Performance Review
EMPLOYEE NAME /POSITION/TITLE
/ COMPANYSCIRE
DIVISION
/ DEPARTMENT / LOCATION/ /
Long Beach VA
REVIEWING MANAGER/SUPERVISOR
/LAST REVIEW DATE
/CURRENT REVIEW DATE
Performance Rating
/ Fails to meetStandards / Needs to improve to meet Standards / Fully meets
Standards / Exceeds
Standards / Far exceeds
Standards
General Performance Factors /
RATING
/ COMMENTSQuality – Degree to which finished assignments are done accurately, completely and in accordance with guidelines.
Quantity – Amount of work produced as compared with the expected standard for this position.
Dependability – Reliability in completing assignments within established deadlines and schedules; also, consistency in attendance and meeting other general work rules.
Initiative – Extent to which employee sees what needs to be done and does without being told. Includes helping other employees, departments, and customers.
Organizational & Team Relationships – Effectiveness of peer, customer and supervisory relationships. Includes courtesy and sincerity, willingness to follow guidance from supervisor.
Specific Work Factors – Goal and Objectives for this Review Period
What can the employee do (within performance of current position) that would enhance their contribution to the organization? (may include goals / factors upon which employee will be rated next period)What is the employee’s longer-term objective for employment with the company/organization? (Optional)
What development is recommended for the employee? Include both on and off the job training opportunities and other development that would enhance employee’s ability to achieve the goals indicated in the above sections.
Overall Rating (circle one)
/ Fails to meetStandards / Needs to improve to meet Standards / Fully meets
Standards / Exceeds
Standards / Far exceeds
Standards
Provide specific comments concerning employee’s accomplishments / performance which most significantly affected overall rating.
SUPERVISOR OR REVIEWER’S SIGNATURE / DATE
EMPLOYEE’S SIGNATURE** / DATE
**Acknowledges receipt only. Comments can be provided on this form or on a separate sheet if desired.
F-FS034 Page 1