PERFORMANCE APPRAISAL
REVIEW
Objectives, Factors and Standards Format
EMPLOYEE INFORMATION
EMPLOYEE NAME
JOB TITLE
DEPARTMENT
Employee ID #
PERIOD COVERED BY THIS APPRAISAL
FROM
TO
SUPERVISOR’S NAME
TYPE OF REVIEW
Mid-probation
Annual
End of Probation
Other
RATING SCALE
Exceptional Performance:
Exceeds Expectations:
Meets Expectations:
Marginal Performance:
Unsatisfactory Performance:
Unique and exceptional accomplishments
Clearly and consistently above what is required
Consistently meets the requirements of the job in all
aspects
Sometimes acceptable, but not consistent
Does not meet the minimum requirements of the job
EMPLOYEE OBJECTIVES FOR PAST REVIEW PERIOD
In the space provided, specify objectives and success indicators from the previous review period and
consider to what extent they were achieved or fulfilled. Mark the appropriate rating with an “x.” Explain any
change to objectives that occurred during the year and make sure you identify all factors that caused the
goal to be met or not to be met.
Objective #1:
Success Indicators:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Comments:
Objective #2:
Success Indicators:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Comments:
Objective #3:
Success Indicators:
Comments:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
EMPLOYEE PERFORMANCE FACTORS
Use this section to describe employee performance on specific factors. In the space provided, mark the
appropriate rating with an "x" and provide comments as needed.
Dependability:






Meets commitments
Works independently
Accepts accountability
Handles change
Stays focused under pressure
Meets attendance requirements
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Comments:
Communication:
Rating:
 Listens effectively
Exceptional Performance
 Responds clearly and directly
Exceeds Expectations
 Seeks to clarify and confirm the accuracy of their understanding
of unfamiliar or vague terms
 Makes oral and written communication clear and easy to
understand
Comments:
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Job Knowledge:





Understands job duties and responsibilities
Has necessary job skills and knowledge
Has technical skills, knowledge
Understands, operates equipment
Understands and promotes department mission and values
 Keeps current with new developments
Comments:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Problem Solving:





Anticipates and prevents problems
Defines problems, identifies root cause
Overcomes obstacles
Generates alternative solutions
Helps solve team problems
Comments:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Productivity:





Manages a fair work load
Takes on additional responsibilities as needed
Manages priorities
Develops and follows work procedures
Manages time well
 Handles information flow
Comments:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Quality:





Is attentive to detail and accuracy
Actively supports quality standards
Makes continuous improvements
Monitors quality levels
Owns and acts on quality problems
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Comments:
Teamwork:
 Contributes to team projects
 Exchanges ideas, opinions
 Helps prevent, resolve conflicts
 Works with other departments
 Develops positive working relationships
 Is flexible and open-minded
 Promotes mutual respect
Comments:
Planning and Organizing Effectiveness:
 Develops realistic plans
 Balances short and long-term goals
 Aligns plans with department/University goals
 Plans for and manages resources
 Creates contingency plans
 Coordinates and cooperates with others
Comments:
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Rating:
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
PERFORMANCE SUMMARY
When providing comments consider the employee's performance
against objectives, key factors from the Employee Performance section
above, and strengths/potential improvements.
OVERALL RATING
Exceptional Performance
Exceeds Expectations
Meets Expectations
Marginal Performance
Unsatisfactory Performance
Comments:
OBJECTIVES FOR UPCOMING REVIEW PERIOD
Use the following section to record major accountabilities and goals for the next review period. In the
space provided, specify the objectives and success indicators and describe how to measure whether they
are achieved.
Objective #1:
Success Indicators:
Objective #2:
Success Indicators:
Objective #3:
Success Indicators:
Performance Plan: Identify specific actions/behaviors the employee needs to start doing, stop doing,
and/or continue doing in the upcoming performance period.
Success Indicators:
EMPLOYEE COMMENTS
Use the following space to make any comments regarding the above appraisal and/or objectives for the
next appraisal period.
SIGNATURES
Employee Signature _________________________________________________
Date_________________
(Your signature does not necessarily signify your agreement with the appraisal; it simply means that the appraisal has
been discussed with you).
Appraiser’s Signature ________________________________________________
Date_________________
Dept./Div. Signature _________________________________________________
Date_________________
Return the original or a copy of the completed Performance Appraisal to:
ON-CAMPUS ADDRESS
Human Resources Department
University Services Building
or
OFF-CAMPUS ADDRESS
Human Resources Department
P.O. Box 210158
Tucson, AZ 85721
Adapted from Austin Hayne’s Employee Appraisal Samples, HR Advisor 3.0
Objectives, Factors and Standards Format
Revised 1/98