am~/Number ______~c~~h~a~t~ha~m~C~o~u~t~


lt~LT~J~a~~i~lL/~3=3~2~6~----------------------------------------Employee Name _ _ __,J.'i""1a
.,_x=i~n,_,
e:.........:E,_v"-'a,._n=s_______________

Employee Number-- - -- --- - - - - - -- - - -

Social Security Number

EEOC Number

Type of Action _ _,O'-t:Ah


" ..,c...,r,_
_ _ ...,
R~e:..::l_,e'""a""'s"'oa"'-""f..,r_,o"'m:!......<P'-'r"-o"'-b=a'-"t"'i'""o'-"n-=----

Effective Date ____2 7...!../-"2'-"8:.!./_,0c.::!


LI ' - - - - - - - - - -

-----------------------------

TYPES OF ACTION TO BE REPORTED


New Hire
Temporary/Seasonal Employment
Salary Aqjustment

Merit
Transfer
Reclassification
Abolish Existing Position

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

' Employment Application-M ust Be Attached

CLASSIFICATION/TITLE
Present n ..... ,. .

-r

Cl-~ -l-1'-F /

Recommended

..... -- - '

--

A;t,.

PAY
GRADE

~:i

ANNUAL
SAlARY

DEPT. #/CLASSIFICATION#/POSITION#

__ ._ ,

.'

':l ':l?~/';1()1:, /1t /?1':1

~~~~7~.,

HOURLY
RATE

HRS.PER
WORKWEEK

y.ss ',/-

-1/.. .. ~
--

t,.fl
-

Date of Employment (if other thaN New Hire)______,.t-~,


> Q....,fi.._,Q.J.----------------1 /r.....ll.-'n;.,/r.....'~
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)

. Ampl.Jyee r e lease from 90 da:f probat i on

= see

att a ched

' //-'
/.j' /

I'/ i., /./ /

Approved _ __ Disapproved _____

County Manager

Date

Finance Department/Budget - Funds Available -----------------------------------.. . . U:__--.---;


.: V~"'ri;"-rJ,i L- Date-;? I r.~ I . , /
Human Resources Dep artment -Records Changed By
Finance Department/Payroll - Records Changed By

--\~~-~,,

Dat: i i ;( :.\ .',.,

0\ ,.'( .
Date o _ b

1.\ . ,

FOR HUMAN RESOURCES DEPARTMENT USE ONLY


p OSI,TIOn.an d Pay Stat us
FT- ....,_ REGL ' ELEC
MON
.....

r~-8-T-". st=~

JCLA~? : Bm. .,.

TEMP \N<:>N6 t

Mol)thly Salaiy ------------------------- Insurance Coverage Date-------Biweekly Salary


Pension Effective Date _ ________

FiRtY
GOLDENROD

_)

;'

PERSONNEL ACTION AND PAYROLL FORM


CHATHAM COUNTY, GEORGIA
TO: Human Resources Department
DepartmentName/Number ________C_h_a_t_h_a_m
__C_o_u_n_t~y~J_a_l_l_/_3_3___
?_6________________________________________
Employee Name _ _.:..:
M:.::.a:.::.:x.::.i:.::.n.:. :e:.._:E=..v.:. :a:.::.n=s=---

- ---------

Social Security Number


Type of Action

Employee N u m b e r - - - - - - - - - - - - - - EEOC Number

------------------------

Effective Date _ _ _ _
4/:._2_6....:/:.::.0_4_ _ _ _ _ __

Othe r - Return to Probat i o n

TYPES OF ACTION TO BE REPORTED


New Hire
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish Existing Position

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)

'Employment Application Must Be Attached

PAY
GRADE

CLASS IFICATION!TITLE
Present

Dep. She r :tff / Adv

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)

Date of Employment (if other thaN New Hire),_______:4::t...<.../"'-'1O>..!.L/"'"-?.'""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)

Empl oyee

b eing

returned to a 90 day probationar y period 9ps ee a ttached letter

Approved ___ Disapproved _____

Finance DepartmenUBudget - Funds Available -------------------------,,--.f,;~- Date -,, ;; /

~at~h":?_\ C /

Human Resources Department - Records Changed By


Finance DepartmenUPayroll - Records Changed By

//\....
//

6ate.' ) / ' / \
I

FOR HUMAN RESOURCES DEPARTMENT USE ONLY


,....- osition_a_n d Pay s tat us
I~.FT"1 _.REG I,.,..... . ELEC ~-.

PT

SEAS.._ (6LAS ~1 I(;"B/W


TEMP NO.NCL HRLY
\AILI ITI""

Mol)thly Salary ________ _ _ __ _ _ ___ Insurance Coverage Date _______

D Biweekly Salary

Pension Effective Date _ _ _ ____

CHATHAM COUNTY- NOTICE OF SALARY CHANGE

EFFECTIVE JANUARY 3, 2004, YOUR BIWEEKLY RATE WILL BE INCREASED TO


REFLECT A STEP INCREASE ADJUSTMENT. YOUR CURRENT POSITION DATA IS
SHOWN BELOW AS WELL AS YOUR NEW PAY RATE.

EMPLOYEE NAME: MAXINE EVANS

SSN: .

DEPT NAME: DETENTION CENTER


DEPT AND POSITION NO: 3326-213
JOB CLASSIFICATION TITLE: DEPUTY SHERIFF/ADVANCE
JOB CLASS CODE: 3053
01/02/04:

HOURLY RATE:

$14.0377

01/03/04:

HOURLYRATE:

$14.3123

INCENTIVE:
AMOUNT:

STEP 3

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_y__J_a_i_l_/_3_3_:_
~ 6_______________________________
Employee Name ____'_
1_axine Evan_s_ _ _ _ _ _ _ _ __
Social Security Number

-----

Re turn From Suspension tfithout Pay

