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Performance Evaluation Template
Performance Evaluation Form 3
PERFORMANCE EVALUATION FORM
SUPPORT STAFF
Date:__________
Name:_____________________________________________ Position Title:____________________________________
Department:____________________________ Immediate
Supervisor/Title:______________________________________
Department Head/Title:__________________________________________ Review Period: ___Probationary ___Annual
INSTRUCTIONS: This form will be completed at the end of an employee’s probationary period and annually thereafter by the
employee’s immediate supervisor. The supervisor may also ask the employee to complete a self-appraisal. The supervisor’s
evaluation is to be reviewed by his/her immediate supervisor. Once the review has been conducted, a copy is given to the
employee, a copy retained by the supervisor, and the original sent to Human Resources.
Rate the employee’s performance relative to time in position by checking the most appropriate rating. Make an explanatory
comment to support your rating, and where possible cite specific examples of behavior that led to the rating. When
performance does not meet expectations, list specific goals for improvement and the date you expect them to be achieved.
Not Does not Meet Meets Exceeds
Applicable Expectations Expectations Expectations Comments
Job Knowledge: The extend
to which the incumbent is familiar
with policies and procedures
applicable to the position and able
to work independently. ________ ________ ________ ________
Productivity: The volume of
acceptable work produced. Ability
to organize and prioritize work; utilize
time well and fully meet deadlines. ________ ________ ________ ________
Quality: The ability to complete
work accurately and neatly to meet
quality standards. ________ ________ ________ ________
Responsibility/Initiative:
Acceptance and fulfillment of work
assignments, leadership, intelligent
decision making. ________ ________ ________ ________
Relationships: The ability to
establish and maintain effective
relationships with others with whom
interaction is required in the
performance of the position. ________ ________ ________ ________
Adaptability/Resourcefulness:
The ability to adjust to change with
a minimum of disruption to productivity.
Ability to contribute useful ideas for
improved performance of the position. ________ ________ ________ ________
Attendance/Punctuality:
Absences in this review period: _______ days; _______occurrences.
Latenesses in this review period: _______occurrences.
Supervisory Skills: The ability
To get effective results from others. ________ ________ ________ ________
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