159
Appeal Panel Committee
Election Process and Forms
Developed May 2009/Updated March 2013
160
A
EVALUATION APPEALS PANETTION APPEALS PANEL
Principal / LCEA Verification of Voting Process
TASK CHECKLIST

Conduct the voting session no later than Tuesday, April 23, 2013, and return to Pam Hart.
 The principal and building LCEA representative collaboratively facilitate the process and
verify that no teacher submitted more than one ballot.

Verify that each ballot has only two (2) votes cast.
 Voting shall be by secret ballot and professionally conducted.

All teachers signed the voting register signifying that they have been given the opportunity
to vote.
 Note who is absent and provide an opportunity for them to vote upon their return.
We will
hold announcing results for two days to enable absentee ballots to be tabulated.
 Communicate clearly about the date and time of election and the critical responsibilities
attached to this committee.
 The principal and LCEA representative signed this form.
 Return this checklist, along with ballots, and voting register to Pam Hart.
I verify that the above procedures were followed in executing the Evaluation Appeals Panel
voting process.
Principal’s Signature: ____________________________________________________________
LCEA Building Representative: ___________________________________________________
Date:_______________________________
School: _________________________________
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VOTING REGISTER: EVALUATION APPEALS PANEL
TEACHER REPRESENTATIVES
I acknowledge that I was afforded the opportunity to vote for the two teacher representatives that
will serve on the Evaluation Appeals Panel for the term from March 2013 through March 2015.
Teacher:
Date:
Teacher:
Date:
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TEACHER EVALUATION APPEALS PANEL
PLEASE NOMINATE TWO TEACHERS THAT YOU BELIEVE CAN FAIRLY AND IMPARTIALLY SERVE
AS A COMMITTEE PANEL REPRESENTATIVE IN THE EVENT A COLLEAGUE APPEALS THEIR
SUMMATIVE EVALUATION.
Lincoln County Evaluation Appeals Panel
Open Nomination Form
Nominee’s Name: _______________________________________________________
School: ________________________________________________________________
Is this teacher an Intern? _________ Has this teacher agreed to serve? ____________
Please return this nomination form to the Chief Deputy of Quality Management @ the Lincoln
County Board of Education by February 28. If you prefer, you may make this nomination by
email.
Lincoln County Evaluation Appeals Panel
Open Nomination Form
Nominee’s Name: _______________________________________________________
School: ________________________________________________________________
Is this teacher an Intern? _________ Has this teacher agreed to serve? ____________
Please return this nomination form to the Chief Deputy of Quality Management @ the Lincoln
County Board of Education by February 28. If you prefer, you may make this nomination by
email.
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EVALUATION APPEALS PANEL
SECRET VOTING BALLOT


Each certified employee shall have the opportunity to case one ballot.
Please vote for the two teachers you want to represent you on the evaluation appeals panel for the next three
years.

Mark your ballot by placing a check in the box to the left of the two teachers for whom you are voting.

Any ballot with more that two votes will not be counted.

name -- school
 name -- school
 name -- school

name -- school
 name -- school
 name -- school

name -- school


name – school
name -- school
EVALUATION APPEALS PANEL
SECRET VOTING BALLOT


Each certified employee shall have the opportunity to case one ballot.
Please vote for the two teachers you want to represent you on the evaluation appeals panel for the next three
years.

Mark your ballot by placing a check in the box to the left of the two teachers for whom you are voting.

Any ballot with more that two votes will not be counted.

name -- school
 name -- school
 name -- school

name -- school
 name -- school
 name -- school

name -- school


name – school
name -- school
EVALUATION APPEALS PANEL
SECRET VOTING BALLOT


Each certified employee shall have the opportunity to case one ballot.
Please vote for the two teachers you want to represent you on the evaluation appeals panel for the next three
years.

Mark your ballot by placing a check in the box to the left of the two teachers for whom you are voting.

Any ballot with more that two votes will not be counted.

name -- school
 name -- school
 name -- school

name -- school
 name -- school
 name -- school

name -- school


name – school
Scoring Worksheet for Appeals Panel Voting ---
name -- school
Nominee: ___________________________
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CO
HL
HV
MK
SF
WB
McG
LCMS
LCHS
FLHS
TOTALS
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LINCOLN COUNTY APPEALS PANEL
TERM: MARCH 2013—SEPTEMBER 2016
2013 ELECTED MEMBERS:
Susan Johnson, Stanford Elementary School
Missy Robbins, Waynesburg Elementary School
Board Appointed District Official:
Chief Deputy of Quality Management
2013 ELECTED ALTERNATES:
Tony Cress, Lincoln County High School
Stacy Johnson, Hustonville Elementary School
Board Appointed Alternate:
Chief Deputy of Quality Instruction
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EVALUATION APPEALS PANEL: APRIL 2013
SECRET VOTING BALLOT




Each certified employee shall have the opportunity to case one ballot.
Please vote for the two teachers you want to represent you on the evaluation appeals panel for the next three years.
Mark your ballot by placing a check in the box to the left of the two teachers for whom you are voting.
Any ballot with more than two votes will not be counted.
Cindy Bryant: Stanford
Stacy Johnson: Hustonville
Missy Robbins: Waynesburg
Tony Cress: LCHS
Susan Johnson: Stanford
Bill Srsic: McGuffey
Kim Dunn: LCHS
Jennifer Kaiser: McGuffey
Wendy Peters Estes: LCMS
Elisha Lawrence: Stanford
Stephanie Wardrip:
Hustonville
Kelly Wilson: LCMS
EVALUATION APPEALS PANEL: APRIL 2013
SECRET VOTING BALLOT




Each certified employee shall have the opportunity to case one ballot.
Please vote for the two teachers you want to represent you on the evaluation appeals panel for the next three years.
Mark your ballot by placing a check in the box to the left of the two teachers for whom you are voting.
Any ballot with more than two votes will not be counted.
Cindy Bryant: Stanford
Stacy Johnson: Hustonville
Missy Robbins: Waynesburg
Tony Cress: LCHS
Susan Johnson: Stanford
Bill Srsic: McGuffey
Kim Dunn: LCHS
Jennifer Kaiser: McGuffey
Wendy Peters Estes: LCMS
Elisha Lawrence: Stanford
Stephanie Wardrip:
Hustonville
Kelly Wilson: LCMS
EVALUATION APPEALS PANEL: APRIL 2013
SECRET VOTING BALLOT


Each certified employee shall have the opportunity to case one ballot.
Please vote for the two teachers you want to represent you on the evaluation appeals panel for the next three
years.

Mark your ballot by placing a check in the box to the left of the two teachers for whom you are voting.

Any ballot with more than two votes will not be counted.
Cindy Bryant: Stanford
Stacy Johnson: Hustonville
Missy Robbins: Waynesburg
Tony Cress: LCHS
Susan Johnson: Stanford
Bill Srsic: McGuffey
Kim Dunn: LCHS
Jennifer Kaiser: McGuffey
Wendy Peters Estes: LCMS
Elisha Lawrence: Stanford
Stephanie Wardrip:
Hustonville
Kelly Wilson: LCMS
167