Type of Action

Employee N u m b e r - - - - - - - - - - - - - EEOC Number ----------------------------Effective Date ___l_0_/_2_6_1_0_3_ _ _ _ _ _ __

TYPES OF ACTION TO BE REPORTED


New Hire
Temporary/Seasonal Employment
Salary Adjustment
Merit
Transfer
Reclassification
Abolish Existing Position

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

'Employment Appl;cal ion Must Be All ached

PAY
GRADE

CLASS! FICATIONITITLE
Present

Dep. She rif f / Adv

ANNUAL
SALARY

DEPT. tt/CLASSIFICAT IONif/POSITION#

14 . 0 377

29,1 9 8

3326/ 3 053/21 3

302

HAS. PER
WORKWEEK

HOURLY
RAT E

40

Recommended

Date of Employment (if other thaN New Hire)._ _4_;_/:,_:.:..10.:...;/~2..:..0.:...;0.:..;0.:..___ _ _ _ _ _ __


Date of Next Merit Increase--------- --NEW EMPLOYEE: Has this person previously been employed by the County?_ No_Yes
Previous Statu s/Title: - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - Name of person fast occupying this posti l i o n - - - - - - - - - - - - - - - - - - - - - - - - - -

REASON FOR ACTION: (To be completed in all types of action except new employee)

jk.

Employee returned f rom Suspens:i.on ~Vitho u t Pay effec t ive 10/26/03

Approved ____ Disapproved _ __

County Manager

Dale

Dale

Finance Department/Budget - Funds Available - - - - - - - - - ---------'......::::"====+--.-,,.....,...,::'@::::


__
Human Resources Department -Records Changed By __________________

Date/Cf-.t~
__ ).

Finance Department/Payroll - Records Changed By

c-,

\r'dAr\"'.,.\/i
__::::..~~;'
tl~,
v--- Date,f /; I "!LJ c r(_
/( l

Date

.-

1Oj ~

FOR HUMAN RESOURCES DEPARTMENT USE ONLY


--- ~Qsition-a.,nd

Pay Status
L.J>: ~ ELEC Jt10N.._
PT
SEAS, ..C LAS~ B/W

.0

TEMP

Mol)thly Salary _ _ _ _ _ _ __ _ _ _ ___ Insurance Coverage Date _ _ __ _


Biweekly Salary

Pension Effect ive Date - - -- --

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 - - - - - - - - - - - - - -

Social Security Numbe

EEOC Number

Type of Action

Suspension Hithout Pay

Effect ive Date

---------------------------10/ 12/ 03

--~-------------------------

TYPES OF ACTION TO BE REPORTED


Re-Employment
Leave Without Pay
Leave of Absence
Military Leave
Maternity Leave
Workers' Compensation Leave
Educational Leave

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)

'Employment Applicatoon M ust Be Attached

CLASSIFICATION/TITLE
Present Dep.

Sheriff/ Adv

PAY
GRADE

ANNUAL
SALARY

DEPT. #/CLASSIFICATION#/POSITION#

302

HAS. PER
WORK WEEK

HOURLY
RATE

1ct I \I qI \./ ILl t. l. l',fJ 40

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 ).

Approved ___ Disapproved _____

County Manager

Date

Sec

a ttach~ d

let ter.

m!~ --~ ..:;/.f.loo~ I~ I,~.-

Approved

~Disapproved

_____

L ..

=7---'';:';~
,-/..i!.'.,-~-- Date
Finance Department/Budget -Funds Available _____________________ _~

Human Resources Department - Records Changed By ______________________________


\'-"'.~\A~~
"-'7.-::",.~. __Date ,

Finance Department/Payroll - Records Changed By

'~JL_

Date\

o:\

/, J I i.'/ -"Jo:J

1/LJ JJ3
\ \~ .

FOR HUMAN RESOURCES DEPARTMENT USE ONLY

r
r

....-....

. PositJQJJ and p ay status


MON
FT ;., I/REGL' ELEC
pf -SE'.A:~ CI::A.S_..... 'j3f(/.J~
TEMP 1iroNer

~Rev--~

Mof)thly Salary ________________ Insurance Coverage Date _ _ _ __


Biweekly Salary

Pension Effective Date _ _ _ _ __

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:.,
_
