Performance Appraisal Form

EMPLOYEE INFORMATION
Name: Title:

Dept: UC Hire Date:

Time in position: Years Months Evaluation Period: From Through

SUPERVISOR INFORMATION
Name: Supervised employee for: Years Months

POSITION DESCRIPTION/GOALS AND EXPECTATIONS

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RATING SCALE
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Improvement (NI) Performance does not meet expectations.

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PERFORM ANCE RATING

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 Rating Factors

Performance Factor N/A E MS S NI U

Position Expertise

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Approach To Work

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 Rating Factors

Performance Factor N/A E MS S NI U

Quality Of Work

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Quantity Of Work

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Communication Skills

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 Rating Factors

Interpersonal Skills

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Rev. 08/10/2015

Supervisory/Leadership Skills — $SSOLHVWRPDQDJHUVVXSHUYLVRUVRUOHDGV

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 Rating Factors

Performance Factor N/A E MS S NI U

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CAMPUSWIDE PERFORM ANCE STANDARDS

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addressed.
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OVERALL PERFORM ANCE RATING

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Exceptional More Than Satisfactory Satisfactory Needs Improvement Unacceptable

COMMENTS

Rev. 08/10/2015 p. 5
ACTION PLANS/TRAINING AND DEVELOPMENT GOALS
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EMPLOYEE COMMENTS/RESPONSES
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EMPLOYEE SIGNATURE

Employee
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DEPARTMENT SIGNATURES

Supervisor
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Department Head
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Rev. 08/10/2015 p. 6