Scribd
Upload
88 views6 pages

Performance Appraisal Form: Name: Title: Dept: UC Hire Date: Time in Position

This performance appraisal form contains sections for employee information, supervisor information, a description of the employee's position and goals, a rating scale to evaluate performance factors, an area to provide performance ratings on various factors and overall, sections for action plans and employee/supervisor comments, and spaces for signatures. The form is used to annually evaluate employee performance, set goals for the coming year, and facilitate discussion between employees and their supervisors.

Uploaded by

chinu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
88 views6 pages

Performance Appraisal Form: Name: Title: Dept: UC Hire Date: Time in Position

This performance appraisal form contains sections for employee information, supervisor information, a description of the employee's position and goals, a rating scale to evaluate performance factors, an area to provide performance ratings on various factors and overall, sections for action plans and employee/supervisor comments, and spaces for signatures. The form is used to annually evaluate employee performance, set goals for the coming year, and facilitate discussion between employees and their supervisors.

Uploaded by

chinu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

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


6HHMREGHVFULSWLRQDQGSUHYLRXV\HDU¶VJRDOVDQGH[SHFWDWLRQV

RATING SCALE
Exceptional (E) 3HUIRUPDQFHH[FHHGVH[SHFWDWLRQVLQDOODUHDVRI Needs
UHVSRQVLELOLW\5HPDUNDEOHDFKLHYHPHQWDQG
Improvement (NI) Performance does not meet expectations.

SDFHVHWWLQJSHUIRUPDQFH Unacceptable (U) 3HUIRUPDQFHIDOOVVXEVWDQWLDOO\VKRUWRI


More Than H[SHFWDWLRQV
Satisfactory (MS) 3HUIRUPDQFHH[FHHGVH[SHFWDWLRQV
Not
Satisfactory (S) 3HUIRUPDQFHPHHWVH[SHFWDWLRQV Applicable (N/A) 7KHHPSOR\HHLVQRWUHTXLUHGWRSHUIRUPLQD
VSHFLILFUDWLQJIDFWRUDQGLWFDQQRWEHPHDVXUHG

PERFORM ANCE RATING


(YDOXDWHHDFKRIWKHSHUIRUPDQFHIDFWRUVEHORZ )RUWKRVHIDFWRUVQRWHYDOXDWHGSOHDVHFKHFN³QRWDSSOLFDEOH &RPPHQWVDUH
UHFRPPHQGHGIRUDOOUDWLQJVEXWDUHUHTXLUHGIRUUDWLQJVRI³1HHGV,PSURYHPHQW´RU³8QDFFHSWDEOH´3OHDVHUHIHUWRWKHILUVWVHFWLRQ
WKH3HUIRUPDQFH)DFWRUVDQG&DPSXVZLGH6WDQGDUGV*XLGHOLQHVIRUIXUWKHUGHILQLWLRQRISHUIRUPDQFHIDFWRUV

Rev. 08/10/2015 p. 1
Rating Factors

Performance Factor N/A E MS S NI U

Position Expertise

(IIHFWLYHQHVVZLWKZKLFKWKHHPSOR\HHDSSOLHVSURIHVVLRQDOPDQDJHULDOWHFKQLFDODQGRUQRQWHFKQLFDOVNLOOVDQGNQRZOHGJHWRWKHMRE

Approach To Work

&KDUDFWHULVWLFVWKHHPSOR\HHGHPRQVWUDWHVZKLOHSHUIRUPLQJMREDVVLJQPHQWVLQFOXGLQJFUHDWLYLW\IOH[LELOLW\LQLWLDWLYHSODQQLQJ
DQGRUJDQL]DWLRQWLPHPDQDJHPHQWFRPPLWPHQWWRGLYHUVLW\HWKLFDOEHKDYLRUSURFHVVLPSURYHPHQWDQGRUSURIHVVLRQDO
GHYHORSPHQW

Rev. 08/10/2015 p. 2
Rating Factors

Performance Factor N/A E MS S NI U

Quality Of Work

0DQQHULQZKLFKWKHHPSOR\HHFRPSOHWHVMREDVVLJQPHQWVLQFOXGLQJDFFXUDF\UHVSRQVLYHQHVVIROORZWKURXJKMXGJPHQWGHFLVLRQ
PDNLQJUHOLDELOLW\DQGFRPSOLDQFHDVVXUDQFH

Quantity Of Work

(PSOR\HH¶VVXFFHVVLQSURGXFLQJWKHUHTXLUHGDPRXQWRIZRUNLQFOXGLQJSULRULW\VHWWLQJSURGXFWLYLW\DQGWLPHOLQHVV

Communication Skills

(IIHFWLYHQHVVRIWKHHPSOR\HHLQWUDQVPLWWLQJLQIRUPDWLRQLQFOXGLQJFRQILGHQWLDOLW\IDFLOLWDWLRQSDUWLFLSDWLRQLQVKDULQJ
LQIRUPDWLRQDQGRUDODQGZULWWHQH[SUHVVLRQ

