Performance Review Form #8

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Employees Name_______________________ Date __________________________________

Supervisors Name_______________________ Date of Last Performance Review___________

Instructions: Please complete each part of each question and discuss with the employee during the performance review meeting. Use a separate sheet for Parts I, III, and IV. PART I POSITION DEFINITION 1. 2. Describe the employees duties and responsibilities and indicate the relative priorities of key elements. Describe any changes that have occurred in the employees position since his or her last performance discussion.

PART II PERFORMANCE FACTORS 1. Is a willing worker in assigned responsibilities

Average

Marginal

Unsatisfactory 2. Demonstrates skill and proficiency in carrying out assignments

Average

Marginal

Unsatisfactory 3. Strives to improve work methods as a means toward greater efficiency

Average

Marginal

Unsatisfactory 4. Is willing to take on additional responsibilities

Performance Review Form #8

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Average

Marginal

Unsatisfactory 5. Requires minimal supervision

Average

Marginal

Unsatisfactory 6. Holds self accountable for assigned responsibilities; sees tasks through to completion

Average

Marginal

Unsatisfactory 7. Makes sound and timely decisions analyzes facts and reaches logical conclusions

Average

Marginal

Unsatisfactory 8. Works well with supervision, independently, or as part of a team

Average

Marginal

Unsatisfactory 9. Is a reliable employee (attendance, punctuality)

Average

Marginal

Unsatisfactory 10. Represents department well when dealing with others

Performance Review Form #8

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Average

Marginal

Unsatisfactory PART III PERFORMANCE SUMMARY 1. List aspects of the employees approach that contribute to his or her effectiveness.

2.

List aspects of employees approach which require improvement for greater effectiveness.

3.

Is the employee ready for increased responsibility? If yes, please explain.

4.

Does the employee require additional training? If yes, please explain.

Overall rating of employee:

Average

Marginal

Unsatisfactory PART IV DEVELOPMENT PLAN List actions or activities to be taken by employee and supervisor to improve the employees effectiveness in the current position. List actions or activities to be taken by the employee as part of his/her professional development.