You are on page 1of 6

Performance Appraisal Form

EMPLOYEE INFORMATION
Name: Title:

Dept: UC Hire Date:

Time in position: Years Months Evaluation Period: From Through

SUPERVISOR INFORMATION
Name: Supervised employee for: Years Months

POSITION DESCRIPTION/GOALS AND EXPECTATIONS

6HH MRE GHVFULSWLRQ DQG SUHYLRXV \HDU¶V JRDOV DQG H[SHFWDWLRQV

RATING SCALE
Exceptional (E) 3HUIRUPDQFH H[FHHGV H[SHFWDWLRQV LQ DOO DUHDV RI Needs
Improvement (NI) Performance does not meet expectations.
UHVSRQVLELOLW\ 5HPDUNDEOH DFKLHYHPHQW DQG
SDFHVHWWLQJ SHUIRUPDQFH Unacceptable (U) 3HUIRUPDQFH IDOOV VXEVWDQWLDOO\ VKRUW RI
More Than H[SHFWDWLRQV
Satisfactory (MS) 3HUIRUPDQFH H[FHHGV H[SHFWDWLRQV
Not
Satisfactory (S) 3HUIRUPDQFH PHHWV H[SHFWDWLRQV Applicable (N/A) 7KH HPSOR\HH LV QRW UHTXLUHG WR SHUIRUP LQ D
VSHFLILF UDWLQJ IDFWRU DQG LW FDQQRW EH PHDVXUHG

PERFORMANCE RATING

(YDOXDWH HDFK RI WKH SHUIRUPDQFH IDFWRUV EHORZ )RU WKRVH IDFWRUV QRW HYDOXDWHG SOHDVH FKHFN ³QRW DSSOLFDEOH &RPPHQWV DUH
UHFRPPHQGHG IRU DOO UDWLQJV EXW DUH UHTXLUHG IRU UDWLQJV RI ³1HHGV ,PSURYHPHQW´ RU ³8QDFFHSWDEOH´ 3OHDVH UHIHU WR WKH ILUVW VHFWLRQ
WKH 3HUIRUPDQFH )DFWRUV DQG &DPSXVZLGH 6WDQGDUGV *XLGHOLQHV IRU IXUWKHU GHILQLWLRQ RI SHUIRUPDQFH IDFWRUV
Rev. 08/10/2015 p. 1
Rating Factors

Performance Factor N/A E MS S NI U

Position Expertise

(IIHFWLYHQHVV ZLWK ZKLFK WKH HPSOR\HH DSSOLHV SURIHVVLRQDO PDQDJHULDO WHFKQLFDO DQG RU QRQ WHFKQLFDO VNLOOV DQG NQRZOHGJH WR WKH MRE

Approach To Work

&KDUDFWHULVWLFV WKH HPSOR\HH GHPRQVWUDWHV ZKLOH SHUIRUPLQJ MRE DVVLJQPHQWV LQFOXGLQJ FUHDWLYLW\ IOH[LELOLW\ LQLWLDWLYH SODQQLQJ
DQG RUJDQL]DWLRQ WLPH PDQDJHPHQW FRPPLWPHQW WR GLYHUVLW\ HWKLFDO EHKDYLRU SURFHVV LPSURYHPHQW DQG RU SURIHVVLRQDO
GHYHORSPHQW

Rev. 08/10/2015 p. 2
Rating Factors

Performance Factor N/A E MS S NI U

Quality Of Work

0DQQHU LQ ZKLFK WKH HPSOR\HH FRPSOHWHV MRE DVVLJQPHQWV LQFOXGLQJ DFFXUDF\ UHVSRQVLYHQHVV IROORZ WKURXJK MXGJPHQW GHFLVLRQ
PDNLQJ UHOLDELOLW\ DQG FRPSOLDQFH DVVXUDQFH

Quantity Of Work

(PSOR\HH¶V VXFFHVV LQ SURGXFLQJ WKH UHTXLUHG DPRXQW RI ZRUN LQFOXGLQJ SULRULW\ VHWWLQJ SURGXFWLYLW\ DQG WLPHOLQHVV

Communication Skills

(IIHFWLYHQHVV RI WKH HPSOR\HH LQ WUDQVPLWWLQJ LQIRUPDWLRQ LQFOXGLQJ FRQILGHQWLDOLW\ IDFLOLWDWLRQ SDUWLFLSDWLRQ LQ VKDULQJ
LQIRUPDWLRQ DQG RUDO DQG ZULWWHQ H[SUHVVLRQ

Rev. 08/10/2015 p. 3
Rating Factors

Interpersonal Skills

(IIHFWLYHQHVV RI WKH HPSOR\HH V LQWHUDFWLRQV LQ UHVSRQGLQJ WR DQG ZRUNLQJ ZLWK RWKHUV LQFOXGLQJ LQWHUDFWLRQV ZLWK FR ZRUNHUV
VXSHUYLVRUV V IDFXOW\ VWXGHQWV DQG RU WKH FRPPXQLW\

