Performance Appraisal Form
EMPLOYEE INFORMATION
Name:
Title:
Dept:
UC Hire Date:
Time in position:
Years
Months
Evaluation Period: From
Through
SUPERVISOR INFORMATION
Name:
Supervised employee for:
Years
Months
POSITION DESCRIPTION/GOALS AND EXPECTATIONS
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RATING SCALE
Exceptional (E)
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Needs
Improvement (NI) Performance does not meet expectations.
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Not
Applicable (N/A)
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More Than
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Satisfactory (S)
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PERFORM ANCE RATING
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Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Position Expertise
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Approach To Work
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Rating Factors
Performance Factor
N/A
E
MS
S
NI
U
Quality Of Work
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Quantity Of Work
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Communication Skills
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Rating Factors
Interpersonal Skills
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Supervisory/Leadership Skills — $SSOLHVWRPDQDJHUVVXSHUYLVRUVRUOHDGV
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p. Rating Factors
Performance Factor
N/A
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MS
S
NI
U
Other Factors — ,IQHFHVVDU\DGGLWLRQDOSHUIRUPDQFHIDFWRUVPD\EHHVWDEOLVKHG(YDOXDWHWKHDGGLWLRQDOIDFWRU V E\FKHFNLQJ
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CAMPUSWIDE PERFORM ANCE STANDARDS
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addressed.
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OVERALL PERFORM ANCE RATING
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Exceptional
More Than Satisfactory
Satisfactory
Needs Improvement
Unacceptable
COMMENTS
Rev. 08/10/2015
p. 5
ACTION PLANS/TRAINING AND DEVELOPMENT GOALS
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EMPLOYEE COMMENTS/RESPONSES
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EMPLOYEE SIGNATURE
Employee
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DEPARTMENT SIGNATURES
Supervisor
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Department Head
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Rev. 08/10/2015
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p. 6