State Form 52403 - Employee Work Profile And Performance Appraisal Report Page 2

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A. COMPETENCIES
Instructions: Form can be completed electronically by tabbing through and using the space bar to check or uncheck boxes when
they are highlighted or clicked with the mouse. Employees must be evaluated on the three required Competencies and
the additional agency-determined discretionary Competencies.
1. Job Knowledge – Possesses adequate knowledge, skills and experience to perform the duties of the job; understands the
purpose of the work unit and how position contributes to the overall mission of the agency; maintains competency in essential
areas.
Rating
Behaviors during the review period which support the rating
Meets
Exceeds
Does Not Meet
2. Teamwork – Encourages and facilitates cooperation, pride, trust and group identity; fosters commitment and team spirit;
works cooperatively with others to achieve goals.
Rating
Behaviors during the review period which support the rating
Meets
Exceeds
Does Not Meet
3. Customer Service – Demonstrates knowledge of internal and external customers; is sensitive to customer needs and
expectations; anticipates needs and responds promptly and willingly to provide information, services and/or products as
needed.
Rating
Behaviors during the review period which support the rating
Meets
Exceeds
Does Not Meet
4. Judgement - Exercises logical thinking and foresees consequences of actions; has adequate knowledge of all applicable
policies or rules and selects appropritae guidelines or procedures to follow in a variety of situations.
Rating
Behaviors during the review period which support the rating
Meets
Exceeds
Does Not Meet

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