Performance Evaluation Form

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PERFORMANCE EVALUATION FORM
SUPPORT STAFF
Date:__________
Name:_____________________________________________ Position Title:____________________________________ 
Department:____________________________  Immediate 
Supervisor/Title:______________________________________ 
Department Head/Title:__________________________________________  Review Period:  ___Probationary    ___Annual  
INSTRUCTIONS:  This form will be completed at the end of an employee’s probationary period and annually thereafter by the 
employee’s immediate supervisor.  The supervisor may also ask the employee to complete a self­appraisal.  The supervisor’s 
evaluation is to be reviewed by his/her immediate supervisor.  Once the review has been conducted, a copy is given to the 
employee, a copy retained by the supervisor, and the original sent to Human Resources.
Rate the employee’s performance relative to time in position by checking the most appropriate rating.  Make an explanatory 
comment to support your rating, and where possible cite specific examples of behavior that led to the rating.  When 
performance does not meet expectations, list specific goals for improvement and the date you expect them to be achieved.
Not
Does not Meet
Meets
Exceeds
Applicable
Expectations
Expectations
Expectations
Comments
Job Knowledge:
The extend
to which the incumbent is familiar
with policies and procedures
applicable to the position and able
to work independently.
________
________
________
________
Productivity:
The volume of
acceptable work produced. Ability
to organize and prioritize work; utilize
time well and fully meet deadlines.
________
________
________
________
Quality:
The ability to complete
work accurately and neatly to meet
quality standards.
________
________
________
________
Responsibility/Initiative:
Acceptance and fulfillment of work
assignments, leadership, intelligent
decision making.
________
________
________
________
Relationships:
The ability to
establish and maintain effective
relationships with others with whom
interaction is required in the
performance of the position.
________
________
________
________
Adaptability/Resourcefulness:
The ability to adjust to change with
a minimum of disruption to productivity.
Ability to contribute useful ideas for
improved performance of the position.
________
________
________
________
Attendance/Punctuality:
Absences in this review period: _______ days; _______occurrences.
Latenesses in this review period: _______occurrences.
Supervisory Skills:
The ability
To get effective results from others.
________
________
________
________

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