Annual Planning and Evaluation Form
ANNUAL PLANNING AND EVALUATION FORM
TUTT LIBRARY
Evaluation Period:Employee Name:
(From) (To)
Position title:Department:
Date in Position:Date of Hire:
Supervisor/Reviewer:Length of time reporting
to this Supervisor:
Yes No
The job description for this position was reviewed and is current and accurate
A mid-year meeting was conducted to discuss goals and performance.
Evaluation Summary
Goals for next year:
Development plan:
Supervisor’s summary:
Supervisor’s signature ______Date ______
Employee’s signature ____Date ______
Staff Self Evaluation (draft to be completed before meeting with supervisor)
- Primary job responsibilities: Review your job description and your goals from last year’s review. What responsibilities do you think you have handled very well in the last year? What were your major accomplishments? Are there aspects of your job that have been particularly challenging and why? Were there obstacles to accomplishing your goals or did your goals change during the year?
- Service to library: describe committee contributions, special projects.
- Service to CC and community: committee contributions, volunteer activities, etc.
- Professional contributions and activities: conferences, presentations, publications, service to professional associations, classes taken.
- Comments on training or professional opportunities you would like to have or suggestions for job renewal or change.
- Proposed goals for 2006
Supervisor’s Comments (draft to be completed before meeting with staff member)
Primary job responsibilities: Review job description. Comment on specific aspects of job performance that staff member has performed well. Note areas that are problematic and need discussion. Comment on job knowledge, decision making, resource management, and supervisory skills as appropriate to this job.
Core competencies: The college has developed a list of core competencies that are applicable to most jobs. (See attached examples from page 4 of the CC Annual Planning and Evaluation Form). Comment on how well this staff member meets expectations for the following.
Communication Oral and Written)- Effectively communicates with internal and external constituencies to anticipate problems and ensure effectiveness.
Accountability- Demonstrates responsible personal and professional conduct, which contribute to the overall goals and objectives of the college.
Initiative/Problem Solving- Evaluates tasks and problems, and selects appropriate courses of actions.
Safety- Fosters and sustains a protective culture for safety health and the environment.
Productivity/Planning-- Practices thoroughness, accuracy, dependability, and organizational skill.
Working Relationships- Works effectively with colleagues.
Customer Service- Works effectively with all constituents to satisfy service expectations.
Leadership.
Goals for the department and suggested goals for this position for the coming year.
Reflect on how this position supports the department and the library. List goals you want to discuss with the staff member for inclusion in their personal goal statement.