"Performance Review Form" - Kansas

Performance Review Form is a legal document that was released by the Kansas Adjutant General's Department - a government authority operating within Kansas.

Form Details:

  • Released on August 1, 2018;
  • The latest edition currently provided by the Kansas Adjutant General's Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Kansas Adjutant General's Department.

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Adjutant General’s Department
Performance Review Form
Employee Name:
Employee ID:
Position No:
Working Title:
Evaluation Period:
From:
To:
Supervisor:
Overall Rating:
Review Type:
Annual
Special
Reason for Special Review:
1. UNSATISFACTORY– Performance consistently below expectations
2. NEEDS IMPROVEMENT – Performance did not meet expectations
3. MEETS EXPECTATIONS – Performance consistently met expectations.
4. EXCEEDES EXPECTATIONS - Performance consistently exceeded expectations
5. EXCEPTIONAL- Performance far exceeded expectations
Task Objectives
Rating
Examples of Task Performance
1.
2.
3.
4. Required/Supervisors & Managers. Ref: TAG Policy #034-07 "Overtime and Other Compensation"
Follow all TAG policies/procedures related to the request/ approval/compensation of Overtime for all
employees supervised.
100% = Meets Expectations
< 100% = Unsatisfactory
5. Required/Supervisors & Managers. Ref: TAG Policy #034-014 "Performance Management"
All employees in benefits eligible positions shall receive a Performance Review per TAG policies,
procedures, and timelines as established for state employees.
100% = Meets Expectations
<100% =Unsatisfactory
Updated: 8/2018
Adjutant General’s Department
Performance Review Form
Employee Name:
Employee ID:
Position No:
Working Title:
Evaluation Period:
From:
To:
Supervisor:
Overall Rating:
Review Type:
Annual
Special
Reason for Special Review:
1. UNSATISFACTORY– Performance consistently below expectations
2. NEEDS IMPROVEMENT – Performance did not meet expectations
3. MEETS EXPECTATIONS – Performance consistently met expectations.
4. EXCEEDES EXPECTATIONS - Performance consistently exceeded expectations
5. EXCEPTIONAL- Performance far exceeded expectations
Task Objectives
Rating
Examples of Task Performance
1.
2.
3.
4. Required/Supervisors & Managers. Ref: TAG Policy #034-07 "Overtime and Other Compensation"
Follow all TAG policies/procedures related to the request/ approval/compensation of Overtime for all
employees supervised.
100% = Meets Expectations
< 100% = Unsatisfactory
5. Required/Supervisors & Managers. Ref: TAG Policy #034-014 "Performance Management"
All employees in benefits eligible positions shall receive a Performance Review per TAG policies,
procedures, and timelines as established for state employees.
100% = Meets Expectations
<100% =Unsatisfactory
Updated: 8/2018
X
Competencies/Behaviors
On the Job Suggestion/Example
Rating
Behavioral
Examples/Comments
Problem Solving/Decision Making
Attitude/Accountability
Productivity/Organizational Skills
Teamwork/Inclusiveness
Customer Service
Communication
Job Knowledge/Professional Development
Leadership
People Management
Staff Development
Strategic Planning and Organizing
See Definitions of Competencies/Behaviors below.
Performance Planning Discussion: Employee Signature: ____________________________________________
Date: ____________________________
(Establish Goals and Expectations at beginning of review period)
Mid-Year Review: Employee Signature: ____________________________________________
Date: ___________________________________________
(Discussion to communicate progress and strategy)
Updated: 8/2018
Essential Requirements
*Dependability: Recognizes responsibilities to the agency and applies effective work habits and attitudes to meet work requirements. Attends work regularly and
on time, plans appropriately for absences and assumes personal accountability for work.
Meets Expectations: ___________
Unsatisfactory: ___________
*Agency Values: Aligns actions with high standards of conduct, accept responsibility for behavior and exhibit personal integrity at all times. Acts as a role model for
other employees and does the right thing, even when no one is watching. Demonstrates personal integrity and ethical behavior, displays good stewardship of public
resources and adapts to changes in processes, procedures and responsibilities.
Meets Expectations: ___________
Unsatisfactory: ___________
*Essential Requirements: An Unsatisfactory rating in Dependability or Agency Values will result in an Overall Performance Rating of Unsatisfactory
Areas of Strength(s):
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
Areas for Development:
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
Other Evaluation Comments:
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
Evaluation completed and presented to Employee by: ____________________________________________ Date: _____________________
Updated: 8/2018
Employee Acknowledgement:
