PART I

EMPLOYEE SELF-APPRAISAL

(To be completed by ALL employees)

Appraisal Period – March 1, 2006 through February 28, 2007

EMPLOYEE NAME: POSITION TITLE:

______

DEPARTMENT:SUPERVISOR:

______

STATUS: (CIRCLE)DATE OF SELF-APPRAISAL:

BI-WEEKLY MONTHLY

Please review carefully your accomplishments during the past rating period. This appraisal focuses on factors, which determine the quality of your overall performance and indicates areas, which may require further development. This appraisal is a summary of your performance and will be regarded as a permanent record of performance. The ratings are as follows:
5=EXCEPTIONAL – Truly outstanding performance that results in extraordinary and exceptional accomplishments with significant contributions
to objectives of the department, division, and the university.
4= ABOVE EXPECTATIONS – Meets and consistently exceeds the job description requirements.
3= MEETS EXPECTATIONS – Fully satisfactory. Fulfills job description requirements.
2= BELOW EXPECTATIONS – Partially meet job description requirements. Remedial plan should be developed.
1=UNACCEPTABLE–Does not meet key objectives or requirements. Termination may be recommended.

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2

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3

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4

/ 5 / NA / COMMENTS

Technical & Professional Knowledge

Remains current on technical developments in necessary area of expertise. Possesses in-depth professional knowledge of the field. Seeks new knowledge as necessary.

Communication Skills

Communicates clearly and concisely both orally and written form. Listens and processes information well and in a timely fashion. Provides clear instructions and guidelines. Shares information with others.

Interpersonal Skills/Service Oriented

Ability to interact effectively and courteously, tactfully and efficiently with, internal and external constituents. Fosters community and builds peer relationships. Team player.

Need for Excellence/Work Quality

Strives to achieve highest standard of excellence. Meets work standards and deadlines. Provides dependable results.

Work Reliability

Accomplishes primary mission of position or function and achieves results in a timely fashion. Plans and organizes work to meet priorities and goals.
Decision Making
Capable of gathering facts, analyzing problems, identifying and implementing solutions. Exhibits sound judgment.
Leadership/Initiative
Takes charge of situations as necessary. Assumes more responsibility. Coaches, motivates, and develops others. Serves as a role model. Acts independently, as appropriate. Promotes innovative changes.
Fiscal Responsibility
Cost conscious. Operates within budget guidelines. Identifies, selects and implements the most cost effective procedures, products and services to conduct business efficiently. Identifies areas of savings for the community.

Diversity/Pluralism

Recognizes the special obligation of promoting a multicultural community based on mutual respect and tolerance. Understands and appreciates other cultures.

Attendance & Punctuality

Attendance dependable and punctual.

OVERALL RATING: (Please circle one)

5= Exceptional 4=Above Expectations 3= Meets Expectations 2= Below Expectations 1=Unacceptable

PART II

EMPLOYEE SELF-APPRAISAL

(To be completed by ALL employees)

EMPLOYEE NAME: ______

ASSESSMENT AND DEVELOPMENT SUMMARY:

______

Please detail the accomplishments and notable achievement you have made over the last appraisal period.

______

Goals for upcoming appraisal period:

______

Training and professional development sessions you’d like to attend in the coming year to accomplish these goals:

Customer Service____Technology Training (please specify)______

Communication Skills____WritingSkills____

Time Management/Organization____Presentation Skills____

Supervisory Training (if applicable)____Wellness related (please specify)______

Leadership Development (if applicable)____Other (please specify)______

______

Please identify any obstacles standing in the way of successful performance of the job. Also, please identify areas where your supervisor may assist you in achievingthe goals you have set for yourself in the coming year:

______

Employee Comments:

______

Employee Signature DateSupervisor SignatureDate

JOB DESCRIPTION CHANGED □ YES □NO

PART III

SELF-APPRAISAL OF SUPERVISORY SKILLS

(To be completed by employees with supervisory responsibilities ONLY)

EMPLOYEE NAME: ______

This section should be completed by those employees who have supervisory responsibilities. Use the comment section to explain strengths

and weaknesses in each area.

1. Planning and Organization. Ability to forecast, set objectives, anticipate changes; secure and budget resources effectively, structures

tasks, and establishes priorities.

Comments: ______

______

______

______

2. Leadership. Ability to take charge of situations. Able to select, direct and coordinate activities of others for performance efficiency,

assumes more responsibility, or prepares for future job opportunities. Coaches, motivates, and develops others. Serves as a role model.

Makes decisions and communicates clearly.

Comments: ______

______

______

______

3. Control. Identifies, measures and reports results, evaluates and corrects performance, directs policy and procedures, operates within

budget. Establishes realistic cost projections for specific operation/projects; performance against budget; effective use of people and funds.

Comments: ______

______

______

______

4. Affirmative Action/Equal Opportunity/Pluralism/Diversity. Takes positive steps to recruit, and promote individuals from groups

that have traditionally been discriminated against on the basis of race, gender, disability, or other characteristics. Prevents discriminatory conditions, whether inadvertent or intentional, and treats all employees equal in the workplace. Is sensitive to issues relative to race, gender, color, handicap, sexual orientation, etc.

Comments: ______

______

______

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