Performance Review
Instructions:
The form is divided into three sections – Yearly Goals, Day-to-day Job Responsibilities and Clarkson Values.
Yearly Goals:
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In this section, enter the agreed goals and select the rating from the drop down menu based on
performance against each goal.
List the challenges faced in achieving each goal and provide any additional information relevant to goal
achievement.
This section carries 33% weight of the “Overall Year End Review Rating”.
This section covers goal that would be assigned as part of Clarkson @ 125
Day to Day Job Responsibilities:
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In this section, enter the key day-to-day responsibilities and select the rating from the drop down menu
based on performance against each responsibility.
Use the current job description as a guide to key responsibilities.
List the challenges faced in accomplishing day-to-day job responsibilities and provide any additional
information relevant to the day-to-day job.
This section carries 33% weight of the “Overall Year End Review Rating”.
Clarkson Values:
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In this section, for each Clarkson Value, provide an example that demonstrates the value and select the
rating from the drop down menu based on consistent demonstration of each value.
This section carries 34% weight of the “Overall Year End Review Rating”.
Definitions and examples of the Clarkson Values can be found on HR website.
Performance Review
Employee ID:
Department:
Name of Employee:
Supervisor:
Title:
Appraisal Period:
Performance Definitions:
Moving Ahead: Exceeds goal expectations; is the role model for living the Clarkson values and actively invites others to do the
same; operates above current level or position; advances knowledge in their discipline; uses and willingly shares knowledge and
works with others to achieve operational excellence; looks to the future for answers.
Right on Track: Meets goal expectations and exceeds some; behaves in accordance with Clarkson values; is trustworthy, a strong
team contributor and/or to their discipline; adds knowledge to their discipline; uses and willingly shares knowledge with others.
Falling Behind: Meets most goal expectations but does not consistently meet all requirements; behavior in support of Clarkson
values may have to be reminded; shows some initiative to fulfill role obligations and to be part of the team.
Off Track: Does not consistently meet goal expectations and cannot be counted on to deliver quality work; behavioral support of
Clarkson values is not predictable; contributes as part of the team after being asked or must be reminded of role obligations.
Yearly Goals:
Goal 1:
Choose a Rating
Goal 2:
Choose a Rating
Goal 3:
Choose a Rating
Goal 4:
Choose a Rating
Additional Comments:
Overall Rating for Goals (33%):
Choose a Rating
Day-to-Day Job Responsibilities:
Knowledge of Work:
Choose a Rating
Communication:
Choose a Rating
Decision Making/Problem Solving :
Choose a Rating
Additional Comments:
Overall Rating for Day-to-Day Job responsibilities (33%):
Choose a Rating
Clarkson Values: Please rate each of the Clarkson Values. Text areas expand if you wish to include
comments or examples to recognize exemplary behavior or to describe instances where the value was not
demonstrated or practiced.
Teamwork:
Choose a Rating
Caring:
Choose a Rating
Integrity:
Choose a Rating
Vision:
Choose a Rating
Diversity:
Choose a Rating
Service:
Choose a Rating
Growth:
Choose a Rating
Diligence:
Choose a Rating
Additional or Summary Comments:
Overall Rating for Clarkson Values (34%):
Choose a Rating
Professional Development:
List all professional development activities accomplished during the appraisal period.
Overall Year End Review Rating (Supervisor Only):
Choose a Rating
Employee Signature _______________________________________
Date _________________________
Supervisor Signature _______________________________________
Date _________________________
Goals for Year ________
Job Performance/Yearly Goals:
Goal 1:
Goal 2:
Goal 3:
Goal 4: