Performance Evaluation Form

Performance Evaluation Form
2015-16
DU ID
Employee Name
Choose one...
Department
Job Title
Supervisor Name
Date of Review:
Supervisor Email and Phone Number
Review period: From
Based on your discussion, will you be submitting a revised Job Description?
To
Pay Rate:
Yes
No
Levels of Performance
Score
5
4
3
2
1
Performance Definitions
Consistently exceeds expectations
Always meets, occasionally exceeds expectations
Meets expectations
Sometimes meets expectations
Rarely meets expectations
1. Job Knowledge and Comprehension - Understands and is knowledgeable of the position duties and responsibilities.
Demonstrates comprehension of techniques, skills, processes, equipment, procedures and materials necessary to
perform the job.
2. Technical Knowledge - Understands and is proficient in application of methods, techniques, tasks, and materials
necessary to accomplish the work.
3. Work Quality - Completes work assignments thoroughly and completely in an accurate, prompt, and organized
manner. Identifies and corrects errors. Pays attention to detail.
4. Productivity - Produces required volume of work. Completes work efficiently and in an organized manner within an
established time frame. Maintains attention to work and meets deadlines.
5. Work Habits (Attitude) - Demonstrates commitment, dedication, cooperation, positive behavior, adaptability and
flexibility with changes in jobs and duties. Considers safety of self and others while working. Takes job
responsibilities seriously. Complies with University and Departmental policies and procedures.
6. Communication - Communicates clearly, concisely, and effectively both in written and oral form. Advises
supervisors, peers, and customers of necessary information and decisions in a timely, clear and concise manner.
Listens to others and is open-minded about suggestions from others. Represents the University in an effective,
professional manner.
7. Customer Service Focus / Interpersonal Skills - Takes a personal interest in both internal and external customers.
Creates a pleasant atmosphere for interaction and takes appropriate action to meet their needs. Appropriately uses
University property and software as required by University and Department policy. Demonstrates ability to get
along with others and is respectful of co-workers. Responds to confrontational situations appropriately.
8. Critical Thinking and Decision Making - Considers the extent to which prior thought and analysis of facts and
situations are done before initiating action and problem solving.
9. Team Building/Teamwork - Works collaboratively and cooperatively. Communicates as a team player in the achievement
of common goals. Promotes teamwork and diversity and actively seeks group participation to improve work and set
priorities.
10. Initiative and Autonomy - Demonstrates capacity and desire to seek out greater challenges. Performs with minimal
supervision, acts promptly, and seeks solutions to resolve unexpected problems that arise on the job. Makes practical and
routine decisions.
11. Dependability, Punctuality, and Attendance - Is dependable and punctual and reports to work on time. Follows
University and Departmental leave policies when scheduling time off. Avoids excessive absenteeism.
0
Overall Performance Rating:
4-5
Exceeds expectations (Meritorious)
3 - 3.99 Meets expectations
2 - 2.99 Needs improvement (Performance Improvement Plan required)
1 - 1.99 Does not meet expectations (Performance Improvement Plan required)
Development Plan
Highlight the employee's accomplishments. Indicate specific areas for improvement or attention which may increase
effectiveness in current position or aid in future opportunities. Identify skills or training the individual should obtain to
prepare for additional responsibilities and/or achievement of goals.
Employee Comments
Provide your overall reaction to this evaluation. In your opinion, does it accurately describe your performance? In which
areas, if any, do you feel you need additional assistance in order to be more effective in your current position? Include
comments and any suggestions you feel would be helpful to your supervisor.
The employee's signature represents an acknowledgement of the completed review process and does not necessarily represent
agreement with the supervisor's ratings or evaluative comments.
Student Signature:
Date:
Supervisor Signature:
Date:
Student Employment Processed:
Date:
Please return form to:
Student Employment | University Hall 255 | Ph: 303.871.6792 | Fax: 303.871.2341 | [email protected] | www.du.edu/studentemployment
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