Performance Evaluation Form

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PERFORMANCE EVALUATION FORM
P530A
PART I: EMPLOYEE INFORMATION
Last Name:
First Name:
Classification:
Bargaining Unit:
Evaluator:
Department:
Evaluation Period:
From
:
To
:
(mm/yy)
(mm/yy)
EMPLOYEE STATUS:
 Permanent
 Probationary, Ending
 Temporary, Ending:
(mm/yy):
(mm/yy):
EVALUATION TYPE:
 Annual
 3rd Month
 6th Month
 11th Month
 Other
PART II: PERFORMANCE REVIEW
List the employee's major responsibilities:
Review the seven (7) dimensions of performance. Under each category, comment on the employee's
accomplishments and challenges during the evaluation period. Indicate level of performance achieved using the
following scale:
5 = Superior
4 = Above Satisfactory
3 = Satisfactory
2 = Needs Improvement
1 = Unsatisfactory
PLEASE NOTE: Individual category ratings must be in whole numbers.
1) Knowledge of policies, procedures, and programs:
Scale:
Demonstrates organizational awareness; knows administrative policies and procedures; has knowledge of
business practices; provides accurate information on policies and procedures; makes information easily accessible
to all members of the campus community.
Comments:
Human Resources Department
Performance Evaluation Program

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