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Employee Performance Evaluation Rating Form

By Troy Marshall,2014-06-18 09:20
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Employee Performance Evaluation Rating Form

    PMGS-08-1

    Policy and Management Guidelines

    Division of Agriculture

    January 2008

    EMPLOYEE PERFORMANCE EVALUATION FORM

    PART I RATED EMPLOYEE IDENTIFICATION Name (Last, First, MI) Employee I.D. Number Institution Position Title Grade Position Number

    PART II RATER EMPLOYEE IDENTIFICATION Name of Rater (Last, First, MI) Telephone Number Position Title

    PART III REVIEWING OFFICIAL EMPLOYEE IDENTIFICATION Name of Reviewing Official (Last, First, MI) Telephone Number Position Title

    PART IV PERFORMANCE STANDARDS

    Duty Area: Relative Importance: A B C Self Management

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory):

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C Civil Rights/Diversity Compliance

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory):

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory):

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory) :

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory) :

    Exceeds Standard Above Average Satisfactory Unsatisfactory

    PMGS-08-1

    Policy and Management Guidelines

    Division of Agriculture

    January 2008

Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory) :

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory) :

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory) :

    Exceeds Standard Above Average Satisfactory Unsatisfactory Duty Area: Relative Importance: A B C

    Standards:

    Results:

    Comments/Justification (required for rating other than satisfactory) :

    Exceeds Standard Above Average Satisfactory Unsatisfactory

    PMGS-08-1

    Policy and Management Guidelines

    Division of Agriculture

    January 2008

    Approval of Duty Areas and Standards

    Complete at the beginning of the rating period: My rater and I have established the above duty areas and standards, and I understand my performance during the coming rating period will be measured against them. Employee’s Signature: ___________________________________ Date: _______________________________________ Rater’s Signature: ___________________________________ Date: _______________________________________ I have reviewed these duty areas and standards and agree that they are appropriate for the position. Reviewing Official’s Signature ___________________________________ Date: _______________________________________

    PMGS-08-1

    Policy and Management Guidelines

    Division of Agriculture

    January 2008

    PART V OVERALL RATING

    Overall Rating: It is understood that an Unsatisfactory in any field above precludes awarding an Exceeds Standard or Above Average rating during this period. The overall rating received is determined at the discretion of the rating official.

    Exceeds Standard Above Average Satisfactory Unsatisfactory

    Rating Period Beginning Date: Rating Period Ending Date:

    This employee has received a written reprimand or disciplinary notice since the last performance Yes No evaluation rating.

    Approval of Overall Rating

    Complete at the end of the rating period:

    By signing below the rater verifies that he/she has consulted with the reviewing official on the justification for any overall rating other than “Satisfactory.” Rater’s Signature: Date:

     By signing below the employee concurs only that the performance evaluation has been conducted. The employee’s signature does not indicate that he or she agrees with the evaluation. Comments concerning performance may be submitted on a separate sheet. Employee’s Signature: Date: By signing below the rater certifies that the performance evaluation has been completed and forwarded to the reviewing official. Rater’s Signature: Date: Reviewing Official’s Signature: Date:

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