EMPLOYEE’S EVALUATION/PERFORMANCE REVIEW
FOR ADMINISTRATIVE FACULTY
DIVISION OF STUDENT SERVICES
SELF EVALUATION
FACULTY EMPLOYEE NAME:
PRESENT TITLE:
UNIT/DEPARTMENT:
PERIOD OF EVALUATION: From: ____________________ To: ___________________
PART A – Achievement of Goals (for the current review period)
List below, in order of importance, the goals that were established for this review period.
This includes new performance goals, special projects, and personal/professional development
activities. Please consider to what extent positive results were achieved and what factors
contributed to your success at meeting these goals or what factors negatively impacted the
completion of your goals. After completing the review of your goal achievement, select the
performance level that best describes your level of achievement throughout the review period –
in your opinion. (use additional sheets as needed)
Goal Statement #1:
Results Achieved:
Contributing Factors:
Goal Statement #2:
Results Achieved:
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Contributing Factors:
Goal Statement # 3:
Results Achieved:
Contributing Factors:
Goal Statement #4:
Results Achieved:
Contributing Factors
Goal Statement #5:
Results Achieved:
Contributing Factors:
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Please rate yourself on your goal achievement:
 Excellent:
Significantly surpasses
expectations in all aspects
of position/responsibilities;
demonstrates highest
knowledge and skills.
 Commendable:
Successfully met, and in
some areas, significantly
exceeded, established
goals.
 Satisfactory:
Meets established goals
and objectives. On
balance, performs
competently.
 Unsatisfactory:
Did not meet established
goals and objectives; has
met some expectations,
but not consistently; or has
not met any.
PART B – Achievement of Position Responsibilities (for the current review period)
List below, in order of importance, the key job responsibilities that were in effect for this review
period. This includes maintenance of regular duties, special projects, and PDQ related
activities. Please address your positive contributions in support of your unit’s and the division’s
strategic goals during this past year. Consider to what extent positive results were achieved and
what factors contributed to your overall success at carrying out your responsibilities as well as
your contributions to the division. Identify any factors that negatively impacted your ability to
effectively carry out any of the position responsibilities and/or your support of the strategic
plan(s). After completing the review of your achievements in each area, select the performance
level that best describes your personal level of achievement throughout the review period – in
your opinion.
Position Responsibility #1:
Results Achieved:
Contributing Factors:
Position Responsibility #2:
Results Achieved:
Contributing Factors:
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Position Responsibility #3:
Results Achieved:
Contributing Factors:
Position Responsibility #4:
Results Achieved:
Contributing Factors:
If more than four “Position Responsibilities,” please add more boxes to include more position responsibilities.
Please rate yourself on your achievement of position responsibilities:
 Excellent:
Significantly surpasses
expectations in all aspects
of position/responsibilities;
demonstrates highest
knowledge and skills.
 Commendable:
Successfully met, and in
some areas, significantly
exceeded, established
goals.
 Satisfactory:
Meets established goals
and objectives. On
balance, performs
competently.
 Unsatisfactory:
Did not meet established
goals and objectives; has
met some expectations,
but not consistently; or has
not met any.
If desired, please provide any Closing/Summary comments for the evaluation period below.
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