EWP
(Rev. 4’3’09)
EMPLOYEE WORK PROFILE
WORK DESCRIPTION/PERFORMANCE PLAN
Christopher Newport University
Office of Human Resources
Parts I, II, III, and IV are written or reviewed by the
supervisor and discussed with the employee at
the beginning of the evaluation cycle.
PART I – Position Identification Information
1. Position Number:
2. Agency Name & Code; Division/Department:
3. Work Location Code: Newport News, Virginia 700
4. Occupational Family & Career Group:
5. Role Title & Code:
6. Pay Band:
7. Work Title:
8. SOC Title & Code:
9. Supervisor’s Position Number:
10. Supervisor’s Role Title & Code:
Former Grade:
SHADED AREA TO BE COMPLETED BY HUMAN RESOURCES
11. Level Indicator:
Employee
Supervisor
Manager
Employees Supervised:
Does employee supervise 2 or more employees
(FTEs)?
Yes
No
14. EEO Code:
 15. Effective Date:
12. FLSA Status:
Exempt
Non-Exempt
Exemption/Partial Exemption Test (if applicable):
13. Funding:
Auxiliary Funded
E & G Funded
16. Statement of Economic Interest:
17. Sensitive Position:
Yes
Yes
No
No
PART II – Work Description & Performance Plan
18. Organizational Objective (state the overall objective of your department or office):
19. Purpose of Position (indicate the primary purpose of this position):
20. KSA’s (knowledge, skills, and abilities) and/or Competencies required to successfully perform the work
(attach Competency Model, if applicable):
PAGE 1 OF 9
21. Education, Experience, Licensure, Certification for entry into position:
Education Required:
Education Preferred:
Experience Required:
Experience Preferred:
22. Description of Duties: State the most frequently performed responsibilities first and finish with the least
performed duty. Combine related responsibilities as needed. Indicate these
under the center column titled “Core Responsibilities” and use a separate box for
each kind of work. In the left column, estimate a percentage of how the total
working time is divided. In the right column, list examples of measures of
performance management.
% OF
TIME
Core Responsibilities
%
A.
%
B.
%
C.
%
D. Develops and maintains very positive and
professional customer service and/or relations within
the office/department and with all constituencies to
include students, faculty, staff, guests, and employees.
Demonstrates a positive and professional attitude and
treats everyone with dignity and respect. Fully supports
the “Student’s First” value at CNU and routinely goes
the extra mile in providing service.
Measures for Core Responsibilities
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E. Other duties as required.
____
100%
Add additional Core Responsibilities as needed.
23. Special Assignments
24. Measures for Special Assignments
25. Agency/Departmental Objectives
26. Measures for Agency/Departmental
Objectives
F.
G.
Optional
H.
I.
J.
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K.
ADDENDUM – ORGANIZATIONAL CHART
PAGE 4 OF 9
This page is printed separate from the remainder of the Work Description/Performance Plan
because it contains confidential employee information.
PART III – Employee Development Plan
27. Personal Learning Goals
28. Learning Steps/Resource Needs
Part IV - Review of Work Description/Performance Plan
29. Supervisor’s Comments:
Signature:
Date:
Print Name:
30. Reviewer’s Comments:
Signature:
Date:
Print Name:
31. Employee’s Comments:
Signature:
Date:
Print Name:
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EMPLOYEE WORK PROFILE
Essential Job Requirements (Indicate by each E = Essential, M = Marginal, or N/A)
NOTE: Completion of this section is required. Please call Human Resources with any questions.
Physical Demands and Activities:
Light lifting
Moderate lifting
Heavy lifting
Pushing/pulling
<20 lbs.
20-50 lbs.
>50 lbs.
Emotional Demands:
Standing
Lifting
Reaching
Other
Sitting
Walking
Bending
Climbing
Repetitive motion
Mental/Sensory Demands:
Fast pace
Avg. pace
Multiple priorities
Intense customer interaction
Multiple stimuli
Frequent change
Memory
Reading
Reasoning
Hearing
Analyzing
Logic
Verbal communication
Written communication
Other
Annual Requirements: Optional based on position requirements.
