Pepperdine University
Student Employee Assessment Form
Name:
CWID#:
Date:
Job Title:
Dept:
Review Date:
1. Rate the employee by selecting the box corresponding to the appropriate description which most
nearly expresses your overall judgment of each factor.
2. Consider each factor separately and independently.
Make your rating an accurate appraisal of the individual rated. If you wish, use spaces marked
ADDITIONAL COMMENTS to explain your rating on each factor, particularly ratings at either
extreme of the scale or to note changes from the employee’s last review.
Please rate the following statements with the following scale from 1 – 7
1 being strongly disagree and 7 being strongly agree
QUALITY OF WORK – Consider these aspects regardless of quantity of work.
Accuracy and Thoroughness
Dependability
Neatness
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
7
7
7
COMMENTS:__________________________________________________________________________
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QUANTITY OF WORK – Consider these aspects under normal work conditions.
Priority setting
Meets deadlines
Initiative
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
7
7
7
COMMENTS:__________________________________________________________________________
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JOB KNOWLEDGE – How well does the employee apply job knowledge and skill to job assignments?
Understanding and knowledge of job
Ability to work w/out supervision
Follows Proper safety procedures
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
6
6
6
7
7
7
COMMENTS:__________________________________________________________________________
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COMMUNICATION SKILLS – How effectively does the employee share information?
Communication with supervisor
Demonstrates effective listening
Tact and diplomacy
Oral expression on telephone
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
6
6
6
6
7
7
7
7
COMMENTS:__________________________________________________________________________
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INTERPERSONAL SKILLS – How effectively does the employee interact and cooperate with others?
Interaction with supervisors
Interaction with co-workers/community
Commitment to team work
Attitude
Polite/helpful/friendly
Customer service oriented
1
1
1
1
1
1
2
2
2
2
2
2
3
3
3
3
3
3
4
4
4
4
4
4
5
5
5
5
5
5
6
6
6
6
6
6
7
7
7
7
7
7
COMMENTS:__________________________________________________________________________
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JUDGMENT – How well does the employee make balanced decisions as required by the position?
Maintains appropriate confidentiality
Judgment in handling routine problems
1
1
2
2
3
3
4
4
5
5
6
6
7
7
COMMENTS:__________________________________________________________________________
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PROFESSIONALISM – How well does the employee present himself/herself?
Attendance
Leadership
Makes effective use of time
Trustworthiness
Follows instructions
Makes a positive contribution to morale
Appropriate work attire for position
Workspace tidiness
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
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4
4
4
4
5
5
5
5
5
5
5
5
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6
6
6
6
6
6
7
7
7
7
7
7
7
7
COMMENTS:__________________________________________________________________________
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Action Plans – Training & Development Goals:
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Employee Signature: ________________________________________ Date: _____________________________
Supervisor Signature: _______________________________________ Date: _____________________________