Employee’s Name:
Supervisor’s Name:
Current Classification: Research Technician
Date of Competency Assessment Leveling Discussion:
Position:
Position:
Period of: through
Employee’s Signature:
(Certifies that your assessment level has been reviewed with you. Does not mean that you agree.)
Date:
Supervisor’s Signature:
Date:
Department Manager’s
Signature:
Date:
(Provide photocopies of signed form to Employee and Supervisor. Originals are to be sent to Human Resources).

GENERAL INSTRUCTIONS
The Career Banding Assessment Form is to be used during the initial placement of employees into positions covered by Career Banding and during the interim and annual evaluation each year. A determination must first be made as to which band and then which role an employee works at based on the supplied description of work.
After these initial determinations are made supervisors must then determine which level the employee is performing.
Using the competency description for each task, determine at which level the employee is currently working at and mark the appropriate block.
Next, list what actions or functions the employee is accomplishing that demonstrate that the employee is working at the competency level indicated. If positions have specific requirements to demonstrate the competency level, list them at this time.
In Career Development, determine if the competency will be an area of focus during the upcoming performance cycle and make the appropriate box. List any specific training, classes, or certification the employee will need to complete to develop in this area.
Determine which competency level the employee is working at in this band and class. Mark the appropriate box.
If employee does not have the opportunity to obtain and utilize a competency, give an explanation why and describe what steps will be taken to provide the opportunity.
Review the competency assessment with employee and discuss the career development goals. Have the employee, supervisor, and manager sign the Career Banding Assessment Form.
Provide the employee with a copy of the appropriate band, class, and competency level requirements and have them sign receipt of same. Obtain the other signatures necessary for this form and provide copies to the appropriate individuals.
Forward the originals of the Career Banding Assessment Form and Career Band Competency Levels Addendums to the Human Resource Office after all signatures have been obtained.
Update the Department’s organizational chart to show the appropriate band, class, and competency level for employee.

ELIZABETH CITY STATE UNIVERSITY
FUNCTIONAL COMPETENCY ASSESSMENT
Competency: Knowledge - Technical
Definition: Achieves a high level of technical skill or knowledge in a specific technical area(s) and keeps up with current developments and trends in areas of expertise. May be acquired through academics, apprenticeship or on-the-job training or combination of these.
Technical knowledge is used to perform duties that include standardized or specialized procedures and includes the ability to safely operate instruments and equipment.
Measurement Methods Contributing Journey Advanced
Observation and assessment of knowledge and skills on instrumentation and instrument maintenance
Evaluations by students and faculty (faculty and student reports)
Assessment of ability to maintain OSHA standards of safety labs (safety reports)
Materials Safety Data Sheets
(Pharmacy School)
1. Basic knowledge, skill and general understanding to perform standard duties related to research and/or teaching laboratory.
2. Knowledge and skills to use instrumentation and equipment (including video teleconferencing).
3. General knowledge of basic unifying themes in pharmacy/basic natural sciences.
4. Knowledge and skills to work safely.
1. General Knowledge of applicable area of science to perform laboratory procedures and tests in support of research protocol.
2. Knowledge and skill to adjust and calibrate instrumentation and equipment as needed with limited supervision (including video teleconferencing).
3. Knowledge and skills to maintain a safe laboratory working environment.
1. Specific knowledge in area of science related to the research project(s) essential to perform a variety of procedures.
2. Knowledge and ability to independently operate instrumentation (including video teleconferencing), equipment and/or software used for research objectives and/or in the pharmaceutical care laboratory.
3. Assists students in the understanding of basic unifying themes in pharmacy through the provision of relevant facts, concepts and generalization.
4. Knowledge and ability to independently operate and maintain a safe laboratory working environment for self, faculty, and students.
( ) Advanced Level Employee Works At:
AS DEMONSTRATED BY:
( ) Contributing Level ( ) Journey Level
HOW TO IMPROVE:
CAREER DEVELOPMENT: Will this competency be an area of focus during this cycle? ( ) No ( ) Yes, specify classes or training to achieve growth.

ELIZABETH CITY STATE UNIVERSITY
FUNCTIONAL COMPETENCY ASSESSMENT
Competency: Operations – Research Support
Definition: Follows instructions through a standard work process; performs routine or repetitious task; checks for accuracy before completion of tasks. Supports scientific research by assisting in experiments, procedures, and/or tests; work requires mental concentration, visual attention and extensive manipulative skills to comply with research protocol.
Measurement Methods
Observations, quarterly evaluations by faculty and immediate supervisor (faculty and staff reports)
Notebook evaluation (Pharmacy
School)
Student and teaching assistant reports
Contributing
1. Prepares standard media, reagents, and chemical solutions used for testing purposes, laboratory demonstrations and preparations based on review of formulary records, and the physical processing of specimens prior to testing.
2. Observes, measures and prepares subjects (patients, animals or crops) and test variables as specified in the research protocol.
3. Communicates needs of Pharmacy program effectively with students, faculty, and teaching assistants on
ECSU and UNC Chapel Hill campuses.
4. Prepares for delivery of laboratory assignments and materials for
Pharmacy program on ECSU and UNC
Chapel Hill campuses.
Journey
1. Conducts routine tests, procedures, demonstrations, and preparations as dictated by the research protocol and
PCL faculty.
2. Assists in the layout and maintenance of subject environment
(ex. patient care (OSCE) rooms, etc.).
3. Mixes and /or applies chemicals and/or other materials.
4. Acquires and prepares needed equipment, supplies, materials and paper for set-up of teaching laboratories with supervision.
5. Makes copies of all required student handouts prior to lab time and distributes at appropriate time.
6. Prepares appropriate documentation of laboratory assignments, formulation records, location of equipment, supplies, etc.
7. Interacts with and assists students with basic understanding of laboratory procedures, equipment use, etc.
Advanced
1. Performs and/or assists in specialized research procedures, tests, minor animal surgery and/or agricultural practices.
2. Independently prepares and maintains the layout of subject environment (ex. patient care
(OSCE) rooms, etc.).
3. Calculates appropriate quantities of chemical (s) to ensure they are properly mixed and applied.
4. Develops and implements or assists in the development and implementation of new and unique laboratory demonstrations and preparations.
5. Independently acquires and prepares needed equipment, supplies, materials and paper for set-up of teaching laboratories.
6. Proactively communicates with course coordinator prior to lab day for appropriate handouts, forms, etc. Ensures that all copies are made and distributed to students at appropriate times.
7. Acquires and maintains appropriate documentation of laboratory assignments, formulation records, location of

