EXEMPT EMPLOYEE PERFORMANCE EVALUATION 2015 Employee: Supervisor: Dept / Division Position: Period Covered: 09/01/2014 - PRESENT Date: The purpose of this performance evaluation is to serve as a format for discussing the employee’s past performance, the strengths and opportunities for improvement in order to assist the employee in improving his/her performance, and to set goals for the upcoming performance period. This is also a tool for the employee to inform the supervisor of his/her needs for personal development. Note: Supervisor will distribute Part III. Employee Input document to employee being evaluated. Performance Standards Exceeds Expectations: Performance is consistently and significantly above job expectations and requirements. Demonstrates the willingness to assume additional responsibilities. Meets Expectations: Performance regularly accomplishes what is expected. Performance demonstrates the required skills and knowledge for the position and sometimes exceeds expectations Needs Attention: Performance meets only the minimum requirements, which could be improved through development, experience, and/or application. Performance is below accepted levels for the time in the position, and needs improvement. No Basis or N/A: Opportunity to observe employee’s ability to meet standard not sufficiently observed during review period or described criteria does not apply to employee’s position. Part I: Supervisor Ratings and Comments In this Part, review the employee’s performance. Consider time in this job when assessing the employee’s performance. Note that there are four levels in which to rate performance. For details on the various levels, refer to the Performance Standards and Guidelines. Write specific examples or comments supporting each rating. Effectiveness - Carries out work assignments and tasks while meeting time, budget, and quality commitments with little or no supervision. Completes high-quality work according to plans and expectations. Has demonstrated the ability to improve procedures and processes. 1 Exceeds Expectations Comments: Meets Expectations Needs Attention No Basis or N/A Leadership – Gains support and cooperation of work group and others. Utilizes employees’ abilities effectively to achieve results. Exceeds Expectations Meets Expectations Needs Attention No Basis or N/A Comments: Initiative - Willingness to make significant contributions with little direction, voluntarily starts projects, and attempts non-routine jobs and tasks. The employee is self-starting and proactive. Exceeds Expectations Meets Expectations Needs Attention No Basis or N/A Comments: Teamwork/Communication - Facilitates a positive and productive team-oriented work environment and encourages open communications throughout the organization. Exceeds Expectations Meets Expectations Needs Attention No Basis or N/A Comments: Overall Rating – Taking into consideration all of the above ratings and the significance of those items as they relate to the employee’s overall performance, provide the employee with an overall rating for the year. Exceeds Expectations Meets Expectations Needs Attention No Basis or N/A Comments: Section II. Goals and Expectations for Upcoming Year As part of the performance appraisal, discuss and establish expectations that support your department’s goals and objectives and, as applicable, the organization’s strategic plan for the ensuing rating period. Expectations for specific projects and initiatives as well as planned personal development and any other goals and expectations for this particular role should be identified, and target dates established for attainment or completion identified where possible. Specific Projects and Initiatives: Other Goals and Expectations: Professional Development: 2 Discussion of Review with Employee and Signatures The contents of this form have been reviewed with me and my comments are included below: Employee’s Signature: _________________________________ Date: ____/_____/2015 **I also acknowledge I have attached the Employee Input Form (Section III) Reviewer’s Signature: _________________________________ For HR Use Only: Evaluation Received: ____/_____/2015 Date _______ Initials Original to Human Resources Copy to Employee 3 Date: ____/_____/2015 Banner ID: 800____________ Employee: Date: Position: Period Covered: 09/01/2013 - PRESENT Part III. Exempt Employee Input Form This part of the evaluation provides an opportunity for the employee to present information to their supervisor. The supervisor will distribute this part to the employee and the employee will return the completed Part III prior to the review meeting and attach it to the review. A. Professional Development and Contribution to One’s Profession To maintain maximum effectiveness, employees should continuously supplement and update their professional knowledge and skills. Please describe your career development activities and plans, and your contribution to your profession: B. Departmental Goals What do you see as your departmental goals for the next year? ________________________________________ Employee’s Signature 4 ____/____/2014 Date