Eicap Employee Performance Evaluation Form
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7EICAP
EMPLOYEE PERFORMANCE EVALUATION
For Exempt and Nonexempt Staff
E
N
:
MPLOYEE
AME
(F
, MI,
)
IRST
LAST
J
T
:
OB
ITLE
D
:
EPARTMENT
P
E
:
From:
To:
ERIOD OF
VALUATION
T
:
IME IN CURRENT POSITION
E
S
:
Exempt
Nonexempt
MPLOYEE
TATUS
_____________________________________________________________________________
PART I - INSTRUCTIONS TO RATER
Listed below are five performance factors, seven behavioral traits, and five supervisory factors
that are important in the performance of the employee’s job. Performance factors and behavioral
traits must be utilized for all employees.
The supervisor factors should be utilized only for
employees with supervisory responsibilities.
NOTE:
A rating of Unacceptable (1), Needs
Improvement (2) or Superior (5) requires comments. The “overall performance” evaluation
should reflect the employee’s total performance, including the performance factors as related to
the employee’s responsibilities and duties as set forth in the job description, behavioral traits and
supervisory factors, if applicable.
Return the original form to Human Resources
1.
D
ISTRIBUTION
Maintain one copy for your departmental records.
I
Distribute one copy to the employee
NSTRUCTIONS
2.
The supervisor should indicate the employee’s performance by
M
1.
ARKING
check box
using
next to the appropriate level of
I
NSTRUCTIONS
performance.
The following rating scale guide is being provided to assist the evaluator in assigning the most appropriate
measurement of the employees’ performance factors, behavioral traits and supervisory factors.
U
1 =
- Consistently fails to meet job requirements; performance clearly below minimum
NACCEPTABLE
requirements. Immediate improvement required to maintain employment.
– Occasionally fails to meet job requirements; performance must improve
N
I
2 =
EEDS
MPROVEMENT
to meet expectations of position.
– Able to perform 100% of job duties satisfactorily. Normal guidance and
M
E
3 =
EETS
XPECTATIONS
supervision are required.
–
E
E
4 =
Frequently exceeds job requirements; all planned objectives were
XCEEDS
XPECTATIONS
achieved above the established standards and accomplishments were made in unexpected areas
as well.
–
S
5 =
Consistently exceeds job requirements; this is the highest level of performance that
UPERIOR
can be attained.
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Parent category: Business