Annual-Performance-Review2010a

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ANNUAL PERFORMANCE REVIEW
Employee Name for Review Job Title Review Period
Department Supervisor Name Date Completed
PERFORMANCE ASSESSMENT RATING

PERFORMANCE CRITERIA N/A 0 .5 1 1.5 2 2.5 3
(Behavior and Competency Based)
1. Positive Representation of University
and Commitment to the Mission
Represents University in a positive, professional manner and demonstrates key values of our mission
2. Interpersonal Skills and Professional

Conduct
Interacts professionally and collaboratively with diverse individuals; demonstrating mutual respect, honesty, and dignity
3. Communication Skills –
Verbal and Written
Demonstrates effective two-way communications in a clear and timely manner.
4. Adaptability and Flexibility

Demonstrates ability to balance competing objectives, handles demands of changing situations, as well as an ability to tolerate ambiguity
5. Dependability
Demonstrates reliability and commitment in support of department goals and objectives, as well as demonstrates good attendance,
timeliness in work and follow through, and loyalty
6. Accountability for Quality Work

Maintains appropriate quality levels of work product, accuracy, and timeliness; holds self and others accountable to reasonable expectations
7. Planning and Organizing

Demonstrates ability to effectively plan for upcoming project, organize work, and administer programs
8. Analyzing and Problem Solving

Demonstrates ability to effectively analyze and address a problem by providing reasonable, effective, and accurate solutions
9. Decision Making and Judgment

Demonstrates ability to make appropriate decisions with objectivity, fairness, and relevance using sound judgment
10. Safety
Employee understands and carries out environmental health and safety practices and policies
11. Professional Development

Demonstrates commitment to enhance abilities and skills for continued success
12. Management and Leadership

Responsibilities
Demonstrates effective management of staff, program, or function by fostering an environment of trust, professionalism, objectivity,
and balance; by exercising accountability and ownership; by establishing credibility and dedication
1 Rev. 11/09
PERFORMANCE ASSESSMENT RATING
ADDITIONAL JOB SPECIFIC

PERFORMANCE CRITERIA
Examples: Goal Achievement
Process Management/Quantity of Work 0 .5 1 1.5 2 2.5 3
13.
14.
15.
OVERALL PERFORMANCE ASSESSMENT RATING =

Round to the tenth decimal
To calculate: total the ratings for each performance criteria and divide by the total number of completed criteria:
SPECIFIC EXAMPLES FOR ASSESSMENTS ABOVE OR BELOW A 2.0 RATING
EMPLOYEE STRENGTHS
2 Rev. 11/09
STATUS OF GOALS/SUMMARY OF ACCOMPLISHMENTS FOR CURRENT REVIEW PERIOD
SUPERVISOR SUMMARY COMMENTS ON OVERALL PERFORMANCE
PROFESSIONAL DEVELOPMENT PLANS (certifications, conferences, trainings, etc)
NEW GOALS FOR NEXT REVIEW PERIOD

Use the Specific, Measurable, Attainable, Realistic, Timeframe (SMART) formula
Goals should be either organization/task based or professional enhancement based and relevant to the department’s vision and strategic plan
3 Rev. 11/09
DATE OF NEXT PERFORMANCE REVIEW:
______________________________________________________ ______/_______/_____
Supervisor Signature Date
EMPLOYEE COMMENTS
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
I acknowledge receipt of this performance review and it has been discussed with me.
______________________________________________________ ______/_______/_____
Employee Signature Date
______________________________________________________ ______/_______/_____
Signature of Department Head, Dean, or Area Vice President Date
The supervisor will forward the performance review to the department head, dean, or area vice president for final signature.
The original signed performance review should be sent to Human Resources to file.
4 Rev. 11/09

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ANNUAL PERFORMANCE REVIEW

Employee Name for Review Job Title Review Period

Department Supervisor Name Date Completed

PERFORMANCE ASSESSMENT RATING

2. Interpersonal Skills and Professional

4. Adaptability and Flexibility

6. Accountability for Quality Work

7. Planning and Organizing

8. Analyzing and Problem Solving

9. Decision Making and Judgment

11. Professional Development

12. Management and Leadership

ADDITIONAL JOB SPECIFIC

OVERALL PERFORMANCE ASSESSMENT RATING =

SPECIFIC EXAMPLES FOR ASSESSMENTS ABOVE OR BELOW A 2.0 RATING

SUPERVISOR SUMMARY COMMENTS ON OVERALL PERFORMANCE

PROFESSIONAL DEVELOPMENT PLANS (certifications, conferences, trainings, etc)

NEW GOALS FOR NEXT REVIEW PERIOD

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