PERFORMANCE EVALUATION FORM

EMPLOYEE NAME :
DEPARTMENT:
LOCATION :
TITLE:
PERFORMANCE PERIOD:
MANAGER:

Section 1.
Performance Feedback:
1. Reliability and Consistency of Performance Exceeds Meets Needs N/A
(Dependability, Complete work in a timely manner, Expectations Expectations Improvement
Meets deadlines.)

COMMENTS: Manager comments here.

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2. Working with Management and Co-workers Exceeds Meets Needs N/A

(Demonstrates skills and behaviors, which contribute to a Expectations Expectations Improvement
productive work group.Helps build teams.)

COMMENTS:__________________________________________________________________________________
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3. Performance Under Pressure Exceeds Meets Needs N/A

(Maintains consistency of work and quality of work and Expectations Expectations Improvement
quality of work under time pressure and/or large volume
of work.)

COMMENTS:__________________________________________________________________________________
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4. Initiative Exceeds Meets Needs N/A

(Self-motivated to work effectively with job appropriate Expectations Expectations Improvement
level of supervision.)

COMMENTS:__________________________________________________________________________________
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5. Job Knowledge Exceeds Meets Needs N/A
(Demonstrates knowledge of requirements, skills, software Expectations Expectations Improvement
and methodology involved in completing a job. Attempts
to keep current with necessary skills to maintain/increase
productivity.)
COMMENTS:__________________________________________________________________________________
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6. Adaptability/Flexibility in Responding to Change Exceeds Meets Needs N/A

(Adapts behavior to accommodate changes in the Expectations Expectations Improvement
workplace such as shifting of work priorities,technology,
changes in working relationships, etc.)

COMMENTS:__________________________________________________________________________________
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7. Quality of Work Exceeds Meets Needs N/A

(Overall assessment of completeness, freedom from errors, Expectations Expectations Improvement
etc.)

COMMENTS:__________________________________________________________________________________
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8. Quantity of Work Exceeds Meets Needs N/A

(Overall asessment of volume of work,timeliness, Expectations Expectations Improvement
adherence to deadlines,number of activities handled, etc.)

COMMENTS:__________________________________________________________________________________
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9. Organizational, Planning and Coordination skills Exceeds Meets Needs N/A

(Demonstrates the ability to organize and prioritize Expectations Expectations Improvement
workload)

COMMENTS:__________________________________________________________________________________
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10. Responsiveness to Customers/Clients Exceeds Meets Needs N/A
(Knowledge results in clientsreceiving information on a Expectations Expectations Improvement
timely basis.)

COMMENTS:__________________________________________________________________________________
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11. Communication Skills Exceeds Meets Needs N/A

(Demonstrates both good written and oral communication Expectations Expectations Improvement
skills.)

COMMENTS:__________________________________________________________________________________
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12. Leadership Exceeds Meets Needs N/A

(Able to inspire others to achieve impact) Expectations Expectations Improvement

COMMENTS:__________________________________________________________________________________
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13. Interpersonal Skills Exceeds Meets Needs N/A

(Engages in fair and equitable treatment of others, Expectations Expectations Improvement
Exercises diversity, Demonstrates listening,
Understanding and respect for others. )

COMMENTS:__________________________________________________________________________________
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14. Confidentiality and Security Sensitivity Exceeds Meets Needs N/A

(Handles confidential information appropriately amd Expectations Expectations Improvement
exercises care if safeguarding proprietary and personal
information.)

COMMENTS:__________________________________________________________________________________
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Section 2.
Overall Rating:
Exceeds Performs all jobs responsibilities far above the key requirements for
Expectations the job.Displays a high of core skills and competencies required in
the job.
Meets Performs all jobs responsibilities far above the key requirements for
Expectations the job (exceeds some). Displays a comprehensive degree of key
skills, knowledge, and abilities required in the job.
Needs Needs improvement in performing job responsibilities and key
Improvements competencies. Documented improvement plan and timeline to follow
within 2 weeks of appraisal.

Section 3.
Future Plans and Goals:
Employee (Lists his/her goals for the next performance year and outlines in action plan to achieve that goal)
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Manager (Comments on goals, prioritize if necessary and offers feedback. These goals can become next year
accommplishments!

Section 4.
Employee Comments & Suggestions:
Employee types comments here.

Employee Signature:____________________ Date: ___________________

Manager Signature: _____________________ Date: ___________________