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Fillable Printable Performance Evaluation Form

Fillable Printable Performance Evaluation Form

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:_________________________________________
12/01
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