EXEMPT CLASSIFIED EVALUATION NARRATIVE FORM
* This form should only be used for professional exempt classified employees. For non-exempt employees, please complete the
Non-Exempt Classified Performance Evaluation Form.
Employee Name:
Supervisor Name:
Classification/Title:
Department:
Review Period:
Evaluation:
to
3 month
6 month
PROCEDURE:
1.
Employee and Supervisor review position description.
Annual
5.
Following the meeting, the employee completes the Employee
Response section (if desired), and employee and supervisor
sign the bottom of the form.
6.
This form, with the attachments, is routed to the next level
supervisor for review and signature.
7.
Completed form is forwarded with all attachments to Human
Resources for filing. Supervisor should maintain a copy for
departmental records and provide the employee a finalized
copy.
Position description reviewed, no change
Updated position description attached
2.
3.
4.
Employee completes a Pre-Evaluation Statement as
described below, signs it, attaches it to this form and
returns it to the supervisor (limit, 1-3 pages).
The Supervisor completes an Evaluation Narrative as
described below, signs it, attaches it to this form, and sets
a time for a meeting with the employee.
Supervisor and employee meet to discuss annual
performance and set goals for the coming year.
DIRECTIONS FOR THE EMPLOYEE PRE-EVALUATION STATEMENT:
Date Completed:
1. Activities and Accomplishments - The employee describes activities and accomplishments on the job for the past year as they relate directly or
indirectly to his/her job description and to any goals that may have been established for the evaluation period. This may be in the form of a list
or a narrative description. Appropriate topics include but are not limited to:
 Primary Position Duties and Responsibilities
 Professional Development Activities
 Achievement of Pre-established Goals
 Innovations and/or Special Projects
2. Goals - The staff member identifies goals for the coming year which support institutional, divisional, and/or departmental goals.
DIRECTIONS FOR THE SUPERVISOR EVALUATION NARRATIVE:
Date Completed:
Date of Meeting:
1. Assessment of Performance - The supervisor evaluates the employee’s performance with respect to the following criteria, as appropriate:
 Quality of Work (accuracy, completeness, results)
 Interpersonal Skills
 Productivity (quantity of work, efficiency)
 Communication Skills (written and oral)
 Judgment/Decision Making
 Leadership and/or Supervision
 Problem Solving Ability
 Independent Learning Ability, Initiative, and Teamwork
 Organizational Ability
 Contribution to University Mission and Strategic Plan
2. Goals and Expectations - The supervisor discusses and approves the goals for the coming year.
DIRECTIONS FOR EMPLOYEE RESPONSE: (Optional)
After the evaluation session and upon receipt of the supervisor evaluation narrative, the employee may choose to attach a brief narrative response
to the supervisor's evaluation.
Employee Signature
Date
Supervisor Signature
Date
Next Level Supervisor Signature
Date
Office of Human Resources
(920) 465-2390 • hr@uwgb.edu • www.uwgb.edu/hr/
Revised 1/28/13