-SampleForm-

AnnualPerformaneeAppraisal

AppraisalScore

OverallScore: /5.0

EMPLOYEEINFORMATION

Name:

JobTitte

ManagerName

Department:

HireDate:

LastAppraisalDate:

EvaluatedBy:

DEFINITIONOFRATINGS

EXCEPTIONAL(5):Consistentlyexceedsallrelevantperformaneestandards.Providesleadership,fostersteproductive,innovative,responsiveandgeneratestopqualitywork.Activeinindustry-relatedprofessionaland

EXCEEDSEXPECTATIONS(4):Consistentlymeetsandoftenexceedsallrelevantperformaneestandards.sinitiativeandversatility,workscollaboratively,hasstrongtechnical&interpersonalskillsorhasachievedsignintheseareas.

MEETSEXPECTATIONS(3):Meetsallrelevantperformaneestandards.Seldomexceedsorfallsshortofdeorobjectives.Lacksappropriatelevelofskillsorisinexperienced/stilllearningthescopeofthejob.

BELOWEXPECTATIONS(2)Sometimesmeetstheperformaneestandards.Seldomexceedsandoftenfallsresults.Performaneehasdeelinedsignificantly,oremployeehasnotsustainedadequateimprovement,asreperformaneerevieworperformaneeimprovementplan.

NEEDSIMPROVEMENT(1):Consistentlyfallsshortofperformaneestandards.

INSTRUCTIONS

Describetheemployee'scontributionsineachoftheperformancetMteEOWeSIVEItiwatyouillustratespecific,detailedexamplessincethelastperformaneeevaluation.RatingsMUSTsupportandbesubstantiatcomments.

Competency

RatingsScale

Comments:

Score

/5.0

Quality

Completeshighqualityworkaccordingtospecifications.Thoroughlyfollowsstandarprocedures.Keepscompleterecords.Paytodetails.Hasastrongsenseofqualityanhowtoachieveit.

dsandsattentiondknows

(0%)

DesiretoImproveQuality

Continuallylooksforwaystoimproveandquality.Appliesfeedbacktoimproveperfo

promotemance.

(0%)

JobKnowledge

Possessesskillsandknowledgetoperforrcompetently.

ithejob

(0%)

Communication

Organizesandexpressesideasandinformclearly,usingappropriateandefficientmeconveyingtheinformation.

iationhodsof

(0%)

InterpersonalSkills

Issensitivetotheneeds,feelingsandcapothers.Approachesothersinanon-threat

abilitiesofeningand

(0%)

PERSONALATTRIBUTES(Matrixformat)

Score: /5.0 %

pleasantmannerandtreatsthemwithres

)ect.

ConflictResolution

Expressesalternativepointsofviewinanon-threateningway.Knowswhenitisaptocompromiseandwhenitisimportanttostand.

propriatetakea

(0%)

Teamwork

Worksonprojectsaspartofateam,exch;andcontributingskillsthatcomplementthootherteammembers.Fulfillscommitmentsmembers.

angingideas)seofthe

,toteam

(0%)

Ethics

Maintainshighlevelofcharacterandaproattitude.Isabletoconformandpromotethcompany'sstandardsofconduct.

fessional

e

(0%)

Initiative

Strivestolearnandimprove.Seeksoutwthemselvesandthecompany.Takesonresponsibilities.Doesnotrem—nidedworking.Self-motivated.

aystobetter

(0%)

SUMMARYSCORE

PERSONALATTRIBUTES

(Matrixformat)

Score0.0

1.3

2.5

3.8

5.0

Quality

Desiretoimprovequality

JobKnowledge

Communication

InterpersonalSkills

ConflictResolution

Teamwork

Ethics

Initiative

PERSONALATTRIBUTES

(Shortformat)

EmployeeScore:

ManagerScore: /5.0'%

Initiative

EmployeeScore:

ManagerScore: /5.0(0%)

Exceptional

ExceedsExpectations

Worksindependentlytosolveproblems. MeetsExpectations

LooksforopportunitiestotakeonmoreresponslbeitywExpectations

NeedsImprovement

Notapplicable

Self: N/A

DevelopmentPlan:

InnovativeThinking EmployeeScore:

ManagerScore: /5.0(0%)

Exceptional

ExceedsExpectations

°MeetsExpectations

Looksforwaystoimproveeffectivenessbyimplementing

newideasandmoreefficientapproaches

oBelowExpectations

NeedsImprovement

Notapplicable

Self:

Comments:

DevelopmentPlan:

SeekingFeedback EmployeeScore:

ManagerScore: /5.0(0%)

Exceptional

-ExceedsExpectations

oMeetsExpectations

Proactivelyseeksperformaneefeedbackandidentifies

approachestoimproveperformanee

oBelowExpectations

NeedsImprovement

Notapplicable

Self: N/A

Comments:

DevelopmentPlan:

Score: /5.0 %

PERSONALATTRIBUTES(ExtendedMatrixformat)

R=RatingsScale-Exceptional;4ExceedsExpectationsmeetsExpectationsBeiowExpectationsN^edsImprovement.

