"Performance Evaluation Report Form" - Vermont

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PERFORMANCE EVALUATION REPORT
DOCUMENT A - Evaluation Summary
Employee: __________________________________________________________
Type of Evaluation:
Department: ________________________________________________________
Original Probation
Annual
Promotion
Position Title: _______________________________________________________
Special
Evaluation Period From: _______________________________________________
Warning
Separation
Performance Review Conference held on: _________________________________
OVERALL PERFORMANCE DURING THE EVALUATION PERIOD IS RATED AS:
(Check one)
The employee's overall performance significantly and consistently surpasses all
performance standards established for the position. This evaluation recognizes an
employee's sustained excellence and accomplishments which are substantially above usual
expectations.
OUTSTANDING
The employee's overall performance in all areas frequently exceeds the performance
standards established for the position. This evaluation recognizes an employee's
consistent effectiveness and accomplishments which are above usual expectations.
EXCELLENT
The employee's overall performance consistently meets the performance standards
established for the position and regularly achieves expected results. An employee at this
achievement level meets usual expectations and performs tasks in a timely and acceptable
manner.
SATISFACTORY
The employee's overall performance inconsistently meets the performance standards
established for the position and indicates that significant tasks are not completed in the time
or manner expected. Performance is below the minimum acceptable level for the position.
Correction of performance deficiencies is necessary for continued employment.
UNSATISFACTORY
Name of Supervisor: ___________________________
Signature:
Title: ________________________________________
Date:
Name of Reviewer: ____________________________
Signature:
Title: ________________________________________
Date:
Appointing Authority: ___________________________
Signature:
Title:_________________________________________
Date:
Employee: ___________________________________
Signature:
Title:_________________________________________
Date:
To the Employee: Signature only indicates receipt of the evaluation.
AA-PER-6C (Revised May 1997)
STATE of VERMONT
Department of Personnel
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PERFORMANCE EVALUATION REPORT
DOCUMENT A - Evaluation Summary
Employee: __________________________________________________________
Type of Evaluation:
Department: ________________________________________________________
Original Probation
Annual
Promotion
Position Title: _______________________________________________________
Special
Evaluation Period From: _______________________________________________
Warning
Separation
Performance Review Conference held on: _________________________________
OVERALL PERFORMANCE DURING THE EVALUATION PERIOD IS RATED AS:
(Check one)
The employee's overall performance significantly and consistently surpasses all
performance standards established for the position. This evaluation recognizes an
employee's sustained excellence and accomplishments which are substantially above usual
expectations.
OUTSTANDING
The employee's overall performance in all areas frequently exceeds the performance
standards established for the position. This evaluation recognizes an employee's
consistent effectiveness and accomplishments which are above usual expectations.
EXCELLENT
The employee's overall performance consistently meets the performance standards
established for the position and regularly achieves expected results. An employee at this
achievement level meets usual expectations and performs tasks in a timely and acceptable
manner.
SATISFACTORY
The employee's overall performance inconsistently meets the performance standards
established for the position and indicates that significant tasks are not completed in the time
or manner expected. Performance is below the minimum acceptable level for the position.
Correction of performance deficiencies is necessary for continued employment.
UNSATISFACTORY
Name of Supervisor: ___________________________
Signature:
Title: ________________________________________
Date:
Name of Reviewer: ____________________________
Signature:
Title: ________________________________________
Date:
Appointing Authority: ___________________________
Signature:
Title:_________________________________________
Date:
Employee: ___________________________________
Signature:
Title:_________________________________________
Date:
To the Employee: Signature only indicates receipt of the evaluation.
AA-PER-6C (Revised May 1997)
STATE of VERMONT
Department of Personnel
SUMMARY OF MAJOR JOB DUTIES WITH PERFORMANCE EXPECTATIONS
(Even though they need not be listed below, employees are also expected to adhere to general performance expectations applicable to all
employees, such as, but not limited to: reporting for work on time, following work rules & procedures, maintaining effective working relationships
with public and co-workers, etc. These general performance expectations can be used in determining the employee's final rating.)
Major Job Duties/Performance Expectations:
DOCUMENT B - Performance Comments
Employee:
Evaluation Period From:
Department:
SUPERVISOR COMMENTS
PERFORMANCE EXPECTATIONS FOR NEXT EVALUATION PERIOD
(Identify any changes or additions to employee's job duties or performance expectations for the next rating period.)
REVIEWER COMMENTS
APPOINTING AUTHORITY COMMENTS
EMPLOYEE COMMENTS
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