University of Illinois at SpringfieldPerformanceEvaluation

☐Academic Professional☐3 MonthProbationary

☐CivilService☐6 MonthProbationary

☐SelfEvaluation

☐12 Month Probationary

(For intra-departmental use only)☐AnnualEvaluation

Markallthat apply

NameTitle

DepartmentDivision

SupervisorTitle

ReviewPeriodApril 1, 2013toMarch 31, 2014Duein the Office of HumanResources on or before June6, 2014.

The performance levels are asfollows:

PerformsCommendably:Employeesin thiscategory are fully competentandmeetexpectationsinall job responsibilities

NeedsImprovement:Performance isbelow jobrequirements, but improvement is anticipated

Unacceptable: Job performancemust be improvedsubstantially to be acceptable

ExceedsExpectations: Indicatesexceptionalperformance - They generallyexceed the established goalsfortheirposition.

Insufficient Opportunityto Observe:Usedforacademicprofessionalemployeeswhenanemployee hasbeen in a positionforlessthanthreemonths

Complete definitions of factors and performance levelsareavailable in the handbook

Place an"X" in the boximmediately to the left of the selectedrating.Commentsare requiredforallratingsexcept“PerformsCommendably.” Thecategory “InsufficientOpportunity to Observe” is for useby supervisors of AcademicProfessionalstaffonly.

A.Job Knowledge:Demonstratesknowledge andskillsnecessary to performthejob effectively.Understandsthe expectationsof the joband remainscurrentregardingnewdevelopments, technologies, methods, theories, approaches, andprocessesinarea of responsibility.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

B.Judgment:Anticipatesandidentifiesproblems;proposesandevaluatesalternative solutions;isopen to new or differentsolutions.Follows up onproblemsandhelpstobringaboutresolution.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

C.ReliabilityandCommitment to the Job:Worksefficiently;usestimeeffectively;takesinitiative inaddressingproblems.Meets thework schedule expectations oftheposition.Demonstratesflexibility andwillingness to assistby takingondifficult or inconvenientresponsibilities.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

D.Customer Service:Listens to and understands the needsof the service recipient, whetherinside or outside the University, andrespondstothose needs.☐PerformsCommendably ☐NeedsImprovement ☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

E.Productivity:Deliversaccurate andthoroughworkproduct to consumers in a way thatreflectscreditupon the unitand the University.Completesanadequate volume ofworkandestablishesappropriate priorities for fulfillingvariousjobtasks.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

F.CommunicationSkills:Effectively conveysideasandinformation in writing and/ororally.Contributes to anenvironmentthatencouragescommunicationwithindepartmentsandthroughoutthe campus.Demonstratesrespect for allindividuals.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

G.Teamwork,Cooperation,andInterpersonalSkillsEstablishesandmaintainseffective workingrelationshipswithothers.Followsinstructionsofsupervisorandresponds to requestsfromotherson the teamin a helpfulmanner. Displays a positive attitude towardothersandworkresponsibilities.Participates in processesthatencourage diversityandequalopportunity.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

H.SupervisionandLeadership:Complete onlyfor individualswithsupervisory responsibility.

Appliessound, acceptable supervisory practices in the execution of his/hersupervisory responsibilities.

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Comments:

I.OverallAssessment:

☐PerformsCommendably☐NeedsImprovement☐Unacceptable

☐ExceedsExpectations☐InsufficientOpportunity to Observe

Commentsare required forallrankingsunder the OverallAssessment.

Achievement of Goals:

Were goals for thisperiodfully achieved?☐Yes☐No☐N/A

Comments:

Were significantaccomplishmentsachievedthatwere not statedgoals?☐Yes☐No☐N/A

Comments:

If some goalswere not achieved, or were not achieved in a timely fashion, explain the reason.

Comments:

NewAnnual Goals: The employeeandsupervisorare to write mutually agreeduponworkrelatedgoalsfor the followingyear.Progresstoward thesegoalsandobjectives will be assessed inthe nextperformance evaluation.

Employee Comments:

I understand the contents ofthis performance review.

I understand, but disagree withthe contents ofthis performance review.

I donotunderstand the contentsof thisreviewand statewhy in the “Employee Comments”section.

I wouldlike the nextlevelsupervisor to talkwith mysupervisor andme about thisreview.

Allemployeesmustsigntheir evaluations to showtheyhave readthem. Signingdoesnot meanthatthe employee necessarilyagreeswith thecontents.

Employee SignatureDate

Supervisor SignatureDate

_

Dean/Director (if applicable)Date

DivisionHeadSignatureDate

**It is the responsibility of the employee’simmediate supervisortoreview andexplainthe resultsof the performancereview with the employee.The Dean/Director/DivisionHeadwill alsosignandreview andapprove the performance review form. If the review bythe supervisor is notapproved, it shall bereturned to the Supervisorfor a reassessment of theemployee’sperformance.