Employee Name: / Position:
Department: / Reviewer:
Performance Rating Scale
Exemplary / Advanced / Proficient / Developing / Unsatisfactory
Outstanding and consistent performance that far exceeds all normal expectations for each aspect of the job. / Frequently exceeds normal performance expectations for most key job aspects of the job. / Meets normal job requirements in accordance with established standards and may exceed requirements for some job tasks. / Overall performance acceptable but improvement needed in one or more significant aspects of job. / Does not achieve acceptable or satisfactory performance in the major aspects of job.
5 / 4 / 3 / 2 / 1
Category Evaluation:Each rating should include a comment however rating of a 5, 2, or 1 must include specific statements to explain the reason for that rating. Employees should be given an opportunity to give input on job performance with the supervisor before the final evaluation is complete.
Category / Comments / RatingQuality of Work: Consider the accuracy, thoroughness, and neatness of work performed.
Productivity:Consider the amount and timeliness of satisfactory work completed and whether the employee consistently meets established or reasonable deadlines.
Job Knowledge: Consider the extent to which the employee understands and applies his/her knowledge of the techniques, methods, and skills involved in the job.
Dependability & Responsibility: Consider the reliability and consistency of the employee’s work. Also, consider the employee’s attendance record.
Initiative: Consider the exercise of independent judgment and innovation within the employee’s limits of authority and the amount of supervision required.
Interpersonal Skills:Consider the employee’s ability to work cooperatively with others, resolve conflict, and help others. Also consider customer relations, telephone technique, and so on.
Individual Development: As noted from last review.
Other: Define and rate another significant performance factor if appropriate.
Total Score
Employee has been given a chance to provide pertinent information prior to the evaluation being completed:☐ Yes☐ No(employee checks one)
Employee ☐ Concurs☐ Does Not Concur with the rating(s).(employee checks one)
**Performance and Development Plans begin on next page**
Performance Plan for Next Period: (include expected accomplishments and measurement criteria)Employee Initials:Development Needs: (areas of knowledge or skill to develop that will improve job performance)Employee Initials:
Reviewer’s Additional Comments: (if necessary)
Employee’s Additional Comments:(if necessary)
Signatures:
Reviewer / Date
Reviewer’s Supervisor / Date
Department Head (if applicable) / Date
Employee (Does not necessarily signify agreement) / Date
Page 1 of 3Revised: 10/29/2018