Annual Staff Performance Appraisal

Employee Name:Position Title:

Department: Supervisor:

Evaluation Period: July 1, 2016 through June 30, 2017

Instructions:

Using information from the entire evaluation period, provide feedback to the staff member on each factor listed below. The staff member will provide his/her feedback through the Pre-Appraisal Questionnaire. Once the appraisal has been reviewed with the staff member, forward the appraisal to your divisional head for signature. Return completed forms to the Office of Human Resources.

Definition of Ratings

3Exceeds expectations

2Consistently meets expectations

1Needs improvement

N/A Factor does not apply

Performance Factors

1.Job Responsibilities: 1 2 3 N/A

Using the summary headings on the employee’s job description, to what extent does the

employee meet his or her responsibilities?

Comments:

2. Reliability/Dependability: 1 2 3 N/A

To what extent does the employee report to workaccording to schedule and job demands?

Comments:

3.Work Results: 1 2 3 N/A

To what extent does the employee's work meet the required quality standard, i.e., accuracy, neatness,timeliness, thoroughness?

Comments:

4.Professionalism: 1 2 3 N/A

To what extent does the employee treat faculty, students and staff with respect, responding to each in a positive, supportive, and service-oriented manner consistent with the College’s First Principles?

Comments:

  1. Data Security: 1 2 3 N/A

To what extent does the employee protect the use and maintenance of personal identifying information or other confidential information to which access is available?

Comments:

Supervisor’s Additional Comments (use attachments when necessary):

Goals for FY18:

Employee: ______

Signature Date

My signature indicates acknowledgement that I have received had an opportunity to review and discuss this appraisal with my supervisor, and does not imply that I agree with the information contained.

Supervisor: ______

Signature Title Date

Division Head: ______

Signature Title Date

Employee Pre-Evaluation Questionnaire

  1. What went really well for you during this evaluation period?
  1. What was hard for you during this evaluation period?
  1. Do you have the tools you need to do your job well? If not, what do you need?
  1. Is there anything else you would like for me to know?

August 2017

CONFIDENTIAL1