STAFF PERFORMANCE APPRAISAL FORM
NAME: _________________________________________________ EMPLOYEE ID NO: __________________________ DEPARTMENT: ___________________________________ CLASSIFICATION TITLE: ___________________________ TYPE OF APPRAISAL: APPRAISAL PERIOD: ANNIVERSARY SPECIAL

FROM: __________________________ TO: ____________________________

This form must be returned to the Division of Human Resources by ________________. If the form is not received by this date, rating will automatically default to Achieves Performance Standards.
INSTRUCTIONS: This appraisal form must be completed by the immediate supervisor based on performance standards previously established. If the selected category is “Achieves Standards” the supervisor must indicate the level of rating: M=Marginal or P= Proficient. If the overall is Achieves Standards Marginal or Below Standards, the supervisor must contact the Employee and Labor Relations Department for assistance in implementing a Performance Improvement Plan.

EXCEEDS STANDARDS

ACHIEVES STANDARDS

BELOW STANDARDS

P

M

JOB KNOWLEDGE:

QUALITY OF WORK:

PRODUCTIVITY:

DEPENDABILITY:

ATTENDANCE:

RELATIONS WITH OTHERS:

COMMITMENT TO SAFETY: SUPERVISORY ABILITY: (applicable only to designated supervisor positions) OVERALL APPRAISAL RATING: (one CATEGORY must BE CHECKED)

Distribution:

Original – Human Resources

Copy – Supervisor

Copy - Employee

RATING FACTORS
THE FOLLOWING ARE CONDITIONS THAT SHOULD BE CONSIDERED WHEN ASSESING THE EMPLOYEE’S PERFORMANCE:

JOB KNOWLEDGE: In depth knowledge of all requirements of the job. How well does the employee understand all phases of the job as defined by the performance standards set for the position? QUALITY OF WORK: Accuracy and neatness. Does the employee produce a high quality work product? Is quality work a priority for the employee?