____ __

Employee Number - - - - - -- -- - ---- - -

Social Security Number

.__~oc

Number

---------------~

Type of Action _ _ J_,._E_._S_


c_~1'--)~I_
n_
c_r_e_a_s_e_
. _-_ _T
_o_ _S_t_e_p_ 2____

-------------------

Effective Date _____


12_/_:._J1_/_0_2_
. - --

- -- - -

TYPES OF ACTION TO BE REPORTED


/

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)

' Employment Application Must Be Attached

CLASSIFICATION/TITLE
Present

Dc p. Sher iff: / Adv

RecommendedJep .

Sh~ r iff /Adv

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 Employment (if other thaN New Hire)____4'/ _10_'-/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)

Approved ____ Disapproved _____

County Manager

Date

Human Resourc7\D1rector

Date

Finance Department/Budget - Funds Available ----------------------------------V"'7"-::o'(:


._,LJ=-._. .,. . . Date

frJ.~ 7,( V

~~}J&'\ Datei'Z-J.J~ r U\_

Human Resources Department - Records Changed By

l)C_:.

Finance Department/Payroll - Records Changed By

Date

L / '"2.1 -

FOR HUMAN RESOURCES DEPARTMENT USE ONLY


--Position and Pay Status
REG:D ELEC MON
I( FT
'
\
-~
[ . PT
SEAS (CLA~- ..JB/W J

-J

TEMP

rilo'NCL

HRLY

Insurance Coverage Date-----Mor)thly Salary ___,\-+..,.;,-f-o,--...-...,...-----1


Biweekly Salary

\ \

(3

1, 5 \

Pension Effective D a t e - - - - - - -

PERSONNEL ACTION Al\tD PAYROLL FORM


CHATHAM COUNTY, GEORGIA
t.
)
TO: Human R~sources D~partment

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-'.~......,..:...__~~~~~---,~-

Er'nployee Nl.unber ~~-'-~~~~~~-~,....,.~


EEOC Number ......,.~~......,.~~~~.:...__~~~......,.~~

s.dcfal Security Number

Type at Action..:.~--'--t>_lo_d_u~l,_e-;-I_n_e_"r_e_a:....s.::.e'---~~~~___,~-

Et:f~ctiv~ D~fe '__,,---~5_/_2.. !).:._/_0_2_'_...,...:-~,---. ~:. ':-:'-c--~

TYPES 6FAc'noN To BE RI;Po'RT~D


Re-Employme11t
t:.eave W.i.thout P.ay
t.,e~~~ ?fA.bs_en'ce
MiHUiry Leave
Materr'lity Le'gve

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)' . ,

W~rker.s: CQmpens~tion Leave


EduGatidnai Leay'e
,.
.- .

..

' .

PAY
GRADE

CLASSIFICATIONfTITLE

, ._ .

. .
ANNUAL
SALARY

DEPT. lt/CLASSIFICATION#/POSITION#

HOURLY
RATE

HAS. PER
WORKWEEK

Present Deu.

Sher if f

301

3326 / 3051 /213

26, 1+36

12.7095

40

Recommended

De p. Shedff / Adv

302

3326/305"3/213

27,759

13 .3457

40

' Date of.Next Merit'lncre~se


NEW I;M PLOYEE: H~s.-this,_p_e,...f;>._~.,. -~-):J-/-~V-i-'-o.. ,.~.:_,O.,l'-.y',...~b,. e-~-n

. :~.-. .

empldy~d. by tb~ -t~-unty?_.- N~_-._Yes


.

. Previous St~tusffitl~.: ,...


...,..-,...,...~~...,...-......,..~,.--~~;:__~.,.-'----,...,---'-~-...,.....~~-,-'--.,..,,...;-...,..-~~~~Nanie of per;on ..lastCicc~pying

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

Advanecmeni: .accord:i,ng to module

,
. ,-

Approved-~- Disapproved -~-

County Manager

Date

. Fi.i ianc_e ..Dep<i~mentfB4dget .-Funds A~allable '


. \'
. f)
Date q/.fcf.qV
. '' . _Human ResourcesDeparfment ~ .Rec6;dstha~,...
: g...,.e_d_B_y_-~,--~~--,.--~~..:....;..-'--~'""""'"...__ _.:,...,~
"'~~
" \rJ'
~n
- Date~N f

lftJ

. Finance D'e partmimt/Payroll -Records ch_ap~~d By


~

1.....-FTZ) REGL t ELEC MON


SE-~&_( ~GLAS) ( dfw )
PT
Rev. 4/90

...

WHITE

'

v'l::' -

Date~ rttlf ~..~c-

. '

TEMP

FOR
DEPARTMENT
USE ONLy
. HUMAN
. . . ' RESOURCES
.
.
..
.
.

p,os1'ij.on.a_r'ld Pay Stat us

I..

..

dkt, .

"

Mol)thly. ~alary ~--"-'"..,....:-:....,-,-'-,--_:....-,-~--..,..'- ln_su~ahc~ Cover.age Date-'---:--~