equipment/supplies etc.
8. Independently interacts with and instructs students on in-depth understanding of laboratory procedures, equipment use, etc.
9. Independently develops systems for the preparation and distribution of laboratory materials and assignments between ECSU and
UNC Chapel Hill campuses; prepares and distributes such items and tracks to ensure delivery to appropriate individuals(s)
EMPLOYEE WORKS AT: ( ) Contributing Level ( ) Journey Level ( ) Advanced Level
AS DEMONSTRATED BY:
CAREER DEVELOPMENT: Will this competency be an area of focus during this cycle: ( ) No ( ) Yes, Specify
Classes or training to achieve growth.
HOW TO IMPROVE:

ELIZABETH CITY STATE UNIVERSITY
FUNCTIONAL COMPETENCY ASSESSMENT
Competency: Data Collection
Definition: Observes, monitors, collects, and records data in order to assess accuracy, validity and integrity of data.
Journey Measurement Methods
Observation and evaluation of accuracy and precision of data submitted to supervisor/faculty.
Faculty reports
Contributing
1. Observes, collects and records a variety of data.
2. Evaluates reliability of measuring instruments.
3. Assists in preparation of reports.
1. Organizes and tabulates data ensures quality control of data collection .
Advanced
1. Identifies and reports variations or discrepancies in the data; organizes and prepares data for analyses.
2. Provides preliminary summary of experiments, procedures and tests.
EMPLOYEE WORKS AT:
AS DEMONSTRATED BY:
( ) Contributing Level ( ) Journey Level
HOW TO IMPROVE:
( ) Advanced Level
CAREER DEVELOPMENT: Will this competency be an area of focus during this cycle: ( ) No ( ) Yes, Specify
Classes or training to achieve growth.

ELIZABETH CITY STATE UNIVERSITY
FUNCTIONAL COMPETENCY ASSESSMENT
Competency: Laboratory/Subject Care
Definition: Provides care for study subject (i.e. patient, animal, crop) within research protocol, including maintaining optimal conditions to prevent disease and contamination; works with study subjects in an ethical manner.
Measurement Methods
Observations and assessment of level of performance in meeting standard LAB requirements
Faculty and student reports
Contributing
1. Provides routine care, maintenance and/or animal husbandry.
2. Prepares study subject for experimental procedures.
3. Applies and maintains sanitation and safety procedures.
4. Models work/job duties and professionalism for students and staff.
5. Records all laboratory supplies and equipment.
6. Consults with faculty/factory representatives and works closely with purchasing officials to obtain best price sources to acquire state-of-theart equipment while enabling the department to remain within budget.
7. Assists with video/electronic technology requirements of the program. assistants.
Journey
1. Administers routine medications and prepares experimental and maintenance diets for research subjects according to established protocols and instructions observes study subject reactions.
2. Performs minor repairs and operates equipment and instruments in support of research laboratory, field, or clinical programs with limited supervision.
3. Maintains inventory of equipment, supplies and related research materials.
4. Manages all laboratory supplies and equipment relative to its condition and initiates necessary action for repair, replacement or disposal as needed.
5. Supervises and trains all laboratory assistants and teaching
Advanced
1. Administers specialized medications or chemical treatments according to established protocols; monitors and reports study subjects reactions.
2. Ensures compliance with sanitation and safety procedures by others.
3. Independently performs minor repairs and operates equipment and instruments in support of research laboratory, field, or clinical programs.
4. Identifies, track and reports variations or discrepancies in inventory used in laboratory; may distribute supplies.
5. Coordinates tests, procedures and experiments with ancillary units.
6. Ensures compliance with work/job duties and professionalism for students and staff.
7. Independently develops and manages systems to ensure for the repair, replacement and disposal of all laboratory equipment.
EMPLOYEE WORKS AT: ( ) Contributing Level
AS DEMONSTRATED BY:
( ) Journey Level
HOW TO IMPROVE:
( ) Advanced Level
CAREER DEVELOPMENT: Will this competency be an area of focus during this cycle: ( ) No ( ) Yes, Specify
Classes or training to achieve growth.

ELIZABETH CITY STATE UNIVERSITY
OVERALL COMPETENCY ASSESSMENT
EMPLOYEE’S OVERALL ASSESSMENT LEVEL
Career Band:
Band Role:
Competency Level: ( ) Contributing ( ) Journey ( ) Advanced
Additional Comments: