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AREF Employee Self-Evaluation for Performance
AREF Employee Name:AREF Job Title:
CDC Technical Monitor Name:CDC Technical Monitor Email:
Review Period: 01/01/2017-12/31/2017
This form is an evaluation tool for enhancing feedback and performance success.
Conducting an annual self-evaluation will allow you to provide information to your technical monitor about your performance and shed light on your accomplishments and goals during the evaluation period.
The self-evaluation may be shared with your CDC Technical Monitor and the VA Principal Investigator for review.
INSTRUCTIONS FOR PERFORMANCE MANAGEMENT
- CompleteSection A to summarize your specific accomplishments for the review period. Previous review objectives may serve as a guide for documenting accomplishments.
- If applicable, complete Section B to identify any change in responsibility and/or additional job duties.
- Complete Section Cby circling a performance rating and document your areas of strength and improvement.
- Establish goals for 2018 in Section D and what you can do to best accomplish those goals.
- Your CDC Technical Monitor may not complete any portion of the performance review; this is a self-evaluation only.
Complete all Objectives and Goals, sign/date and return via scan/email to
AREF Human Resourcesand your CDC Technical Monitor no later thanFriday, 01/26/2018.
PERFORMANCE RATINGS
Performance ratings are based on the following scale for this evaluation. Ratings must support and be substantiated by narrative comments in the Areas of Strength and Areas for Improvement fields.
O / Outstanding / Superior performance. It would be very rare for an employee to receive a rating of Outstanding in most or all categories.E / Exceeds Expectations / Consistently exceeds performance expectations to a degree that is obvious to the supervisor and peers. Work is of an exceptional quality and is completed ahead of scheduled deadline. Assigned responsibilities are completed without supervision. Employee recommends creative and/or highly effective solutions to issues. May serve as a role model to others within the team or project.
M / Meets Expectations / Consistently meets established performance expectations. Work is completed accurately and by scheduled deadlines. Responsibilities are completed with minimal supervision.
N / Needs
Improvement / Does not consistently meet performance expectations. Work is often incomplete and/or does not meet scheduled deadlines. Supervisory oversight is frequently required. Meets the minimum position requirements. Demonstrates some skills and abilities required to perform the job.A performance improvement plan may be warranted.
U / Unsatisfactory / Does not meet performance expectations. Has not demonstrated the necessary knowledge, skills, abilities and/or commitment, although successes may be occasional. Immediate improvement is needed to maintain continued employment. A performance improvement plan should be administered.
Section A
Summary of Employee Accomplishments
Use as much space as needed. Attachment may be added if necessary.
Section B
Change in Job Duties / Additional Responsibilities
Use as much space as needed. Attachment may be added if necessary.
Section C
Review of Objectives
Circle or highlight the performance ratings(O, E, M, N, U) that best reflect your performance on the job using the Success Factors as a guide.Required: Document 2-3 strengths and at least 1 developmental area for each objective.
Do not use the Success Factors for areas of strength or development; they are reference for the ratings only.
Job KnowledgE RATING:O E M N U
Success Factors:
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- Demonstrates knowledge to accomplish work effectively
- Takes advantage of opportunities to improve
- Clearly understands business acumen
- Achieves necessary level of knowledge and works to keep it current
- Performs well with minimal supervision
- Acts as a resource for others
- Holds self accountable for responsibilities
- Accuracy and quality of work are a priority
- Acts in accordance with procedures and policies
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IDENTIFY AT LEAST ONE OPPORTUNITY FOR IMPROVEMENT AND ONE STRENGTH IN THE FIELDS BELOW.Areas for Development:
Areas of Strength:
TECHNICAL COMPETENCE RATING:O E M N U
Success Factors:
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- Proactively maintains familiarity with relevant literature and current developments in the area of study and/or related disciplines
- Provides technical assistance to others in the lab to facilitate their experiments
- Active participation in mentoring new/junior staff or trainees
- Assist in analyzing and interpreting data and/or prepare summaries of laboratory findings
- Evidence of being held in high regard by peers, such as being asked by others for advice or assistance
- Receipt of awards or other notable scientific, clinical or professional accomplishments
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IDENTIFY AT LEAST ONE OPPORTUNITY FOR IMPROVEMENT AND ONE STRENGTH IN THE FIELDS BELOW.Areas for Development:
Areas of Strength:
PRODUCTIVITY RATING:O E M N U
Success Factors:
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- Ensures and documents quality and accuracy of data analyses and/or experimental results
- Selects appropriate methodology and procedures to meet experimental objectives with success
- Produces successful repeatability in work
- Performs job in a timely manner, sometimes under pressure, with attention to quality factors and quantity of output
- Demonstrates progress in performance of research
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IDENTIFY AT LEAST ONE OPPORTUNITY FOR IMPROVEMENT AND ONE STRENGTH IN THE FIELDS BELOW.Areas for Development:
Areas of Strength:
ORGANIZATIONAL SKILLSINITIATIVE RATING:O E M N U
Success Factors:
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- Proactive in responding to new priorities, establishes priorities effectively
- Work is completed on time or in advance of established deadlines
- Workspace is maintained in an orderly fashion
- Handles multiple tasks and/or activities simultaneously, uses work time and resources efficiently
- Delegates, seeks guidance and supervisory input when necessary
- Resourceful, suggests and/or implements change and improvement
- Identifies causes and/or key issues from both quantitative and qualitative information
- Makes appropriate decisions and accepts responsibility for those decisions
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IDENTIFY AT LEAST ONE OPPORTUNITY FOR IMPROVEMENT AND ONE STRENGTH IN THE FIELDS BELOW.Areas for Development:
Areas of Strength:
COOPERATION & TEAMWORK RATING:O E M N U
Success Factors:
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- Understands and supports concept of teamwork
- Volunteers time to assist and collaborates with others
- Provides appropriate feedback to team members
- Creates a harmonious work environment
- Respects the opinions of others
- Builds and establishes effective work relationships
- Adept at building work teams and consensus
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IDENTIFY AT LEAST ONE OPPORTUNITY FOR IMPROVEMENT AND ONE STRENGTH IN THE FIELDS BELOW.Areas for Development:
Areas of Strength:
SAFETY & ENVIRONMENT RATING:O E M N U
Success Factors:
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- Maintains a hazard free workplace
- Minimizes hazardous waste and/or materials
- Makes management aware of unsafe conditions, potential hazards and environmental concerns
- Complies with laboratory policies, standards and regulatory requirements
- Maintains initial and re-qualification training requirements
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IDENTIFY AT LEAST ONE OPPORTUNITY FOR IMPROVEMENT AND ONE STRENGTH IN THE FIELDS BELOW.Areas for Development:
Areas of Strength:
Section D
What are your 2018 Goals and what actions will you take to accomplish these goals?
Please establish a minimum of two (2) goals.
Goal One:Actions to Accomplish Goal:
Goal Two:
Actions to Accomplish Goal:
Goal Three:
Actions to Accomplish Goal:
Employee Comments
Employee Comments may include the ways in which you learn best orwhat additional support is needed to further improve your job performance. You may also feel open to include other commentary if appropriate.
Employee SignatureEmployee Name (Print)Date
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