Rev. 08/10/2015

Supervisory/Leadership Skills — $SSOLHV WR PDQDJHUV VXSHUYLVRUV RU OHDGV


$ 6XSHUYLVLRQ

3URYLGHV RYHUVLJKW GLUHFWLRQ UHFRJQLWLRQ DQG GHYHORSPHQW RSSRUWXQLWLHV DQG DGGUHVVHV SHUIRUPDQFH SUREOHPV

% /HDGHUVKLS 0DQDJHPHQW
&RPPXQLFDWHV D YLVLRQ VHWV XQLW JRDOV GHYHORSV VWUDWHJLHV DQG WDNHV DFWLRQ WR HQVXUH WKH HIILFLHQW VWHZDUGVKLS RI 8QLYHUVLW\
UHVRXUFHV RSHUDWLRQDO ILQDQFLDO DQG KXPDQ

Rev. 08/10/2015 p.
Rating Factors

Performance Factor N/A E MS S NI U

Other Factors — ,I QHFHVVDU\ DGGLWLRQDO SHUIRUPDQFH IDFWRUV PD\ EH HVWDEOLVKHG (YDOXDWH WKH DGGLWLRQDO IDFWRU V E\ FKHFNLQJ
WKH DSSURSULDWH ER[ WR WKH OHIW RI HDFK IDFWRU &RPPHQWV DUH UHTXLUHG IRU UDWLQJV RI ³1HHGV ,PSURYHPHQW´ RU ³8QDFFHSWDEOH ´

CAMPUSWIDE PERFORMANCE STANDARDS

7KH 8&5 &DPSXVZLGH 3HUIRUPDQFH 6WDQGDUGV LQFOXGH 8&5 3ULQFLSOHV RI &RPPXQLW\ 8& (WKLFDO 9DOXHV DQG 6WDQGDUGV RI (WKLFDO
&RQGXFW 'LYHUVLW\ +HDOWK 6DIHW\ DQG 6HUYLFH 2ULHQWDWLRQ 3OHDVH UHIHU WR WKH VHFRQG VHFWLRQ RI WKH Performance Factors and
&DPSXVZLGH 6WDQGDUGV *XLGHOLQHV IRU D GHWDLOHG GHVFULSWLRQ RI HDFK VWDQGDUG 8QVDWLVIDFWRU\ SHUIRUPDQFH LQ DQ\ DUHD PXVW EH
addressed.
6DWLVIDFWRU\ SHUIRUPDQFH KDV EHHQ GHPRQVWUDWHG LQ DOO 8&5 FDPSXVZLGH SHUIRUPDQFH VWDQGDUGV
6DWLVIDFWRU\ SHUIRUPDQFH KDV QRW EHHQ GHPRQVWUDWHG LQ DOO 8&5 FDPSXVZLGH SHUIRUPDQFH VWDQGDUGV

&DPSXVZLGH 3HUIRUPDQFH 6WDQGDUGV &RPPHQWV

OVERALL PERFORMANCE RATING


3ODFH DQ ³;´ LQ WKH ER[ ZKLFK GHVFULEHV WKH HPSOR\HH¶V RYHUDOO SHUIRUPDQFH UDWLQJ

Exceptional More Than Satisfactory Satisfactory Needs Improvement Unacceptable

COMMENTS

Rev. 08/10/2015 p. 5
ACTION PLANS/TRAINING AND DEVELOPMENT GOALS

/LVW SHUIRUPDQFH REMHFWLYHV VSHFLILF SURMHFWV RU WUDLQLQJ DQG GHYHORSPHQW SODQV IRU WKH QH[W UHYLHZ SHULRG 'HVFULEH RWKHU
SODQV DFWLRQV GLFWDWHG E\ WKH DSSUDLVDO

EMPLOYEE COMMENTS/RESPONSES

2SWLRQDO ,I HPSOR\HH ZLVKHV WR GR VR DQ\ FRPPHQWV FRQFHUQLQJ WKH DSSUDLVDO PD\ EH LQGLFDWHG LQ WKLV VHFWLRQ

EMPLOYEE SIGNATURE

Employee
, KDYH UHDG DQG GLVFXVVHG WKLV DSSUDLVDO ZLWK P\ VXSHUYLVRU DQG , XQGHUVWDQG LWV FRQWHQWV 0\ VLJQDWXUH PHDQV WKDW , KDYH EHHQ DGYLVHG
RI P\ SHUIRUPDQFH VWDWXV DQG GRHV QRW QHFHVVDULO\ LPSO\ WKDW , DJUHH RU GLVDJUHH ZLWK HLWKHU WKH DSSUDLVDO RU WKH FRQWHQWV

6LJQDWXUH 'DWH

DEPARTMENT SIGNATURES

Supervisor
6LJQDWXUH 'DWH

Department Head
6LJQDWXUH 'DWH

Rev. 08/10/2015 p. 6

You might also like