Leadership Performance Evaluation Form
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7LEADERSHIP
PERFORMANCE EVALUATION FORM
Executive Management (EM) and Senior Management Professional (SMP) Job Description Titles
(Chiefs Officers, Controllers, Vice Presidents, Deans, Provosts)
Mission –
To conduct education, research and clinical services in the context of community engagement to train health professionals
who promote wellness, provide care with excellence and compassion, and transform the health of underserved communities.
Name:
Department:
Position Title:
ID #:
Supervisor’s Title:
Supervisor:
Evaluation Date:
Evaluation Period:
Evaluation Type:
Annual
Bi-Annual
Other
PERFORMANCE RATINGS:
EXCEEDS EXPECTATIONS
Work that is characterized by sustained exemplary accomplishments at the highest level throughout the rating period. Exhibiting
performance that consistently exceeds and sometimes far exceeds the performance expectations and goals of the job. Typically
demonstrates full mastery of the knowledge, skills, and abilities for the required work. Any rating of exceeds expectations must be
accompanied by a description of achievements.
MEETS EXPECTATIONS
Work that is characterized by achieving results at a level that generally meets and sometimes exceeds the performance goals of the
job. Typically demonstrates fully proficient knowledge, skills, and abilities for the required work. Requires an appropriate amount of
supervision and follow-up.
NEEDS IMPROVEMENTS
Work that requires improvement to fully meet the performance goals in or more areas; provides basic support to contributions of the
organization. Typically demonstrates beginner knowledge, skills, and abilities for the required work.
UNSATISFACTORY
Work that fails to meet the goals of the job function; generally falls short of performance goals (even though sometimes approaching
goals); provides minimal support to the contributions of the organization. Requires direction, support and follow-up more frequently
than others. May exhibit knowledge and or skills deficit. Any rating of unsatisfactory must be accompanied by comments specifying
deficiencies.
OVERALL PERFORMANCE RATING:
Please provide an overall performance rating based on the specific ratings given throughout the evaluation (Complete pages 2-3).
Exceeds Expectations
Meets Expectations
Needs Improvement
Unsatisfactory
Supervisor Comments:
Supervisor Signature: ______________________________________________ Date: __________________
Page 1
Charles R. Drew University of Medicine and Science Dept. of Human Resources 04/2014 LeadPerfEval
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Parent category: Business