Fillable Printable Performance Evaluation Form

Performance Evaluation Form

PERFORMANCE EVALUATION FORM

SUPPORT STAFF

Date:__________

Name:_____________________________________________ Position Title:____________________________________

Department:____________________________ Immediate

Supervisor/Title:______________________________________

Department Head/Title:__________________________________________ Review Period: ___Probationary ___Annual

INSTRUCTIONS: This form will be completed at the end of an employee’s probationary period and annually thereafter by the

employee’s immediate supervisor. The supervisor may also ask the employee to complete a self-appraisal. The supervisor’s

evaluation is to be reviewed by his/her immediate supervisor. Once the review has been conducted, a copy is given to the

employee, a copy retained by the supervisor, and the original sent to Human Resources.

Rate the employee’s performance relative to time in position by checking the most appropriate rating. Make an explanatory

comment to support your rating, and where possible cite specific examples of behavior that led to the rating. When

performance does not meet expectations, list specific goals for improvement and the date you expect them to be achieved.

Not Does not Meet Meets Exceeds

Applicable Expectations Expectations Expectations Comments

Job Knowledge: The extend

to which the incumbent is familiar

with policies and procedures

applicable to the position and able

to work independently. ________ ________ ________ ________

Productivity: The volume of

acceptable work produced. Ability

to organize and prioritize work; utilize

time well and fully meet deadlines. ________ ________ ________ ________

Quality: The ability to complete

work accurately and neatly to meet

quality standards. ________ ________ ________ ________

Responsibility/Initiative:

Acceptance and fulfillment of work

assignments, leadership, intelligent

decision making. ________ ________ ________ ________

Relationships: The ability to

establish and maintain effective

relationships with others with whom

interaction is required in the

performance of the position. ________ ________ ________ ________

Adaptability/Resourcefulness:

The ability to adjust to change with

a minimum of disruption to productivity.

Ability to contribute useful ideas for

improved performance of the position. ________ ________ ________ ________

Attendance/Punctuality:

Absences in this review period: _______ days; _______occurrences.

Latenesses in this review period: _______occurrences.

Supervisory Skills: The ability

To get effective results from others. ________ ________ ________ ________

Overall Evaluation ________ ________ ________ ________

Comments by Immediate Supervisor. (Please include (a) rationale for your overall evaluation, (b) key strengths of the employee, (c) any ways in

which the employee needs to improve, and (d) what the employee has accomplished during this review period to prepare for greater effectiveness in the

present position and/or prepare for more responsibility. Add extra sheets if necessary.)

In the upcoming review period, what should this employee do to develop greater effectiveness in the current position and/or prepare for greater

responsibilities? (Consider coursework, self study, reading materials, etc.)

Name____________________________________________ Signature______________________________________

Title______________________________________________ Date:_________________________________________

Comments by Dean, Director, Department Head, or Manager. (Please comment on the employees performance from your

Perspective. Add extra sheets is necessary.)

Name____________________________________________ Signature______________________________________

Title______________________________________________ Date:_________________________________________

Comments by Appraised Employee. My performance has been discussed with me as described in this appraisal. (Please feel free to add any

comments you have concerning your performance, your development, or your review. If you wish, you may give these comments directly to your supervisor,

in writing, within the next five (5) working days. Add extra sheets as necessary.)

Name____________________________________________ Signature______________________________________

Title______________________________________________ Date:_________________________________________

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