Staff Performance Evaluation - Sample Page 2

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S
E
P
E
AMPLE
MPLOYEE
ERFORMANCE
VALUATION
The purpose of evaluation form is to conduct a formal review of the employee’s job performance
and accomplishments, as well as the working relationship between the employee and
supervisor.
EMPLOYEE NAME: ___________________________________________________
JOB TITLE: ______________________________________________________________
SUPERVISED BY: _____________________________________________________
HIRE DATE: _____________________________________________________________
DATE OF PERFORMANCE EVALUATION:_________________________________________
PERFORMANCE EVALUATION PERIOD: __________________________________________
APPRAISED BY:____________________________________________________________
Definitions:
1-Exceeds Expectations - This rating requires an employee to have clearly and demonstrably exceeded
most if not all expectations for the position as defined in the job description, any annual goals, and any
other guidance provided to the employee during the year. Employees who have not fully addressed
previously-communicated performance concerns or issues should not expect to receive this rating. This
rating is reserved for truly exceptional performance and will not be 'graded on a curve'. Most employees
should not expect to receive this rating, but all should strive for it.
2-Meets Expectations - This rating will be assigned to employees who have met most or all performance
expectations for the position as defined in the job description, any annual goals, and any other guidance
provided to the employee during the year. This rating will be indicative of solid performance sufficient to
maintain employment at and to enjoy a successful career with the organization. Employees who receive
this rating should be proud of their performance and will be provided with clear guidance on what
additional performance factors would have contributed to receiving an Exceeds Expectations rating.
3-Needs Improvement - This rating will be assigned to employees who have not met many of the
performance expectations for the position as defined in the job description, any annual goals, and any
other guidance provided to the employee during the year. This rating will be indicative of poor
performance that puts the employee's continued employment with the organization at risk. Employees
who receive this rating will be provided with a time-delimited Performance Improvement Plan that will
include clear steps and performance targets the employee must achieve in order to continue employment.
Staff Performance Evaluation – SAMPLE
Page 2 of 6
Greenlights for NonProfit Success
T 512.477.5955 • F 512.477.5911 • P.O. Box 5809 Austin, TX 78763

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