Rev. 08/10/2015 p. 3
Rating Factors

Interpersonal Skills

(IIHFWLYHQHVVRIWKHHPSOR\HH
VLQWHUDFWLRQVLQUHVSRQGLQJWRDQGZRUNLQJZLWKRWKHUVLQFOXGLQJLQWHUDFWLRQVZLWKFRZRUNHUV
VXSHUYLVRUV V IDFXOW\VWXGHQWVDQGRUWKHFRPPXQLW\

Rev. 08/10/2015

Supervisory/Leadership Skills — $SSOLHVWRPDQDJHUVVXSHUYLVRUVRUOHDGV


$6XSHUYLVLRQ

3URYLGHVRYHUVLJKWGLUHFWLRQUHFRJQLWLRQDQGGHYHORSPHQWRSSRUWXQLWLHVDQGDGGUHVVHVSHUIRUPDQFHSUREOHPV

%/HDGHUVKLS 0DQDJHPHQW
&RPPXQLFDWHVDYLVLRQVHWVXQLWJRDOVGHYHORSVVWUDWHJLHVDQGWDNHVDFWLRQWRHQVXUHWKHHIILFLHQWVWHZDUGVKLSRI8QLYHUVLW\
UHVRXUFHV RSHUDWLRQDOILQDQFLDODQGKXPDQ 

Rev. 08/10/2015 p. 
Rating Factors

Performance Factor N/A E MS S NI U

Other Factors — ,IQHFHVVDU\DGGLWLRQDOSHUIRUPDQFHIDFWRUVPD\EHHVWDEOLVKHG(YDOXDWHWKHDGGLWLRQDOIDFWRU V E\FKHFNLQJ


WKHDSSURSULDWHER[WRWKHOHIWRIHDFKIDFWRU&RPPHQWVDUHUHTXLUHGIRUUDWLQJVRI³1HHGV,PSURYHPHQW´RU³8QDFFHSWDEOH´

CAMPUSWIDE PERFORM ANCE STANDARDS

7KH8&5&DPSXVZLGH3HUIRUPDQFH6WDQGDUGVLQFOXGH8&53ULQFLSOHVRI&RPPXQLW\8&(WKLFDO9DOXHVDQG6WDQGDUGVRI(WKLFDO
&RQGXFW'LYHUVLW\+HDOWK 6DIHW\DQG6HUYLFH2ULHQWDWLRQ3OHDVHUHIHUWRWKHVHFRQGVHFWLRQRIWKHPerformance Factors and
&DPSXVZLGH6WDQGDUGV*XLGHOLQHVIRUDGHWDLOHGGHVFULSWLRQRIHDFKVWDQGDUG8QVDWLVIDFWRU\SHUIRUPDQFHLQDQ\DUHDPXVWEH
addressed.
6DWLVIDFWRU\SHUIRUPDQFHKDVEHHQGHPRQVWUDWHGLQDOO8&5FDPSXVZLGHSHUIRUPDQFHVWDQGDUGV
6DWLVIDFWRU\SHUIRUPDQFHKDVQRWEHHQGHPRQVWUDWHGLQDOO8&5FDPSXVZLGHSHUIRUPDQFHVWDQGDUGV

&DPSXVZLGH3HUIRUPDQFH6WDQGDUGV&RPPHQWV

OVERALL PERFORM ANCE RATING


3ODFHDQ³;´LQWKHER[ZKLFKGHVFULEHVWKHHPSOR\HH¶VRYHUDOOSHUIRUPDQFHUDWLQJ

Exceptional More Than Satisfactory Satisfactory Needs Improvement Unacceptable

COMMENTS

Rev. 08/10/2015 p. 5
ACTION PLANS/TRAINING AND DEVELOPMENT GOALS
/LVWSHUIRUPDQFHREMHFWLYHVVSHFLILFSURMHFWVRUWUDLQLQJDQGGHYHORSPHQWSODQVIRUWKHQH[WUHYLHZSHULRG'HVFULEHRWKHU
SODQVDFWLRQVGLFWDWHGE\WKHDSSUDLVDO

EMPLOYEE COMMENTS/RESPONSES
2SWLRQDO,IHPSOR\HHZLVKHVWRGRVRDQ\FRPPHQWVFRQFHUQLQJWKHDSSUDLVDOPD\EHLQGLFDWHGLQWKLVVHFWLRQ

EMPLOYEE SIGNATURE

Employee
,KDYHUHDGDQGGLVFXVVHGWKLVDSSUDLVDOZLWKP\VXSHUYLVRUDQG,XQGHUVWDQGLWVFRQWHQWV0\VLJQDWXUHPHDQVWKDW,KDYHEHHQDGYLVHG
RIP\SHUIRUPDQFHVWDWXVDQGGRHVQRWQHFHVVDULO\LPSO\WKDW,DJUHHRUGLVDJUHHZLWKHLWKHUWKHDSSUDLVDORUWKHFRQWHQWV

6LJQDWXUH 'DWH

DEPARTMENT SIGNATURES

Supervisor
6LJQDWXUH 'DWH

Department Head
6LJQDWXUH 'DWH

Rev. 08/10/2015 p. 6

You might also like