Performance Appraisal

Performance Evaluation
Employee’s Name: Department:
Employee’s Title: Supervisor’s Name:
Hire Date: Supervisor’s Title:
Overall Rating (Please circle)
D EP ME NI U
Excellent Needs
Distinguished Performer Meets Expectations Improvement Unsatisfactory

Rating Scale
These employees consistently exceed the expectations of their position. Their
management and colleagues recognize their excellence and their unique
contributions. They serve as a role model for the organization. They would be
considered a top performer in any high-performing organization. Only a small Distinguished
percentage of employees fall in this category. D
These employees frequently exceed and provide significant and measurable Excellent
contributions well beyond their position responsibilities. These employees Performer
would be considered above average in any top-performing organization. EP
These employees meet the basic expectations for the position. In some
instances, this rating is appropriate for those new to a position. In other
instances, this may reflect mixed performance: employees who do some things Meets
well but who need to strengthen other areas of their performance. The majority Expectations
of employees should fall into this category. ME
These employees require improvement in quality, quantity and/or timeliness of
their work. Their performance may have been successful on some occasions, Needs
but it frequently fell below expectations. These employees are below average Improvement
at their current level of performance. NI
These employees are not meeting the expectations of their position. They
should be on a formal Performance Improvement Plan. This level suggests
either a lack of willingness and/or ability to perform the requirements of their
position. Separation may be indicated unless the employee’s performance Unsatisfactory
improves significantly and the improvement is sustained. U
Part I: Employee Goals
Goals are special tasks, new skills, unique projects, or assignments that go above and beyond
day-to-day responsibilities.

Rating Scale

D EP ME NI U
Excellent Needs
Distinguished Performer Meets Expectations Improvement Unsatisfactory
Prior Year’s Supervisor
Status/Accomplishments Employee Rating
Goals Rating

Supervisor’s Comments:
Part II: Core Competencies
Questions in this section require comments if the rating is a D or U
1. Approach to Work Employee
The employee demonstrates: Self- Supervisor
Rating Rating
self-motivation
flexibility and adaptability
enthusiasm
pride in his/her accomplishments
Supervisor’s Comments:

2. Professional Attitude Employee

The employee: Self- Supervisor
Rating Rating
works effectively under pressure
exhibits a positive attitude
treats coworkers and other associates with professionalism and
respect
welcomes, responds, and takes corrective actions to constructive
criticism
Supervisor’s Comments:

3. Job Knowledge Employee

The employee: Self- Supervisor
Rating Rating
commands base knowledge to perform the job
knows and demonstrates their basic job responsibilities
consistently attempts to expand their job knowledge and keeps
abreast of new developments in their field
Supervisor’s Comments:

4. Interpersonal/Communication Skills Employe

The employee: e Self- Supervisor
Rating Rating
communicates effectively with all levels both orally and in writing
has the confidence of other people
shares information appropriately, timely, with tact and diplomacy
keeps his/her supervisors informed as appropriate
Supervisor’s Comments:
5. Judgment/Decision-Making Skills Employee
The employee: Self- Supervisor
Rating Rating
sets and carries out priorities
balances competing and/or conflicting interests
develops logical and creative solutions to problems and makes
effective decisions
Supervisor’s Comments

6. Time Management Employe

The employee: e Self- Supervisor
Rating Rating
adheres to departmental attendance and punctuality guidelines Y/N Y/N
schedules effectively and makes efficient use of time while at
work Y/N Y/N
Supervisor’s Comments:

Part III: Supervisory/Leadership Responsibilities

Rating Scale
D EP ME NI U
Needs
Distinguished Excellent Performer Meets Expectations Improvement Unsatisfactory

Questions in this section require comments if the rating is a D or U.

1. Supervisory Responsibility Employee

The employee: Self- Supervisor
Rating Rating
trains, develops, and mentors his/her staff
faces performance issues candidly and squarely
clearly sets achievable goals for department
ensures that goals are met on a timely and accurate basis
ensures that he/she and his/her staff comply with training
requirements
develops, delivers timely and meaningful Performance Evaluations
implements policies and procedures with staff. Y/N Y/N
Supervisor’s Comments:
2. Leadership Employee Supervisor
The employee: Self-Rating Rating
fosters and sets high standards for his/her employees
effectively delegates, ensures that employees are clearly and
properly directed
sets an example in terms of vision, confidence, and integrity
Acts as a role model
initiates change when necessary, encourages others to accept
change
Supervisor’s Comments:

3. Communication and Feedback Employee Supervisor

The employee: Self-Rating Rating
provides constructive feedback to his/her employees
is a good listener
is accessible to his/her staff
performs meaningful, timely, and collaborative performance
evaluation with his/her employees
communicates organizational goals, values, appropriate
business updates
exhibits foresight in recognizing potential problems and
develops solutions
Supervisor’s Comments: