STAFF Employee Performance Review Employee Name Position Title Department or Project Name Performance Review Period: From: Jul To: Supervisor: 2014 Tel. #: Jun 2015 E-mail: PERFORMANCE STANDARDS For each performance area described below, rate the performance as either: 1 Exceptional –Performance demonstrates superior performance and effectiveness in carrying out assigned responsibilities. 2 Exceeds Expectations – Performance exceeds requirements of position. Results achieved are often beyond expectation. 3 Meets Expectations – Fully Satisfactory and dependable level of performance. Results are what are expected of competent employees. 4 Needs Improvement – Performance is below normal expectations. Performance periodically falls short of acceptable standards. 5 Unsatisfactory – Consistently performs below adequate level. Failing to meet requirements and needs immediate improvement. ****You must provide supporting rationale (specific examples and comments) for each area of performance.**** SUMMARY OF OVERALL PERFORMANCE AREAS TO BE EVALUATED Quality of Work – Ability to provide neat, accurate and thorough quality work at an appropriate level based on understanding gained through experience, education and training. Adheres to policies, procedures and remains current with work related developments. Specific examples and comments (REQUIRED) Please Select a Rating Quantity/Timeliness of Work – Ability to produce required volume of work in a timely manner. Specific examples and comments (REQUIRED) Please Select a Rating Initiative – Ability to begin and complete assignments without specific directions; recognize problems and apply or suggest viable solutions. Ability to make sound and accurate decisions. Please Select a Rating Specific examples and comments (REQUIRED) Adaptability/Versatility – Willingness to learn new tasks and adapt to change; establish priorities and handle various tasks simultaneously; perform job under pressure or in critical situations. Specific examples and comments (REQUIRED) Please Select a Rating Cooperation/Relations – Ability and willingness to cooperate with associates, supervisors and subordinates to accomplish job requirements and meet the customers’ needs to ensure the success of the division. Interactions with others foster a positive and productive work environment. Specific examples and comments (REQUIRED) Please Select a Rating Communication Skills – Ability to effectively convey ideas, thoughts and information clearly and concisely to others in oral and/or written form. Please Select a Rating Specific examples and comments (REQUIRED) Confidentiality – Ability to handle sensitive information in a confidential manner. Maintains high level of discretion in regards to departmental information. Please Select a Rating Specific examples and comments (AS APPLICABLE) Attendance – Employee demonstrates that they can be relied upon to complete their job with respect to punctuality, attendance, breaks, reliefs and willingness to work when needed. Specific examples and comments (AS APPLICABLE) Please Select a Rating Rev. 05/2012 2 Health and Safety Standards – Ability to follow safety policies and procedures. Maintains acceptable health and personal hygiene as related to the individual work environment. Specific examples and comments (AS APPLICABLE) Please Select a Rating Goals and Action Plan – This section is an overall evaluation of accomplishing the goals and action plans established for the current review period. Specific examples and comments (REQUIRED) Please Select a Rating THIS SECTION IS FOR SUPERVISORY EMPLOYEES ONLY Supervision/Leadership Skills – Ability to plan, organize and control work activities in a professional manner; train, motivate and maintain morale; evaluate performance and communicate at all levels. Specific examples and comments (REQUIRED) Please Select a Rating GOALS AND ACTION PLAN FOR NEXT REVIEW PERIOD GOAL 1 ACTION PLAN PROJECTED COMPLETION DATE GOAL 2 Please Select One ACTION PLAN PROJECTED COMPLETION DATE Rev. 05/2012 Please Select One 3 GOAL 3 ACTION PLAN PROJECTED COMPLETION DATE GOAL 4 Please Select One ACTION PLAN PROJECTED COMPLETION DATE Please Select One EMPLOYEE COMMENTS This section may be used to provide feedback to your supervisor on what can be done to assist you in performing your job. For example, you could address training or equipment needs, safety issues, improvements to policies and/or procedures, etc. EMPLOYEE COMMENTS (Optional) SIGNATURES Date Employee’s Signature This performance evaluation has been completed to assist you in your job performance and development. Your signature does not necessarily imply that you agree with the comments or rating, but that your supervisor has reviewed the document with you. Supervisor’s Signature Date: Director’s Signature Date: Next Higher Level Reviewer’s Signature Date: Human Resources Date: Final Rating Score 0.00 Rev. 05/2012 4