Fy16 Performance Review Form - Employee Page 2

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Co re Co mpetencies
1
2
3
4
5
Fully Meets & Often
Not Meeting
Needs Some
Fully Meets
Consistently Exceeds
Exceeds Expectations
Expectations
Improvement
Expectations
Expectations
Personal Accountability
Commitment to Quality – Takes pride in work, strives for excellence. Takes responsibility for performance and fixes
mistakes. Continually looks to improve the quality/quantity of work.
Safety Consciousness – Contributes to a safe working environment; performs duties in a clean and safe manner. Brings safety
concerns to appropriate parties; takes initiative to resolve when possible.
Attendance and Punctuality – Fulfills work and time requirements. Keeps unschedued absences to a minimum. Plans for
coverage of responsibilities where appropriate.
Reliability/Dependability – Meets task deadlines and work commitments. Fulfills work obligations in a timely and satisfactory
manner. Takes responsibility for personal actions and performance.
Appearance – Dresses appropriately. Avoids wearing strong fragrances or other strong odors (e.g., from smoking). Keeps
workplace neat, clean and organized.
Score: _______  
Supporting   C omments   a nd   E xamples:  
Professionalism
Self Awareness – Demonstrates continuous professionalism, respect, and workplace civility. Mindful of actions; topic, tone,
volume, and body language. Avoids gossip.
Working with Others – Approachable, inclusive, and respectful. Exhibits teamwork, takes initiative to help. Courteous and
cooperative. Respects diversity and appreciates differences.
Relationship to Supervisor – Responds and acts cooperatively; works to maintain positive relationships with supervisor/manager.
Accepts responsibility for own actions.
Gives and Receives Feedback – Provides constructive feedback to colleagues. Mindful of both verbal and body language
when giving feedback. Receptive to feedback from others; accepts feedback without defensiveness.
Role Modeling – Conducts self in fair and trustworthy manner. Upholds professional and ethical standards. Demonstrates our
values of Integrity, Compassion, Accountability, Respect, and Excellence.
Score:   _ _______
Supporting   C omments   a nd   E xamples:  
Page   2  

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