The contents of this assessment have been discussed with me and I have received a copy thereof. My signature does not imply agreement or disagreement with
this review. A permanent classified employee may appeal his/her overall rating pursuant to K.A.R. 1-7-12.
My comments are as follows:
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
Employee Signature: ____________________________
Date: _________________________________
Supervisor/Manager Signature:__________________________________
Date:______________________________________
Definitions for Competencies/Behaviors
Problem Solving/Decision Making
Consistently gives reasonable consideration to all issues that arise, gathers and analyzes information accurately, seeks appropriate input, makes quality and
timely decisions, and communicates those decisions to all affected parties. Reacts quickly to problems and new challenges, makes clear, consistent,
transparent decisions.
Attitude/Accountability
Works
Accepts challenges due to changing conditions and situations in work responsibilities.
independently. Accepts personal responsibility for work, actions,
and attitudes. Accepts constructive criticism/suggestions. Handles conflict in a constructive manner. Consistently works scheduled hours and maintains
Follows agency policy related to the requests and use of overtime hours and manages compensatory time balances per policy.
recommended leave balances.
Effectively represents the work unit.
Productivity/Organizational skill
Consistently applies available resources towards program delivery in an efficient and cost effective manner, providing high quality levels of service. Strives to
assure program meets overall best interests of the agency. Practices cost effective stewardship of all public resources. Proficient at improving work methods
and procedures as a means toward greater efficiency. Takes initiative to make improvements.
Teamwork/Inclusiveness
Cooperates with co-workers, treating them with respect, and integrity, promotes fairness and equity, engages the talents, experiences, and capabilities of
others; fosters a sense of belonging, voluntarily provides support to team members, ensures all team members have relevant and needed information,
genuinely values others’ input and expertise and is willing to learn from others, adds value to team meetings. Practices good attendance and punctuality habits.
Updated: 8/2018
Customer Service
Treats clients and customers with respect and compassion, demonstrates understanding of client’s point of view, delivers on commitment, provides friendly,
cheerful service, distributes helpful information to clients, and maintains confidentiality. Values the importance of delivering high quality innovative services to
internal and external clients in a timely manner.
Communication
Demonstrates high quality and effective interpersonal communication skills with subordinates, peers, and supervisors through clear, concise written and oral
communications. Maintains healthy working relationships. Appreciates the diversity of others. Displays an appropriate balance between personal effort and
team effort. Demonstrates effective oral and written communication skills, actively listens and clearly and effectively shares information.
Job Knowledge/Professional Development
Is technically and professionally skilled in all position responsibilities and requirements. Maintains currency in all professional aspects of program
responsibility. Seeks new skills, sets high professional goals and standards. Demonstrates knowledge of procedures and policies.
Leadership
Utilizes employee skills effectively and productively in meeting program goals. Develops goals, objectives and deadlines. Promotes appropriate staff
development activities. Recognizes problems, seeks appropriate input, and develops solutions to resolve personnel problems or improve procedures.
Motivates staff and gains support and action from others while maintaining professional relationships. Creates and maintains a positive goal-oriented
environment. Provides training, supervision and feedback to employees and students. Consistently challenges past practices in order to identify and
t
implement more effective and efficient practices. Models accep
ance and compliance with Agency Policy and Procedures.
People Management
Inspires and motivates employees to perform at their best; communicates ‘big picture’ vision and teams role in realizing vision of Agency. Hires and develops
Provides
staff to maximize productivity, innovation and teamwork. Recognizes and rewards accomplishments; delegates and assigns work based on skill.
p
for employees.
erformance objectives and development opportunities
Strategic Planning and Organizing
Understands and communicates strategic goals and plans to achieve them; Mobilizes resources to achieve shared strategic vision and goals; Aligns knowledge
and talent with program goals; Develops and implements metrics to measure results; Anticipates and solves problems.
Updated: 8/2018
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