Rating

fQuarter

2ndQuarter

3rdQuarter

4thQuarter

Score

R

R

R

R

/5.0

Quality

5

5

5

5

(0%)

Completeshighqualityworkaccordingto

4

4

4

4

specifications.Thoroughlyfollowsstanda

rdsand

procedures.Keepscompleterecords.Pa

ysa^ention

3

3

3

todetails.Hasastrongsenseofqualitya

ndknows

howtoachieveit.

2

2

2

2

1

1

1

1

Comments:

DesiretoImproveQuality

5

5

5

5

(0%)

Continuallylooksforwaystoimprovean(

ipromote

4

4

4

quality.Appliesfeedbacktoimproveperf

ormanee.

3

3

3

3

2

2

2

2

1

1

1

1

Comments:

JobKnowledge

Possessesskillsandknowledgetoperfocompetently.

5

mthfejob

3

2

1

5

4

3

2

1

5

4

3

2

1

5

4

3

2

1

(0%)

Comments:

Communication

Organizesandexpressesideasandinforclearly,usingappropriateandefficientm(conveyingtheinformation.

5

mation

ethodsof

3

2

1

5

4

3

2

1

5

4

3

2

1

5

4

3

2

1

(0%)

Comments:

InterpersonalSkills

Issensitivetotheneeds,feelingsandcaothers.Approachesothersinanon-threa

5

^abilitiesofteningand

5

4

5

4

5

4

(0%)

pleasantmannerandtreatsthemwithre

spect.

3

3

3

3

2

2

2

2

1

1

1

1

Comments:

ConflictResolution

5

5

5

5

(0%)

Expressesalternativepointsofviewina

4

4

4

4

non-threateningway.Knowswhenitisa|

)propriate

tocompromiseandwhenitisimportantt(

)takea

3

3

3

stand.

2

2

2

2

1

1

1

1

Comments:

Teamwork

(0%)

Worksonprojectsaspartofateam,exchang4ngideasandcontributingskillsthatcomplementthoseoftheotherteammembers.Fulfillscommitm^tstoteammembers.

1

1

1

1

Comments:

Ethics

5

5

5

5

(0%)

Maintainshighlevelofcharacterandap

ofesfeional

4

4

4

attitude.Isabletoconformandpromote

he

company'sstandardsofconduct.

3

3

3

3

2

2

2

2

1

1

1

1

Comments:

Initiative

5

5

5

5

(0%)

Strivestolearnandimprove.Seeksoutw

/ays4to

4

4

4

betterthemselvesandthecompany.Tak

eson

responsibilities.Doesnotrem—nided

3

3

3

3

working.Self-motivated.

o

o

o

2

2

2

2

1

1

1

1

Comments:

INSTRUCTIONSFORNEWGOALS

Identifyaminimumoftwonewobjectives.Theseobjectivesmustbethosethattheemployeeagreedtoaccoiandaddressanyoneofthefollowingareas:

ProjectGoalsarespecificassignmentstoparticipateinormanageongoingorfutureprojects.Whensettingpoutlinethescopeoftheroletheemployeeistoplay,listsresourcesandcompletiontimeframeanddefineth

Enteradditionalgoals(toamaximumof5intotal)byclickingonthe"AddNew"button.

NEWGOALS

Weight

Objectives

MeasuresofSuccess

Title:

ActionItems/Steps

MeasuresofSuccess

￡]AddNew...

INSTRUCTIONSFORRATINGPASTGOALS

Evaluatepastgoalsbyassessingtheaccomplishmentsachievedineachcategory.Enteradditionalpastgoatotal)byclickingonthe"AddNew"button.

Pastgoalsthathavebeenenteredinthesystemcanbeaccessedfromtheemployeerecordusingthe"Copyleftofeachgoalfield.

PASTGOALS

EmployeeScore: ManagerScore: /5.0-3%

Goals

Accomplishments

ScoreWeight

N/A N/A

Title:

Due；

Completed;

ActionItems/Steps

Accomplishments

MeasuresofSuccess

Accomplishments

N/A N/A