Performance Appraisal Form - Free Download
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Distribution: Original – Human Resources Copy – Supervisor Copy - Employee
STAFF PERFORMANCE APPRAISAL FORM
NAME: _________________________________________________ EMPLOYEE ID NO: __________________________
DEPARTMENT: ___________________________________ CLASSIFICATION TITLE: ___________________________
TYPE OF APPRAISAL:
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.
QUALITY OF WORK:
RELATIONS WITH OTHERS:
COMMITMENT TO SAFETY:
SUPERVISORY ABILITY: (applicable only to designated supervisor
OVERALL APPRAISAL RATING: (one CATEGORY must BE