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
Rev. 07/30/2012 p. 1
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
See job description and previous year’s goals and expectations.
RATING SCALE
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.
PERFORMANCE RATING
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 Improvement” or “Unacceptable”. Please refer to the first section
the Performance Factors and Campuswide Standards Guidelines for further definition of performance factors.
Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Position Expertise
Effectiveness with which the employee applies professional/managerial/technical and/or non-technical skills and knowledge to the job.
Rev. 05/02/2014 p. 2
Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Approach To Work
Characteristics the employee demonstrates while performing job assignments including creativity, flexibility, initiative, planning and
organization, time management, commitment to diversity, ethical behavior, process improvement, and/or professional development.
Quality Of Work
Manner in which the employee completes job assignments including accuracy, responsiveness, follow-through, judgment, decision
making, reliability, and compliance assurance.
Quantity Of Work
Employee’s success in producing the required amount of work including priority setting, productivity, and timeliness.
Communication Skills
Effectiveness of the employee in transmitting information including confidentiality, facilitation/participation in sharing information,
and oral and written expression.
Rev. 05/02/2014 p. 3
Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Interpersonal Skills
Effectiveness of the employee's interactions in responding to and working with others, including interactions with co-workers,
supervisor(s), faculty, students and/or the community.
Supervisory/Leadership Skills — Applies to managers, supervisors, or leads.
A. Supervision
Provides oversight, direction, recognition and development opportunities, and addresses performance problems.
B. Leadership & Management
Communicates a vision, sets unit goals, develops strategies and takes action to ensure the efficient stewardship of University resources
(operational, financial, and human).
Other Factors — If necessary, additional performance factors may be established. Evaluate the additional factor(s) by checking the
appropriate box to the left of each factor. Comments are required for ratings of “Needs Improvement” or “Unacceptable”.
CAMPUSWIDE PERFORMANCE STANDARDS
The UCR Campuswide Performance Standards include: UCR Principles of Community, UC Ethical 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 Guidelines for 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. 05/02/2014 p. 4
OVERALL PERFORMANCE RATING
Place an “X” in the box which describes the employee’s overall performance rating.
Exceptional
More Than Satisfactory
Satisfactory
Needs Improvement
Unacceptable
COMMENTS
ACTION PLANS/TRAINING AND DEVELOPMENT GOALS
List performance objectives, specific projects, or training and development plans for the next review period. Describe other
plans/actions dictated by the appraisal.
EMPLOYEE COMMENTS/RESPONSES
Optional. If employee wishes to do so, any comments concerning the appraisal may be indicated in this section.
EMPLOYEE SIGNATURE
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:
DEPARTMENT SIGNATURES
Supervisor
Signature: Date:
Department Head
Signature: Date:
