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Performance Appraisal Form
Performance Appraisal Form
Distribution: Original – Human Resources Copy – Supervisor Copy - Employee
STAFF PERFORMANCE APPRAISAL FORM
NAME: _________________________________________________ EMPLOYEE ID NO: __________________________
DEPARTMENT: ___________________________________ CLASSIFICATION TITLE: ___________________________
TYPE OF APPRAISAL:
ANNIVERSARY SPECIAL
A
PPRAISAL PERIOD: FROM: __________________________ TO: ____________________________
This form must be returned to the Division of Human Resources by ________________. If the form is not received by this
date, rating will automatically default to Achieves Performance Standards.
INSTRUCTIONS: This appraisal form must be completed by the immediate supervisor
based on performance standards previously established. If the selected category is
“Achieves Standards” the supervisor must indicate the level of rating: M=Marginal or P=
Proficient. If the overall is Achieves Standards Marginal or Below Standards, the
supervisor must contact the Employee and Labor Relations Department for assistance in
implementing a Performance Improvement Plan.
EXCEEDS
STANDARDS
ACHIEVES
STANDARDS
BELOW
STANDARDS
JOB KNOWLEDGE:
QUALITY OF WORK:
PRODUCTIVITY:
DEPENDABILITY:
ATTENDANCE:
RELATIONS WITH OTHERS:
COMMITMENT TO SAFETY:
SUPERVISORY ABILITY: (applicable only to designated supervisor
positions)
OVERALL APPRAISAL RATING: (one CATEGORY must BE
CHECKED)
M
P
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