Annual Performance Appraisal Form

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SUPPORT STAFF
ANNUAL PERFORMANCE APPRAISAL FORM
(TO BE COMPLETED IN THE SPRING)
Name of Employee__________________________ Title____________________________
Completed by______________________________Department_______________________
Date of Evaluation____________________________
Date Hired for This Position_________________________________
______Annual Evaluation
______Other
______Frequent observation of employee's work ______Infrequent observation of employee's work
General Instructions For This Form
a) The SUPERVISOR MUST complete this form.
b) When completing this form please follow these steps:
1. Use the five point definitions below. The ratings apply to each category in the appraisal.
2. Rate each dimension separately.
3. Circle the number that best describes the employee's performance.
4. Comments may be included for any dimensions but ratings at either end of the scale must be accompanied by
comments.
c) Review this form with the employee.
d) Return this form, along with the discussion form, to the Human Resources Office to become part of the employee's personnel
file.
1) Exceptional Performance: The rare individual whose achievement on the Performance Factor is superior in all respects.
Performs reliably with little or no supervision. To be rated exceptional in any category of the appraisal, the individual must be a
consistently outstanding employee.
2) Exceeds Expected Level of Performance: Employee does more than is required of him/her; consistently exceeds the
objective, job-related performance standards.
3) Expected Level of Performance: Performance is fully satisfactory in all major respects. Employee completely and
consistently meets objective, job-related performance standards; is fully trained, well-motivated, and needs little supervision to
maintain this level of performance.
4) Meets Minimum Requirements: Performance at this level can normally be improved with increased experience and training
or by cooperative effort between the individual and the supervisor. This is an ACCEPTABLE level of performance for persons
in training or for those who have not had sufficient experience on the job to be expected to master all requirements of the
position; it is an UNACCEPTABLE level for the fully trained employee.
5) Unsatisfactory Performance: The employee consistently fails to meet acceptable established standards. An employee
may be rated "unsatisfactory" on one or more factors and still meet expected standards of overall performance.
SUPPORT STAFF
ANNUAL PERFORMANCE APPRAISAL FORM
(TO BE COMPLETED IN THE SPRING)
Name of Employee__________________________ Title____________________________
Completed by______________________________Department_______________________
Date of Evaluation____________________________
Date Hired for This Position_________________________________
______Annual Evaluation
______Other
______Frequent observation of employee's work ______Infrequent observation of employee's work
General Instructions For This Form
a) The SUPERVISOR MUST complete this form.
b) When completing this form please follow these steps:
1. Use the five point definitions below. The ratings apply to each category in the appraisal.
2. Rate each dimension separately.
3. Circle the number that best describes the employee's performance.
4. Comments may be included for any dimensions but ratings at either end of the scale must be accompanied by
comments.
c) Review this form with the employee.
d) Return this form, along with the discussion form, to the Human Resources Office to become part of the employee's personnel
file.
1) Exceptional Performance: The rare individual whose achievement on the Performance Factor is superior in all respects.
Performs reliably with little or no supervision. To be rated exceptional in any category of the appraisal, the individual must be a
consistently outstanding employee.
2) Exceeds Expected Level of Performance: Employee does more than is required of him/her; consistently exceeds the
objective, job-related performance standards.
3) Expected Level of Performance: Performance is fully satisfactory in all major respects. Employee completely and
consistently meets objective, job-related performance standards; is fully trained, well-motivated, and needs little supervision to
maintain this level of performance.
4) Meets Minimum Requirements: Performance at this level can normally be improved with increased experience and training
or by cooperative effort between the individual and the supervisor. This is an ACCEPTABLE level of performance for persons
in training or for those who have not had sufficient experience on the job to be expected to master all requirements of the
position; it is an UNACCEPTABLE level for the fully trained employee.
5) Unsatisfactory Performance: The employee consistently fails to meet acceptable established standards. An employee
may be rated "unsatisfactory" on one or more factors and still meet expected standards of overall performance.
Please compare the employee's work to that of his/her job description. Do not compare the employee to another
employee.
Rating Code:
1 = Exceptional Performance 2 = Exceeds Expected Performance 3 = Expected Performance
4 = Meets Minimum
Requirements 5 = Unsatisfactory Performance
Dependability - consider the extent to which the employee
1
2
3
4
5
can be relied upon to meet work schedules and fulfill
(please circle one)
job responsibilities.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Quality and Quantity of Work -
1
2
3
4
5
consider the extent to which the employee neatly, thoroughly,
(please circle one)
and accurately completes job assignments. Also consider
amount of work completed, taking into account conditions
under which work is performed (i.e., interruptions, heavy work
load, time constraints, etc.)
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Customer Service Skills - consider the extent to which the
1
2
3
4
5
employee treats students, other employees and the public in
(please circle one)
a courteous, helpful manner.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Job Knowledge - consider the extent to which the employee
1
2
3
4
5
knows the details of the job and follows job procedures.
(please circle one)
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Cooperation - consider the extent to which the employee
1
2
3
4
5
works harmoniously and effectively with co-workers,
(please circle one)
supervisors and others.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Initiative - consider the extent to which the employee
1
2
3
4
5
originates and implements new programs and procedures,
(please circle one)
as well as the extent to which the employee thinks and works
independently.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Physical Ability - consider the extent to which the employee
1
2
3
4
5
NA
meets physical job requirements. (IF APPLICABLE)
(please circle one)
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Please compare the employee's work to that of his/her job description. Do not compare the employee to another
employee.
Rating Code:
1 = Exceptional Performance 2 = Exceeds Expected Performance
3 = Expected Performance
4 = Meets
Minimum Requirements
5 = Unsatisfactory Performance
Use of Tools and Materials - consider the extent to which
1
2
3
4
5
the employee uses materials wisely and takes proper care
(please circle one)
of the tools/ machinery that have been provided for the
performance of his/her job.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Safety - consider the extent to which the employee
1
2
3
4
5
follows established safety practices and corrects unsafe
(please circle one)
work situations on the job.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Flexibility - consider the extent to which the employee
1
2
3
4
5
demonstrates versatility, the ability to adjust to
(please circle one)
changing job or organizational requirements, and the ease
with which the employee learns new duties.
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Judgment - consider the extent to which the employee
1
2
3
4
5
makes sound and reasonable decisions.
(please circle one)
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
Other - _________________________
1
2
3
4
5
(please circle one)
Comments:____________________________________________________________________________________________
___________________________________________________________________________________________
OVERALL PERFORMANCE:
(Please comment on the employee's overall performance since the last time an
appraisal was performed. You may write on the back of this sheet.) Please include in prority order the factors which are
the most critical to this position.
_________________________
SUPERVISOR'S SIGNATURE
_________________________
EMPLOYEE'S SIGNATURE
(My signature indicates that my supervisor has discussed this appraisal with me; it does not necessarily imply that I
agree with the appraisal.)
PERFORMANCE APPRAISAL REVIEW SHEET (OPTIONAL)
GENERAL INSTRUCTIONS
The final page of this form is optional for the employee. The employee may send the completed form directly to the
Director of Human Resources. (The College reserves the right to share information with appropriate people as
needed.)
Was this performance appraisal helpful? Why or why not?
Other comments:
________ I would like to discuss this appraisal in confidence with someone.
________________________________ ___________________________
Employee's Name (Please print)
Employee's Signature
________________________________ __________________________
Position/Department
Date
Note: Employees are not required to share this information with their own supervisors, but they must sign their name.
The employee's name will be kept confidential.

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