PERFORMANCE EVALUATION

NAME:	DATE OF _______/______/_____ EMPLOYMENT: YY MM DD
POSITION:	DATE OF LAST ______/______/______ APPRAISAL YY MM DD
DEPARTMENT:	DATE OF PRESENT APPRAISAL _____/______/______ YY MM DD
TYPE OF EVALUATION: End of Probation Annual Special	LENGTH OF TIME IN PRESENT POSITON:

Section 1 - Top Essential Duties

Key:	1 - Needs Improvement	3 – Meets Expectations	5-Exceeds Expectations

Comments
1	2	3	4	5
Duty 1:
Duty 2:
Duty 3:
Duty 4: .
Duty 5:
Duty 6:

Section 2 - BEHAVIOuRAL EXPECTATIONS

Characteristic	1	2	3	4	5	Comments
Quality of Work
Completes work in accurate and thorough manner
Work complies with regulatory and quality standards where applicable
Work is innovative and inspiring
Completes work in a timely manner
Quantity of Work
Expected amount of work is completed based on schedule.
Job Knowledge
Demonstrates a high level of job knowledge
Knows how to complete job duties
Understands principles, systems and procedures used
Shows initiative to increase job knowledge
Job Attitude
Shows interest and enthusiasm for the job.
Demonstrates high standards of conduct in carrying out job duties and responsibilities
Communication
Communicates effectively (verbally and written) with co-workers, subordinates, and students
Keeps immediate supervisor well informed and follows channels of communication
Maintains professional contact with public
Treats people in a respectful manner
Dependability
Reports to work as scheduled and observes lunch time and break time
Follows policies on leave usage (sick, vacation, etc.)
Assists co-workers as needed or requested
Accepts responsibility for assigned job
Works independently and requires little supervision
Makes and keeps commitments
Productivity and Initiative
Uses work time effectively to produce high level of work
Displays effective and prompt decision making
Works well under pressure
Open to change
Works independently with minimum or no supervision
Initiates actions and improvements to work processes
Makes recommendations that improve effectiveness
Takes responsibility for a directive and provides follow-up
Teamwork
Willingly provides assistance to others and shares expertise
Willingly contributes work and effort to achieve group success
Acts to promote a congenial work environment
Performance Improvement
Takes steps to immediately correct problems/errors with or without prompting
Learns new duties quickly
Seeks additional training and assistance as needed
Accepts constructive criticism
Looks regularly for ways to improve job performance
Personal/ Workspace
Displays appropriate dress, grooming and personal hygiene
Housekeeping
Safety Awareness

SECTION 3- EVALUATION SUMMARY

Comments:

Supervisor/Appraiser	Date

EMPLOYEE REVIEW

I understand that my signature only indicates I have been informed of the contents of the evaluation and discussed it with my supervisor. I am also aware that I have the option to submit written comments to be attached within twenty-one (21) calendar days.

Employee	Date

Indicate Job Performance Objectives set for the next appraisal period by the Supervisor and employee:

1._________________________________________________________________________________________________________________

2._________________________________________________________________________________________________________________

3._________________________________________________________________________________________________________________

4._________________________________________________________________________________________________________________

5._________________________________________________________________________________________________________________

6._________________________________________________________________________________________________________________

Recommended Training:

1._________________________________________________________________________________________________________________

2._________________________________________________________________________________________________________________

3._________________________________________________________________________________________________________________

4._________________________________________________________________________________________________________________

Employee’s Career Orientation:

Supervisor/Appraiser	Employee	Date

RECOMMENDATION:

If employee is on Probation, please tick where applicable.

______/_____/______

Employee should be confirmed in present position effective	YY	MM	DD

Employee’s probationary period should be extended by _________ months

Employee’s services should be terminated

Signatures: _____________________________________	_________________________________________

Supervisor/Appraiser	President