ROSE-HULMAN INSTITUTE OF TECHNOLOGY
Office of Human Resources
PERFORMANCE APPRAISAL
To:
From:
Date:
Return completed Performance Appraisal to the
Office Of Human Resources, CM 24 no later than
PERFORMANCE APPRAISAL
Employee Name:
Department:
Title:
Reason for Review:  Annual  Initial Review Period  Unsatisfactory Performance  Other
Employee hire date
Date of last appraisal
Due date of this appraisal
Instructions: Carefully evaluate employee’s work performance in relation to current job requirements. Rate employee’s overall performance in
comparison to essential job functions and responsibilities. Mark the appropriate performance rating with an X inside the box for each general factor.
DEFINITION OF PERFORMANCE RATINGS
Exceeds Expectations – Overall performance consistently exceeds expectations.
Meets Expectations – Overall performance consistently meets expectations.
Needs Improvement – Overall performance consistently does not meet expectations; improvement is needed.
A Performance Improvement plan must be completed for each general factor that is rated as “Needs Improvement”
N/A - Not applicable (e.g. too soon to evaluate or does not apply to this employee).
GENERAL FACTORS
1.
Adherence to Policy – The extent to which an employee follows and observes Institute and departmental policies, such as, but not limited
to, appearance, attendance, confidentiality, ethical conduct and safety; complies with all applicable federal, state and local laws including, but
not limited to, Equal Employment Opportunity and Affirmative Action, if applicable.
Exceeds Expectations
Meets Expectations
Needs Improvement
N/A
Comments:
2.
Effectiveness/Quality of Work – The extent to which an employee demonstrates qualities, such as, but not limited to, creativity, flexibility,
productivity, organizational and multi-tasking skills; achieves results, such as, but not limited to, producing work that is accurate, thorough
and complete.
Exceeds Expectations
Comments:
Meets Expectations
Needs Improvement
N/A
3.
Job Knowledge – The extent to which an employee possesses the practical/technical knowledge required on the job.
Exceeds Expectations
Meets Expectations
Needs Improvement
N/A
Comments:
Judgment/Decision-Making – The extent to which an employee demonstrates the ability to make sound decisions. Effectively considers all
relevant facts, takes action and/or offers recommendations to resolve challenges.
Exceeds Expectations
Meets Expectations
Needs Improvement
N/A
Comments:
4.
Leadership – The extent to which an employee demonstrates qualities such as, but not limited to, encouraging excellence, fostering
commitment, mentoring others, and serving as a positive role model; demonstrates professionalism, independence, and initiative to
support the Institute and departmental missions.
Exceeds Expectations
Meets Expectations
Needs Improvement
N/A
Comments:
5.
Managerial Ability – The extent to which an employee demonstrates effective resource management. Effectively directs, encourages, and
supports others. Is able to prioritize and organize work to ensure assignments are completed and objectives are met in a timely manner.
Exceeds Expectations
Meets Expectations
Needs Improvement
N/A
Comments:
6.
Professional Relationships – The extent to which an employee demonstrates the appropriate attitude and ability to cooperate,
communicate, and work with internal and external constituents.
Exceeds Expectations
Comments:
Meets Expectations
Needs Improvement
N/A
PROFESSIONAL DEVELOPMENT PLAN
1.
Review of prior year’s professional development activities, goals and accomplishments. Include any other new skills or abilities acquired
since last review:
Comments:
2.
Recommendations for goals for the upcoming year:
Comments:
3.
Recommendations for professional development activities for the upcoming year (i.e. seminars, training, schooling, etc.)
Comments:
Employee Comments:
Employee’s Signature*
Date:
*Signature indicates that the Performance Appraisal has been reviewed with me and does not
necessarily imply that I agree with this Performance Appraisal
Supervisor’s Signature*
Date:
Next Performance Appraisal:  30 Days  60 Days  90 Days  Anniversary Date  Other