Activity
Required In-Service or other training
Valid Licensure/Certification/Registration
Employee Health Update
Current? If so, date completed?
Yes _____________Date
Yes _____________Date
Yes _____________Date
No
No
No
N/A
N/A
N/A
Confidentiality Statement: Optional based on position requirements.
I acknowledge and understand that I may have access to confidential information regarding [employees,
students, patients, inmates, the public]. In addition, I acknowledge and understand that I may have access
to proprietary or other confidential information business information belonging to Christopher Newport
University. Therefore, except as required by law, I agree that I will not:

Access data that is unrelated to my job duties at Christopher Newport University;

Disclose to any other person, or allow any other person access to, any information related to
Christopher Newport University that is proprietary or confidential and/or pertains to [employees,
students, patients, inmates, the public]. Disclosure of information includes, but is not limited to, verbal
discussions, FAX transmissions, electronic mail messages, voice mail communication, written
documentation, “loaning” computer access codes, and/or another transmission or sharing of data.
I understand that Christopher Newport University and its [employees, students, patients, inmates, public],
staff or others may suffer irreparable harm by disclosure of proprietary or confidential information and that
Christopher Newport University may seek legal remedies available to it should such disclosure occur.
Further, I understand that violations of this agreement may result in disciplinary action, up to and including,
my termination of employment.
________________________________________
__________________________
Employee Signature
Date
PAGE 6 OF 9
EMPLOYEE WORK PROFILE
Parts V, VI, VII, VIII, and IX
are written or reviewed by the
supervisor and discussed
with the employee at the end
of the evaluation cycle.
PERFORMANCE EVALUATION
The following pages are printed separate from the remainder of the EWP because they
contain confidential employee information.
PART V – Employee/Position Identification Information
32. Position Number:
33. Agency Name & Code; Division/Department:
34. Employee Name:
35. Employee ID Number:
PART VI – Performance Evaluation
36. Core Responsibilities Rating Earned
A.
37. Core Responsibilities - Comments on Results Achieved
Extraordinary
Contributor
Contributor
Below Contributor
B.
Extraordinary
Contributor
Contributor
Below Contributor
C.
Extraordinary
Contributor
Contributor
Below Contributor
D.
Extraordinary
Contributor
Contributor
Below Contributor
E.
Extraordinary
Contributor
Contributor
Below Contributor
38. Special Assignments Rating Earned
F.
39. Special Assignments - Comments on Results Achieved
Extraordinary
Contributor
Contributor
Below Contributor
G.
Extraordinary
Contributor
Contributor
Below Contributor
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40. Agency/Department
Objectives - Rating Earned
H.
41. Agency/Department Objectives - Comments on Results Achieved
Extraordinary
Contributor
Contributor
Below Contributor
I.
Extraordinary
Contributor
Contributor
Below Contributor
J.
Extraordinary
Contributor
Contributor
Below Contributor
K.
Extraordinary
Contributor
Contributor
Below Contributor
42. Other significant results for the performance cycle:
Part VII - Employee Development Results
43. Year-end Learning Accomplishments:
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Part VIII - Overall Results Assessment and Rating Earned
An employee receiving an overall rating of "Below Contributor" must have received at least one Notice of
Improvement Needed/Substandard Performance form during the performance cycle.
An employee who earns an overall rating of “Below Contributor” must be reviewed again within three
months.
An employee receiving an overall rating of "Extraordinary Contributor" must have received at least one
Acknowledgment of Extraordinary Contribution form during the performance cycle. However, the receipt of
an Acknowledgment of Extraordinary Contribution form does not guarantee an overall performance rating of
“Extraordinary Contributor” for that performance cycle.
44. Overall Rating Earned
Extraordinary Contributor
Contributor
Below Contributor
Part IX - Review of Performance Evaluation
45. Supervisor’s Comments:
Signature:
Date:
Print Name:
46. Reviewer’s Comments:
Signature:
Date:
Print Name:
47. Employee’s Comments:
Signature:
Date:
Print Name:
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