Annual Performance Evaluation Form printable pdf download

Performance Evaluation Program

ANNUAL PERFORMANCE

Administrative, Operational, Institutional Services Units,

EVALUATION FORM

and Division of Military and Naval Affairs Unit

INSTRUCTIONS TO SUPERVISORS

AT THE START OF THE

AT THE MIDPOINT OF THE

AT THE END OF THE

EVALUATION PERIOD

Complete Sections 1 and 2A.

Complete Section 3.

Complete Sections 2B, 4, 5 and 6.

SECTION 1 - EMPLOYEE IDENTIFICATION

Enter the following information.

Employee's Name______________________________________ Agency/Facility___________________________________

Division/Section ________________________________________________________________________________________

Title________________________________________________ Salary Grade ____________ Item Number _____________

Evaluation Period From: _________________________________ To ____________________________________________

Employees's Negotiating Unit:__Administrative Services

__Institutional Services

__Operational Services __DMNA

SECTION 2A - PERFORMANCE PROGRAM

SECTION 2B - PERFORMANCE APPRAISAL

List the important tasks of the job and briefly describe

Describe the employee's performance in accomplishing the

how you expect each to be performed. Your

tasks specified in Section 2A. Explain how the employee's

expectations should be expressed in terms of quality

performance met, exceeded or failed to meet your

and/or quantity where possible.

expectations.

I received a copy of this performance program on ___________________________________.

(Date)

Employee: _______________________

(Initials)

(Attach additional sheets, if necessary)

SECTION 3 - SIX-MONTH RECERTIFICATION (OPTIONAL)

We met within one month before or after the approximate midpoint of the rating period to discuss the employee's performance, and to reaffirm or revise the

performance program (If revised, changes have been reviewed and approved, and revisions are attached). If a rating were assigned today based upon service to

date, I would propose that it be

_______ Satisfactory

_______ Unsatisfactory (check one). This is not a rating; therefore, it is not appealable.

Supervisor ____________________________________________________ _________________________________

(Signature)

(Date)

Employee ____________________________________________________ _________________________________

(Signature)

(Date)