Form A. Please read the guidelines before completing this form

The Children's Aid Society

First Annual Performance Evaluation

Employee name: / Job Title: / Date of evaluation:
Program: / Purpose of evaluation: / Annual / Other:
Review period from: / To: / Anniv. date: / Yrs with CAS/in this position:

Use the comments section to explain ratings. For ratings of M or less an explanation is required.

Form A. Please read the guidelines before completing this form

U = Unacceptable. Needs immediate improvement.

N = Needs improvement

M = Meets expectations

E = Exceeds expectations: Consistently meets and sometimes exceeds expectations

O = Outstanding: Consistently exceeds expectations

Form A. Please read the guidelines before completing this form

Supervisor's rating / Employee's assessment
Performance category / U / N / M / E / O / U / N / M / E / O
Level of skills and knowledge. Note here the main functions of the job, or attach a complete job description.
Attendance, punctuality, dependability, consistency (note: absences covered by the Family and Medical Leave Act will be excluded)
Quality of work, thoroughness, attention to detail
Productivity, time management and organization skills
Motivation, attitude, cooperation and teamwork
Communication skills
Problem-solving and judgment
Adaptability and flexibility
Creativity and initiative
Adherence to CAS policies, use of agency resources
Professional demeanor and customer service
Overall rating
U / N / M / E / O / U / N / M / E / O

Comments Section

Please list specific behaviors that employee should exhibit in order to achieve an "Outstanding" rating on each category and note any examples of exemplary performance.
Supervisor's comments / Employee's comments

Performance and Achievements Summary

Supervisor's evaluation / Employee's assessment
Significant achievements over the year
Particular strengths
Areas of weakness and areas where improvement needed
Action Plan for improvement
Obstacles encountered
Assistance needed from supervisor
Suggestions on how to improve the program/department

Goals for the coming year. Note: goals should be Specific, Measurable, Achievable, Relevant to the job and Time oriented

Supervisor's / Time frame in months / Employee's
1 / 1 / 3 / 6 / 12 / Other:
1 / 3 / 6 / 12 / Other:
2 / 1 / 3 / 6 / 12 / Other:
1 / 3 / 6 / 12 / Other:
3 / 1 / 3 / 6 / 12 / Other:
1 / 3 / 6 / 12 / Other:
Supervisor's / Employee's
Recommendations for professional training and development
Career goals with CAS

Signatures:

Employee*: / Date:
Immediate Supervisor: / Print name and date:
Department Head: / Date:

*Signing this evaluation acknowledges that you have received it and it has been explained to you. It does not indicate agreement with everything in the evaluation. If you disagree with any statements, you should put your comments in writing and attach them to the evaluation.