StaffDialoguefor Direction Form

The University’s performance review program, called DialogueforDirection, provides the staff member and supervisor with a set process for facilitating discussion and planning for individual contribution to the unit, department and University missions. This process is critical because theUniversity links performance with pay.

Staff Member Name:

Job Title:

Department/College:

Time in Position:

Supervisor Name:

DISCUSSIONOFJOB.The supervisor and staff member are expected to discuss keyduties andresponsibilities of the position as described on the staff member’s formal job description. Signatures noted herein will signify that this discussion has occurred.

Note: If the job description requires a change to content, please contact your HR Manager to initiate this process.

I.STAFFMEMBERPLANNINGOFOBJECTIVESANDIMPROVEMENTS–The staff member identified above should identify his/her viewpointregardingperformance objectivesand/orimprovementsaswellaswhatcanbedonetohelphim/her become more effectiveoverthenextyear.

II.SUPERVISORPLANNINGOFOBJECTIVES,PRIORITIESANDEXPECTATIONS–Identify performanceexpectations,includinganynewresponsibilities,tobeachieved overthenextyear.

III.EVALUATIONOFCOMPETENCYAREAS–Identify the demonstratedlevelof job performanceduring the evaluation period as itrelatestoeachcompetencyareanotedbelow using the following scale:

1–Exceeds expectations

2–Meets expectations

3–Does not meet expectations

[]JobKnowledge–Understands and effectively executesofthekeydutiesandresponsibilitiesoftheposition.

[] PlanningandOrganizing–Setsappropriatepriorities;plans and organizes workload accuratelyandthoroughly to completeassignmentswithinestablishedtimeconstraints.

[] Innovation and Change– Actively supports and adapts to new ideas and approaches; displays creativity when developing, evaluating and/or implementing ideas which drive efficiencies and continuous process improvement(s).

[]Problemsolving –Anticipatesissues and/or problemsby acquiring information,analyzingandevaluatingappropriatealternativesandtaking initiative toresolvematters inatimelymanner.

[]QualityofWork–Accurately,skillfullyandthoroughlycompleteddutiesand responsibilities withappropriateattentiontodetail; actively supports others to promote high-quality work.

[] Customer Support– Expresses thoughts clearly and respectfully; demonstrates effective listening skills; performs all duties in full support of the University’s mission, understanding that the positive and effective execution of these duties are instrumental to the education of the University’s students.

[] Collaboration and Teamwork– Exhibitswillingnesstobuild positive relationships;promotes a welcoming and inclusive environment; collaborates with and supports co-workers; cooperatesandinteracts with others inapromptandcollegialmanner;keepsothersinformedandresolvesconflictswhen necessary.

[]Attendance–Demonstratespunctuality, dependability and readinessto meet the needs of staff, faculty, students and the general public promptly, efficiently and professionally at all times.

[]TrainingandProfessionalDevelopment–Demonstratesanunderstandingoftheimportanceofprofessionaldevelopment and viewstrainingasanessentialcomponentoftheposition. Participates in educational training programs that are expected by the University. Actsproactivelytocontinuouslyupgradeskillswhichenhancejobperformance.

[]UniversityResources–Demonstratesanunderstandingoftheimportanceofmaintainingprudentfiscal operations inanefforttoensuretheeffectivemanagementofdepartmentalresourcesaswellas compliance withP-card,purchasing,giftandotherexpensepolicies.

[]UniversityPolicies–DemonstratesanunderstandingofUniversitypoliciessuchasdiversity,civility, general expectations,sexualharassmentprevention,healthandsafety,progressivediscipline,grievances, access/disclosureofemployeerecords/Universityproperty,drug-freeandalcohol-freeworkplaceand privacyofmedicalinformation.

[] OtherCompetencyAreas(asidentifiedbythesupervisor

Commendationisdueonthefollowingaspect(s)ofyourjobperformance:

Improvementinyourjobperformancemaybeattainedinthefollowingway(s):

Additionalcomments:

Youroveralljobperformanceis:]Exceeds expectations

Meets expectations

Does not meet expectations

Supervisor’sSignatureDate

IV.STAFFMEMBER’SCOMMENTS

IacknowledgethatIhavebeengiventheopportunitytoreadanddiscussthisreviewwithmysupervisor.IunderstandthatifIdisagreewithanyoftheinformationcontainedherein,thatImaysubmitawrittenstatementexplainingmypositionwhichshallbemaintainedasapartofmypersonnelfile.MysignaturedoesnotnecessarilysignifythatIagreeordisagreewiththisreview.IunderstandthatImayhaveacopyofthisreviewandtheoriginalwillbeplacedinmyofficialpersonnelfile.

Employee SignatureDate

Revised1/2017