Administrator'S Evaluation Form Page 3
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4ADMINISTRATOR'S EVALUATION SUPPORT FORM
(For instructions, see Administrator Evaluation Reporting System Procedures Manual)
PART I - EMPLOYEE IDENTIFICATION
Name of rated employee(Last, First, MI):
College/Unit:
PART II - RATER:
RATER
Name:
Position Title:
PART III - VERIFICATION OF INITIAL FACE TO FACE DISCUSSION
An initial face to face discussion of duties, responsibilities, and performance objectives for the current rating period took place on
Employee's Initial _______
Rater's Initial _______
(Date)
PART IV - RATED EMPLOYEE COMPLETE a, b, AND c BELOW FOR THIS RATING PERIOD
a. State your significant duties and responsibilities.
Position Title is __________________________________.
Status of Task
b. List your significant contributions to last year's agreed upon goals and objectives.
Administrator's Signature and Date
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