Employee Name _______________________________________________________
Title/Position __________________________________________________________
Division _____________________________________________________________
Supervisor/Evaluator ___________________________________________________
Evaluation Period
______________________________________________________
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Outstanding (O) – Work is consistently performed beyond expectations for the position in nearly all areas. Outstanding staff provide significant contributions to the success of our unit. The employee’s contributions are recognized and appreciated.
Exceeds Expectations (EE) – Work is above requirements for the position in most areas. While the employee has a few areas to work on, his/her commitment and contribution are noteworthy.
Meets Expectation (ME) – Work generally meets and
sometimes exceeds requirements for the position. The employee should continue her/his efforts
and the supervisor will work with the employee to improve his or her
performance.[s2]
Below Expectations/Needs Improvement (BE) – Work usually does not meet the basic requirements of the position. Employee and supervisor should identify a plan to improve performance. Failure to show improvement may result in additional action.
At Risk (AR) – Work is consistently below requirements in most aspects of the job and immediate improvement is required. The supervisor will review the job description with the employee and will provide a written statement of job performance expectations. The employee will have a period of ___ months to improve to an acceptable level. After this interval, another formal evaluation will be conducted. Failure to improve will result in a notice of non-reappointment (academic professional staff) or disciplinary action (civil service staff).
Not Applicable (NA) – Applies to Supervisory section only. Use if the employee does not have supervisory responsibility.
Instructions: Use the scale above to rate each Evaluation Factor. Each Evaluation Factor must be rated. The attributes listed under each Evaluation Factor should be used to determine the rating. Employees deserve to understand the nature and basis for their evaluation. In most cases, concise but substantive explanations and examples in the space provided will be adequate to support your ratings; use additional space where required. In addition, managers must review the current job description and last year’s goals with the employee and validate they are current. Revisions should be made to the job description, as necessary, and updated goals should be documented in the Goals and Objectives section at the end of this form.
Managers are encouraged to have their staff complete a self evaluation, then meet in person to compare the managers and employee’s evaluation, making any revisions or changes to the manager’s evaluation as necessary.
All evaluations
must consist of a complete written review based on the evaluation form provided
plus a formal in-person review to discuss the assessment for the past year and
to review plans for the following year.
_____ Job Knowledge – The employee understands
the concepts, techniques, and technologies of his or her job.
Explanation and examples to support rating:
_____ Accountability and Judgment - Extent to which the employee can be depended upon to be available for work and carry tasks to completion. The employee makes sound job related decisions and recommends the proper course of action.
· Exhibits professionalism and resourcefulness in evaluating a problem and its possible solutions.
Explanation and examples to support rating:
_____ Productivity/Quality - Based on supervisor expectations, the extent of work performed is thorough, effective, accurate, and completed in a timely manner.
Explanation and examples to support rating:
_____ Customer Service - All employees are expected to make customer service a priority, treating customers in a professional, respectful, and positive manner. Evaluate the extent the employee understands customers’ needs, is approachable, and works to build partnerships with customers. Employee effectively conveys an impression that reflects favorably upon the public image of the organization. Outstanding employees work hard to find creative solutions for customers, often by bringing in expertise from a variety of areas within the unit and from outside.
Explanation and examples to support rating:
_____ Interpersonal Skills/Communication – The extent to which the employee clearly and professionally shares information.
· Expresses disagreement in an appropriate and constructive manner.
Explanation and examples to support rating:
_____ Supervisor Responsibility - (If Applicable) The ability to supervise or direct a unit or work group using sound management practices.
Explanation and examples to support rating:
Accomplishments since Last Evaluation
GOALS/OBJECTIVES FOR NEXT YEAR:
Discuss what new experiences/skills will be important for
development in the current job over the next year. What actions can be taken by the supervisor
and employee to reach these goals? (Please use additional space, if needed).
THESE GOALS/OBJECTIVES BECOME THE
SUBJECT MATTER UPON WHICH THE EMPLOYEE WILL BE EVALUATED NEXT YEAR. (Please use
additional space to document goals, if needed).
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Additional Comments – Please attach any additional
material as required for clarification, amplification, or expansion on prior
sections or to bring up any additional information or comments.
Signature acknowledges the annual performance evaluation meeting has taken place and the evaluation results have been discussed with the employee. Employees wishing to offer written comments should submit them to their supervisor/evaluator as soon as possible after the evaluation date indicated below. Comments received will be immediately attached to the evaluation and placed in the employee’s personnel file.
Employee _________________________________________________Date__________
Supervisor/Evaluator ______________________________________________________
Title __________________________________________ Date ____________________
Senior Level Manager*_____________________________________________________
Title ____________________________________________Date ___________________
* Division Director, Assistant CIO, Deputy CIO or CIO