Employee Appraisal Form
EMPLOYEE INFORMATION
Last Name First Name Employee ID
Position Title Department Is this person a supervisor?
Yes No
EVALUATION INFORMATION EVALUATION TYPE
Appraisal Period Start Date Appraisal Period End Date
Probation [ 90 days ] Ending Probation [ 150 Days ] Annual Review
.
RATING KEY
[ EP - 5 ] Exceptional Performance Accomplishments are consistently above expected level of essential job requirements.
Meets and is above satisfactory performance standards at times.
[ PE - 4 ] Periodic Exceptional Performance
Job performance is satisfactory, acceptable and sometimes above expectations.
[ SP - 3 ] Satisfactory Performance Meets established objectives in a satisfactory and adequate manner.
Performance is at an inconsistent level. Performance requires correction in some areas in order to successfully
[ IP - 2 ] Inconsistent Performance
meet job requirements. Performance requires a high degree of supervision.
Performance is at level below established objectives with the result that overall contributions are marginal
[ UP - 1 ] Unsatisfactory Performance
and substandard. Performance requires a high degree of supervision and immediate corrective action.
SECTION 1: QUALITY OF WORK ANALYSIS [ Please evaluate 3 to 5 essential functions ]
1 Quality of Work: Essential Function #1 Please Select a Performance Rating
TASK/RESPONSIBILITY: Identify and describe an essential job responsibility of the position.
In support of the rating given, describe how well the employee performs this duty and provide specific work examples.
2 Quality of Work: Essential Function #2 Please Select a Performance Rating
TASK/RESPONSIBILITY: Identify and describe an essential job responsibility of the position.
In support of the rating given, describe how well the employee performs this duty and provide specific work examples.
3 Quality of Work: Essential Function #3 Please Select a Performance Rating
TASK/RESPONSIBILITY: Identify and describe an essential job responsibility of the position.
In support of the rating given, describe how well the employee performs this duty and provide specific work examples.
4 Quality of Work: Essential Function #4 Please Select a Performance Rating
TASK/RESPONSIBILITY: Identify and describe an essential job responsibility of the position.
In support of the rating given, describe how well the employee performs this duty and provide specific work examples.
5 Quality of Work: Essential Function #5 Please Select a Performance Rating
TASK/RESPONSIBILITY: Identify and describe an essential job responsibility of the position.
In support of the rating given, describe how well the employee performs this duty and provide specific work examples.
SECTION 2: EMPLOYEE PERFORMANCE FACTORS
1 Job Knowledge and Development
.
Please Select a Performance Rating
In the space provided below, provide examples referencing essential job functions in support of the rating given.
In the space provided below, provide examples referencing essential job functions in support of the rating given.
3 Commitment to Service Excellence and Institutional Values Please Select a Performance Rating
In the space provided below, provide examples referencing essential job functions in support of the rating given.
4 Communication Please Select a Performance Rating
In the space provided below, provide examples referencing essential job functions in support of the rating given.
5 Teamwork Please Select a Performance Rating
In the space provided below, provide examples referencing essential job functions in support of the rating given.
SECTION 3: COMPLIANCE QUESTIONS
1 Compliance Please Select a Response
Is the employee current with required University and departmental trainings?
.
2 Punctuality Please Select a Response
Does the employee consistently comply with attendance expectations?
.
3 Internal Controls Please Select a Response
Does the employee safeguard University assets in accordance with applicable policies?
4 Appearance/Professionalism Please Select a Response
Does the employee meet dress code and hygiene workplace expectations? .
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proceedSelect a Performance
to Section 5. Rating
Does this employee effectively motivate and engage his/her direct reports? Does the supervisor create an opportunity for direct reports to provide
feedback on his/her work and operations? How well does this supervisor manage conflict?
In the space provided below, provide examples referencing essential job functions in support of the rating given.
2 Developing Others Please Select a Performance Rating
Does the supervisor provide adequate coaching and mentorship to employees? Does the supervisor take pro-active steps to address performance issues?
Does the supervisor develop internal talent? Does the supervisor delegate work appropriately and properly define job roles?
In the space provided below, provide examples referencing essential job functions in support of the rating given.
3 Deliver Results Please Select a Performance Rating
Does the supervisor manage operations effectively? Does the supervisor provide high quality deliverables? Does the supervisor take appropriate steps to
ensure high quality and quantity work is produced from his/her team in a professional manner?
In the space provided below, provide examples referencing essential job functions in support of the rating given.
4 Communication Please Select a Performance Rating
Are candid exchanges of ideas encouraged? Does the supervisor communicate with direct reports regularly and respectfully? Is professionalism exhibited
in written communications such as emails or memos when addressed to employees? Does the supervisor listen to employee concerns and communicate
with the employees as to future action?
In the space provided below, provide examples referencing essential job functions in support of the rating given.
5 Policy Knowledge Please Select a Performance Rating
Is the supervisor aware of applicable laws, policies, rules, regulations, and accreditation requirements necessary to successfully perform his/her job?
In the space provided below, provide examples referencing essential job functions in support of the rating given.
SECTION 5: PERFORMANCE APPRAISAL SUMMARY
Here is your qualitative score
EMPLOYEE DEVELOPMENT PLAN: JOINT SUPERVISOR & EMPLOYEE SECTION
The development plan must be designed in collaboration with the employee with consideration given to the employee’s job description and departmental needs.
Development plans are intended to enhance skill development and address any performance improvement needs.
SUPERVISOR SECTION
I acknowledge that this document reflects my evaluation of the employee’s performance and that it is accurate and true. I also acknowledge that prior to submission
of this document to The Office of Human Resources, I reviewed this evaluation, the employee job description, and discussed the essential functions of the position with
the employee.
Supervisor Signature Supervisor Printed Name Supervisor Job Title Date
REVIEWER SECTION
I reviewed this document with the supervisor prior to issuance to the employee. By signature, I acknowledge I conferred with the supervisor and informed the
supervisor of the University expectations pertaining to appraisals.
Reviewer Signature Reviewer Printed Name Reviewer Job Title Date
EMPLOYEE SECTION
I agree with the contents of this performance evaluation.
I disagree with the contents of this performance evaluation, please see my comments below.
I received a copy of my job description.
Additional Comments:
By signature, I acknowledge that I discussed this evaluation with my supervisor and reviewed the evaluation, it does not imply agreement. I understand that I may
receive a copy of this appraisal upon request.
Employee Signature Employee Printed Name Employee Job Title Date
For Human Resource Use Only
Date Entered : Processed By :
Comments : Coding:
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SECTION 5: PERFORMANCE APPRAISAL SUMMARY
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