Bi~eekly S_alarY

... .

NONCL HRLY
' . : ~.
(:;RFFN .

. ;-:j.

P~nsi on Effective. Date _...:...~~~~-

\
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:

DEPT NAME: DETENTION CENTER

DEPT AND POSITION NO: 1003723 -213

II
I

JOB CLASSIFICATION TITLE: DEP CORRECTIONS OFCR

I.

JOB CLASS CODE: 3050

:I!

PAY GRADE: 301

06/22/2001: HOURLY RATE:

$12.3154

06/23/2001: HOURLY RATE:

$12.7095

' '"\ .) 1''\

(j-- .
.'

FORM

PE.R SONNEL ACTION ANO PAYROLl..


.. CHATHAM COUNTY, GEORGIA
f''

~:

'

II\

TO; Hyman Resqurces Department

~ Department, Name/ Number


Chatham County Ja:tl/3723

-~,,: .;.11\n<ine e vans


Employee Name

Employee. Numb_er __:.,,...._.,..-----..,.--;~-.:,......,,.......:..;.c,"--:-',--

Social Security Number _ _ _ _ _ _ _ __ ;___,--_ _ _ _,.-

EEOQ Number --:-~:-i-::


- :-:::-r:~-,-:.-,--_:_-___,~:....:____,

Module I nc.r.asae .

Type of Action

. '

. .'

' 5/ 26/0l

..

Effet tive Date. . .:._:___-,--:"'--.,--~_:_..,.......-.,.--.....:_.....:_7"'7'.,.-

-7--~---~--~.,..---~~~-~~-

r(p_~s oi= AtTi~N TO ~E ~EP.o'RTED


. R~"E~p.loyrne(lt*
Lea~e Witti'6ut Pay
l.e~v4 of 'Absence
IViiiitiu.Y
Leave ;
~
-~
fJiatrmty Leave , .

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~

H~s this person .pr~~i~ukly b~~rl employ~d by th~ Cou~ty?. .

,.

.,

"

Date ()f Ein~Joy,m~!"'t(if other thaN Nevvh~-1 i_re):-.=--:-.~~...:.....:...;....:,._,--'--.,......:..---'-~--__;. ,

HAS. PEA
WORKWEEK

HOURLY
RATE

24, 396

4/ 10/00

NEW EMPLOYEE:

3723 / 3050/ 213

Date of Next Ment Increase

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
.

'!

Previous Stati.Jsffitle: --,-.,--.,..--- -- _'_..,...,.....,.............,.......,.,..--+'----''-:-..,..-..,...:----:-:-__,.


- '-'--'---~~-~...;,...,.--''--...,.--....:....,..:, .
Name ot p~r~on

la~t oc~i.JPY,in,~fthi~ pos'tit.iori -,-:.~..,-:-:---'--'--'-~..;.:....-....,...,.--;-:--:.__:_:__~--''~.. . .


;....:. . i;....
:. ' -

t .

. '

. .

REA$ ON FOR. ACTION: (Tp be completed in.all types of actio~ ext~pt


'
. . .
',
..
Adv:i.l.UCP.ment

t o mddule -

according

". ..:.,-__.....:...__

n~w er1ipi6ye~)
'

...

'

12:monthf;l '
'..

. f.

.. .
~

Approved ___ Disapproved _ __

County M_anager

Date

Finance Department/Budget: - Funds Avail.ab!e

. . .

. Human Resources Oepartm'ent


Finance Department/P~yroll : ~ Records
.

..

...

...

v:' ~

o~t"'~/1 f /5/.

\ '""" - l,:.,.__bt 'f If~ I


-R~cords ,Ch~ng~d 8Y.......:-'---..;__~-...,....--------....:....,...;:~t~'-J
..::.,L
';/.r:...!....
v..!,\ D.a te. :J-:" .J..., 1 , , \

..

. .

: :

cha~ge~ By '

..

. . '/.)

FO~-HU~~~-R: ES00RCES.
~EPA~T~ENT
USE.ONlY . :
. . . . .
.
. .. : ..

.. . ; ... 1'.
..

' . Date :::::.r

.> ' \

, 0/ ;

:.__....:....--...:.~-'--,..--:....:...-----..;,_...:... Ii'i$llr<l,nc~ Coverag~ Date___,--,..~-'--

--';._,......,....----'--~-----..;..:_ P.~nsion Effe~ti~e Date--...,.----

'

PAYROL~
CHATHAM COUNTY, GEORGIA

PERSONNEL ACTION AND

~ I, .

. ' \

).

\.

.:. -{"-...:)
~-

FORM

\
I

.\

TO: Human Resources Department

-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

Soci~il Secu~ity _N umber-- --

EEOC Number

- - - - - - - - - -- -- -

Type qt Action_..,-_
N_o_d_u_l_e__i_l_
~L~~r_o_a
_
s_e_ _~--------

Effective Date

-----~--------

--------------------------:-- . .
l0/ 28/00

--~--~----------~--~-'-~-

TYPES OF ACTION TO BE REPORTE_D


. N~w Hir~

