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Fillable Printable Employee Appraisal Form - University of California, Riverside

Fillable Printable Employee Appraisal Form - University of California, Riverside

Employee Appraisal Form - University of California, Riverside

Employee Appraisal Form - University of California, Riverside

Rev. 07/30/2012p. 1
PerformanceAppraisalForm
EMPLOYEEINFORMATION
Name: Title:
Dept.:UC Hire Date:
Time in position: YearsMonths Evaluation Period:FromThrough
SUPERVISORINFORMATION
Name: Supervised employee for: YearsMonths
POSITIONDESCRIPTION/GOALSANDEXPECTATIONS
See job description and previous year’s goals and expectations.
RATINGSCALE
Exceptional(E)Performance exceeds expectations in all areas of
responsibility. Remarkable achievement and
pacesetting performance.
More Than
Satisfactory (MS)Performance exceeds expectations.
Satisfactory(S)Performance meets expectations.
Needs
Improvement (NI)Performance does not meet expectations.
Unacceptable (U)Performance falls substantially short of
expectations.
Not
Applicable (N/A)The employee is not required to perform in a
specific rating factor, and it cannot be measured.
PERFORMANCERATING
Evaluate each of the performance factors below. (For those factors not evaluated, please check not applicable) Comments are
recommended for all ratings, but are required for ratings of Needs ImprovementorUnacceptable. Please refer tothe first section
thePerformance Factors and Campuswide Standards Guidelinesfor further definition of performance factors.
Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Position Expertise
Rev. 05/02/2014p. 2
Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Approach To Work
Quality Of Work
Quantity Of Work
Communication Skills
Rev. 05/02/2014p. 3
Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Interpersonal Skills
A. Supervision
B. Leadership & Management
CAMPUSWIDEPERFORMANCESTANDARDS
The UCR Campuswide Performance Standards include: UCR Principles of Community, UCEthical Values and Standards of Ethical
Conduct, Diversity, Health & Safety, and Service Orientation. Please refer to the second section of the Performance Factors and
Campuswide Standards Guidelinesfor a detailed description of each standard. Unsatisfactory performance in any area must be
addressed.
Satisfactory performance has been demonstrated in all UCR campuswide performance standards.
Satisfactory performance has not been demonstrated in all UCR campuswide performance standards.
Campuswide Performance Standards Comments:
Rev. 05/02/2014p. 4
OVERALLPERFORMANCERATING
Place an Xin the box which describes the employees overall performance rating.
Exceptional
More Than Satisfactory
Satisfactory
Needs Improvement
Unacceptable
COMMENTS
ACTIONPLANS/TRAININGANDDEVELOPMENTGOALS
List performance objectives, specific projects, or training and development plans for the next review period. Describe other
plans/actions dictated by the appraisal.
EMPLOYEECOMMENTS/RESPONSES
Optional. If employee wishes to do so, any comments concerning the appraisal may be indicated in this section.
EMPLOYEESIGNATURE
Employee
I have read and discussed this appraisal with my supervisor and I understand its contents. My signature means that I have been advised
of my performance status and does not necessarily imply that I agree or disagree with either the appraisal or the contents.
Signature: Date:
DEPARTMENTSIGNATURES
Supervisor
Signature: Date:
Department Head
Signature: Date:
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