INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNE
Management Performance Review
Name of employee________________________________ Position title__________________________________
Department____________________________________________________Date___________________________
Supervisor____________________________________________________________________________________
Performance Update Meetings Held (Please provide dates):
Please Choose One: Self Evaluation
Supervisor Evaluation
Part I: Job Specific Responsibilities
Write the position summary found in the job description in the space provided below.
Position Summary:
From the job description, please list in the order of importance the most critical job specific responsibilities and
assign a rating for each one. You must list a minimum of 5 responsibilities. Please provide comments as needed.
5 = Outstanding: Employee consistently exceeds performance standards.
4 = Exceeds Expectations: Employee meets and often exceeds performance standards.
3 = Meets Expectations: Employee consistently meets the performance standard.
2 = Improvement Needed: Employee meets but often falls short of performance standards.
1 = Unacceptable: Significant improvement required.
*(5) Outstanding and/or (1) unacceptable ratings require a comment.
Job Specific Responsibilities
Rating (See rating
scale above)
*1 2 3 4 *5
Comments
1
Part II: Job Competencies
Instructions: Select the appropriate rating for each performance dimension according to the standards and expectations of
the job. Give specific examples of performance behaviors to support ratings based on the following scale (O,E,M,I,U):
Rating Key:
5 = Outstanding: Employee consistently exceeds performance standards.
4 = Exceeds Expectations: Employee meets and often exceeds performance standards.
3 = Meets Expectations: Employee consistently meets the performance standard.
2 = Improvement Needed: Employee meets but often falls short of performance standards.
1 = Unacceptable: Significant improvement required.
Leadership - Sets direction and creates an atmosphere for high employee involvement and productivity. Inspires trust and
commitment in employees and encourages risk-taking. Leads by example.
Rating:
Strengths:
Development Needs:
Problem Solving - Obtains and evaluates factors to determine issues, identifies alternative solutions and develops strategies to achieve
results.
Rating:
Strengths:
Development Needs
2
Initiative - Originates and adapts new ideas to achieve departmental objectives and goals. Keeps current on new technologies and
advancements in job related knowledge/skills and implements changes in policies and procedures as needed.
Rating:
Strengths:
Development Needs:
Communication - Conducts regular and effective meetings with staff to exchange and clarify information and actively listens to ideas
and suggestions. Effectively communicates with supervisor, peers and campus community.
Rating:
Strengths:
Development Needs:
Planning and Organizing - Sets goals and priorities to accomplish results. Efficiently uses resources of people, money and time.
Rating:
Strengths:
Development Needs:
3
Teamwork - Works cooperatively with other individuals and shows willingness to undertake new projects and assignments.
Facilitates environment with team-building focus and encourages cooperation with other areas of the university.
Rating:
Strengths:
Development Needs:
Customer Support - Stresses importance of identifying and serving customer needs. Facilitates continuous improvement of products,
services and work processes.
Rating:
Strengths:
Development Needs:
Part III: Developmental Goals
Accomplishments During Current Performance Period:
Developmental Goals / Activities
Time Period
4
Developmental Plan for Next Performance Period:
Developmental Goals / Activities
Time Period
Part IV: Comments
Supervisor Comments:
5
Employee Comments:
Part V: Signatures
Employee acknowledgment: I understand that my signature acknowledges that this evaluation has been discussed with me and that my
signature does not necessarily indicate agreement with the evaluation.
Employee: __________________________________________________
Date: ________________________
Supervisor: __________________________________________________
Date:_________________________
6