EMPLOYEE EVALUATION AND PERFORMANCE REVIEW
Job Function/Title: Period covered in this evaluation:
Part A – Evaluation of Employee Performance
Supervisor evaluates responsibilities identified in the employee’s position description.
1 = Below 2 = Minimally Meets 3 = Fully Meets 4 = Exceeds 5 = Greatly Exceeds
Standards Standards Standards Standards Standards
The below are just examples and Rating Assessment Measures would need to be modified by (e.g. self-assessment, interviews, customer surveys, etc)
Job Knowledge and Function
Job Specific Criteria
Part B – Additional Comments Related to Employee’s Performance. This section is completed by the supervisor to provide additional comments to be considered in the performance review. The supervisor
will add anything that is relevant to the employee’s performance not included in Part A. This may include significant contributions the employee has made during the past year, exemplary strengths, opportunities for improvement and/or specific performance goals or
objectives to be achieved during the next year, etc.
Part C – Position Description Review.
A review of the position description is to be completed each year, with the understanding that it should be revised if the position
The current position description is an accurate reflection of the current responsibilities and performance standards.
The position description is revised to reflect changes in the position.
Part D – Professional Development/Training Plan.
Yes, a professional development/training plan has been completed for this employee.
No, a professional development/training plan has not yet been completed for this employee.
Signature of Employee: Date
Signature of Supervisor: Date