Re-Employment~ .
. Leave.Without Pa~
1
Leave ofAbs~nce '
Mi.!itar'y L~ave
M aterriity !-eave
.

Wor~er_s' compensation Leave


~ducationaiLeave

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

3723/ 3050/ 213

23 , 459

11 . 271H

40

301

3'12 3/ 305 0/ 21.3


..

24 , 396

11.7289

40

'

~:::!::;~::~~~~;eo~;:;, ~h~~~fc~it...:.>-,-,~~_,_i_i_o.,:_;_o_o_ __ _ __ _- , - _
'' .. :. . '. . .

NE'tl EMPL9YEE:

~as

..

'

: ! .. .

'

. :

. '

'

this p_er:;on p.rt?vr_Ou$1y be~n emP,Ioyed bythe.CQlJilty?_ No_Yes

..

Previous $ tat us/Title.: .,..


_.-----'---o---'--'--~---,.-----~-'--~-----'-....-.--'---'------

N~_m e of persort la,s~ d~cupying thi s postition -. -'---~---'-------,-'""":----:---:-----"----------

County Manag er

Date

Human Resourct{ D ~re')qr ..~

Date

7'/'1) Date /0/ 1/ kr


Human Resources Dep~rtment - Re~ords Chan_g.,...e-:d~B-y--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -y~
4-r - ~,-~~,!'!.:r. ~.,-/_:/\~~Date . II. r // (, 1

Finan~e Dep~rtment/Budget -Funds Availabie

'J

Finance Departme11t1Payroll -Records. Chang:ed By

-}) (_ .

Date

' \ \ , \Ol...>

FOf3 HUMAN.RESOURCES QEPARTMENT U!5.E ONLY

P OSII LQQaO d Pav St at us

(~
L. FT; ( . R!;f2

PT

Rev. 4/99

ELEC

MON
B/W

SEAS'- LA}
TEMP NONC_L lj!RLYWHITF

Mol")th,ly. Salary-----,---- -- - -----,--- Insurance Coverag e Dat e ____ __


, Biweekly Salary

:> ..'I..

GREEN

Pension Effective Date---:-- - - -

r.ANARY

GOLDENROD

--, ..

~-:-

\'" Y , i'

( \

. \. ~).

(. .
"\
\\_

PERSONNEL ACTION AND PAYROLL FORM


CHATHAM COUNTY, GEORGIA
TO: Human Resources

D~partment

CGhnth m.t CGun::y Jai~'../ ~ 7 2 2-

Depa;tment Name/ Number

Employee Name ___!_


1<_
~"~~_:.-_
._-,_,:._ P_
; J_t:_,n_f'_"- - - - - - - - - - -

Employee Numb e r - - - - - - - - - - - - - -

Social Security Number

EEOC Number
---~~----------

-----------------------------~

Type of Action ___


N_e_H_ h_::_i_._,.._. ,_.., _ _ _ _ _ _ _ _ _ __ __ __

Effective Date _ _6.


_./
_1_0_1_0_0__________

TYPES OF ACTION TO BE REPORTED


Reinstatement
Return from 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

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=,

4723/'lr) ) <'J / 'l Jj

30 1

1. 1 70R9 6

40

Date of Employment (if other th?-~ Ne~ Hire)._...


,_-,-,...
_- - - - - - - - - - - - - . Date of Next Merit Increase

\ \ -

(j! --{ )()

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 ___ Disapproved _____

Approved

_L Disapproved _____
/ I~
IJ .(,., riYQ

'\.l/II.(LY...-V
( , r <1 ()...qK._p.--t
County Manager

Dale

1 .. ,,..

HUman Re-sources Director


I I
.-"
..)

Dale

'V
r

;r-:
_J~--,.
Date 1.._1'
Financ.e DepartmentJ Budget -Fun ds Avar1able _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _v_ _v
~"'-:
/:-i.'/ =-'""
'Finance DepartmentJPayroll - Records Changed By

'I

FOR HUMAN RESOURCES DEPARTMENT USE ONLY

1/ FT
I

TEMP

NONCL -'HRLY
.

\A/UITC:

f (.
k.

1'

, '-( _;)

,r_).

)'.:,,~\- _\...IV\ Date C!jj l{J j{.(


l:'-/-x\0 /\ . . Pate
I/..,
' 'P'

Human Resources Oepartment - Records _C hanged By

p ostTtonan d P ay Stat us
REGL) ELE,C
MON
--Pi____
SEAS _ CLAS .I B!W

---

I 1

,,

f!

'v' '

Monthly Salary _ _ _ _ _ _ _ _ _ _ _ _ _ Insurance Coverage Date-----Biweekly Salary

Pension E.ffective D a t e - - - - - -

2012 LEAVE SCHEDULE


f'"'"

Sick Leave Hours (bal fwd)


Pay Period Dates

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

Emolovee Name: EVANS, Maxine


92.00
Balance

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

Annual Leave Hours (bal f.'ld)

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

Compensatory Leave Hours (bal fwd)

Donated Balance Accrued Used

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

Date Employed: 04/10/2000

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

HofidayLeave Hours (bal ~'ld)

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
'

-SHERIFF'S COf'v!PLEX EMPLOYEE ATTENDANCE RECORD

2011

MONTH

JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC

ANNUAL

SICK

Bal. Brought Forward


FWD EARN
JAN I jj~ I ;()

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
MONTH

JAN

Y.

>C

X'

I .

FEB

'

'

MAR
APR
MAY

5
Y.

.,

JUN
.JUL
'
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NOV
DEC

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NOV Lfol
DEC

L//L0

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13
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AUG 362 J3
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Bal. Brought Forward 3 Vc<


FWD EARN TOTAL USED SAL
JAN 3ljz. /;( 3.5'1
0
3 5'/
FEB 3:5 t.j 12.. :36 & . {)
_7bh
MAR 3& 0 12 I 3?S I () 13 ? 8
APR .378' 1'3
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Bal. Brought Forward 3{)
FWD EARN TOTAL USED BAL
JAN
If()
/{)
10
0
l.JIJ
/}/)
_FEB
__________._ '--- 'I 0 _
J{)
S()
~
MAR !5-o
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X X
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9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

X X

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.'X

SHERIFF'S COMPLEX EMPLOYEE ATTENDANCE RECORD

g!iivmg-:mmtine

e"4t1~/ee-JD

'

2009

--s HERIFF'S COMPLEX EMPLOYEE ATTENDANCE RECORD


~

MONTH

JAN

FEB

APR
MAY

12.

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1-f

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- '75

()

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JAN

J UN

/l-

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Bal. B rought Forward

d;{ L/

EARN TOTAL USED

OCT

X X

X X

ANNUAL

FWD

MAR 0?..:<
I

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Bal. Brought Forward

X X

X 'K

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4/10/00
2008

E-v:ans , Maxine

MONTH
JAN

1
X

2
I

MAR
APR
MAY

)(

JUN
JUL
AUG
SEP
OCT
NOV
DEC

X I
y y

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FEB

"{ SHERIFF'S COMPLEX EMPLOYEE ATTENDANCE RECORD

'

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SICK
ANNUAL
Bal. Brought Forward /9?
Bal. Brought Forward l7e-"f
FWD EARN TOTAL USED BAL
FWD EARN TOTAL USED
JAN /72- jl)
;g:;< JAN J q 'J /;(
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,;?~q
18.;<
6
FEB
FEB 1/51- !d
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Lj-----------------------------------------------------------

CJ
-

Evans, Maxine

4/10/00
2007

!""MONTH

JAN

- FEB

'---

.)(

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APR

MAY

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AUG

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DEC

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OCT

)(

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x y

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SHERIFF'S COMPLEX EMPLOYEE ATTENDANCE RECORD

>

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