Performance Evaluation Form - Tualatinn River Watershed Council

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Performance
Evaluation
Form
Rev January 2014
======================================================================
Employee: ____________________________
Position: _____________________________
Supervisor / Evaluator: _________________
Council Position: _______________________
Rating Period: From: ____________ To: __________
Evaluation Type: Probationary: ___ Annual: ____ Other, specify: ______________________
======================================================================
PART I: SIGNIFICANT ACCOMPLISHMENTS OR ACHIEVEMENTS
Employee: Please list (summarize) significant accomplishments or achievements for the time
period.
Supervisor / Evaluator: Comment
======================================================================
Tualatin River Watershed Council
Page 1 of 5
January 2014
Performance Evaluation
Performance
Evaluation
Form
Rev January 2014
======================================================================
Employee: ____________________________
Position: _____________________________
Supervisor / Evaluator: _________________
Council Position: _______________________
Rating Period: From: ____________ To: __________
Evaluation Type: Probationary: ___ Annual: ____ Other, specify: ______________________
======================================================================
PART I: SIGNIFICANT ACCOMPLISHMENTS OR ACHIEVEMENTS
Employee: Please list (summarize) significant accomplishments or achievements for the time
period.
Supervisor / Evaluator: Comment
======================================================================
Tualatin River Watershed Council
Page 1 of 5
January 2014
Performance Evaluation
PART II: PERFORMANCE COMPETENCIES
Evaluation Criteria:
Individual performance in each area will be rated using the following scale.
Exceeds Expectations
Performance goes beyond what is normally expected.
Meets Expectations
Meets performance standards and expectations.
Needs Improvement
Performance falls below expectations in one or more area(s).
Highlight the box and type x to select criteria
Job Knowledge & Skill - Supervisor / Evaluator
Employee effectively performs responsibilities of the position as outlined in their job description.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Quality of Work - Supervisor / Evaluator
Employee demonstrates dependability in completing duties according to expected levels of quality
relative to the expectations of the Council.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Quantity of Work - Supervisor / Evaluator
Employee demonstrates dependability in completing duties according to expected levels of
quantity relative to the expectations of the Council.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Customer Service - Supervisor / Evaluator
• Employee demonstrates the ability and willingness to work with the Stakeholders and public to
accomplish their job
• Employee communicates tactfully and effectively with the Stakeholders and public while
providing service to the satisfaction of the Stakeholders and public
• Employee works effectively with the Stakeholders and public from diverse backgrounds and
perspectives.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Tualatin River Watershed Council
Page 2 of 5
January 2014
Performance Evaluation
Attendance and Reliability - Supervisor / Evaluator
Employee attendance meets the expectations of the Council and the needs of the job.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Employee Development - Supervisor / Evaluator
Employee takes advantage of both formal and informal opportunities for professional growth and
to improve service.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Safety - Supervisor / Evaluator
Employee demonstrates dependability in communicating and adhering to recognized safety
procedures while performing their job and working with others.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Management of Resources - Supervisor / Evaluator
Employee demonstrates the ability to develop budgets and track expenses as required by the
Council and the requirements of the grants.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
Team Work and Problem Solving - Supervisor / Evaluator
Employee encourages team work and includes others in the problem solving and decision making
process.
☐ Exceeds
☐ Meets Expectations ☐ Needs
☐ No Observation
Expectations
Improvements
If Needs Improvement was selected: Comment
======================================================================
Tualatin River Watershed Council
Page 3 of 5
January 2014
Performance Evaluation
PART III: EMPLOYEE FEEDBACK
Employee: What could the Steering Committee do to assist you in your job?
Employee: What could the Council Stakeholders do to assist you in your job?
======================================================================
PART IV: PERFORMANCE EVALUATION SUMMARY
Supervisor / Evaluator: Performance evaluation summary
☐ Probation Satisfied
☐ Pay Increase Recommended – Amount: ________ Starting Date: ___________
Dependent on available or anticipated funds
☐ Other, Specify: _____________________________________________________
Tualatin River Watershed Council
Page 4 of 5
January 2014
Performance Evaluation
======================================================================
PART V: SIGNATURES AND CONCLUSION
I have used all available information to conduct this employee evaluation and have discussed all
items on this form with the employee.
______________________________________
___________
Supervisor’s / Evaluator’s Signature
Date
Employee Comments:
Employee is encouraged to describe any reaction to ratings, feelings about the current position,
and ideas that would enhance their performance relative to the needs of the Council.
Comments:
I have seen the evaluation and reviewed it with my supervisor. All items covered have been
discussed fully with me. I have been encouraged to make comments. I realize that my signature
does not imply that I am in agreement with this evaluation, but only that I have received it and
understand it.
__________________________________________
_________
Employee’s Signature
Date
Tualatin River Watershed Council
Page 5 of 5
January 2014
Performance Evaluation

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