DUE DATE:
PERFORMANCE EVALUATION FOR CLASSIFIED EMPLOYEES (AFSCME)
EVALUATION STATUS
3 month probationary
5 month probationary
ANNUAL
(Year)
OTHER
TRIAL
NAME
STATE TITLE
WORKING TITLE
DEPARTMENT
ANNIVERSARY DATE IN CAMPUS SERVICE
ANNIVERSARY DATE IN CURRENT ASSIGNMENT
DEFINITION FOR RATING TO BE APPLIED
5 = OUTSTANDING - Reflects extraordinary performance in all categories
4 = EXCEEDS STANDARDS - Reflects extra effort and produces results beyond expectations and
requirements
3 = MEETS STANDARDS - Accomplished goals; Meets departmental standards
2 = NEEDS IMPROVEMENT - Below average performance, but potentially acceptable
1 = DOES NOT MEETS - Many goals unrealized or many tasks not performed
STANDARDS
NA = NOT APPLICABLE - Not applicable to the job
SPECIFIC EXAMPLES MAY BE CITED IN THE SPACE FOR
COMMENTS AND MUST BE CITED WHEN CATEGORIES
1 or 2 ARE CHECKED
Points
QUALITY AND QUANTITY OF WORK
Demonstrates knowledge of the job
Amount of work accomplished
Performs work with accuracy
Work is neat and presentable
Work is thorough
Organizes work appropriately
Subtotal (add Columns)
SUPERVISOR’S COMMENTS:
EMPLOYEE’S COMMENTS:
1
5
4
3
2
1
NA
Points
5
4
3
2
1
NA
5
4
3
2
1
NA
WORK HABITS
Is regular in attendance at work
Observes established working hours
Completes work on time
Demonstrates the ability to work without supervision
Complies with departmental and institutional policies
Complies with instructions, rules and regulations,
including health and safety precautions
Subtotal (add Columns)
SUPERVISOR’S COMMENTS:
EMPLOYEE’S COMMENTS:
Points
WORK ATTITUDES
Endeavors to improve work techniques
Accepts new ideas, procedures
Accepts constructive criticism and suggestions
Accepts responsibility
Adapts to emergency situations
Subtotal (add Columns)
SUPERVISOR’S COMMENTS:
EMPLOYEE’S COMMENTS:
2
Points
5
4
3
2
1
NA
5
4
3
2
1
NA
RELATIONSHIPS WITH OTHERS
Works well with co-workers
Works well with the public
Cooperates with supervisors and other staff members
Observes established channels of communication
Subtotal (add Columns)
SUPERVISOR’S COMMENTS:
EMPLOYEE’S COMMENTS:
Points
SUPERVISOR ABILITY (where applicable)
Demonstrates leadership ability
Makes timely decisions
Is fair and impartial in relationship with subordinates
Trains and instructs subordinates
Maintains acceptable performance standards among
employees
employees
Subtotal (add Columns)
SUPERVISOR’S COMMENTS:
EMPLOYEE’S COMMENTS:
÷
Total Points
=
Number of Questions
Rating
(Exclude those marked NA)
3
1.0 - 1.8
1.9 - 2.7
2.8 - 3.6
3.7 - 4.4
4.5 – 5.0
Does not meet Standards
Needs Improvement
Meets Standards
Exceeds Standards
Outstanding
COMMENTS OF SUPERVISOR WHO PERFORMED THIS EVALUATION:
RECOMMENDATIONS:
Retention (probationary)
Dismissal (probationary)
No Action Required
Other
Signature and Title
Date
COMMENTS OF EMPLOYEE:
Date of Discussion with Supervisor
Signature of Employee Being Evaluated
(Does not imply agreement or disagreement with evaluation)
COMMENTS OF INTERMEDIATE SUPERVISOR/HUMAN RESOURCES OFFICE REVIEWING
EVALUATION:
For purposes of granting the Salary/Step rate increases component for Articles 17 and 31, the following
shall be completed
Outstanding
Exceeds
Standards
Does not meet
Standards
Meets Standards
RECOMMENDATIONS:
Retention (probationary)
Dismissal (probationary)
No Action Required
Other
Signature and Title
Date
COMMENTS OF EMPLOYEE:
I have read the comments of my supervisor and intermediate supervisor
Signature of Employee
4
Date