Part a Information on the Evaluated Officer (Pyd)

CONFIDENTIAL /
UNIVERSITI MALAYSIA SABAH
TEACHER PERFORMANCE EVALUATION FORM FOR YEAR 2010
Evaluation Period :______until______
Position: ______Category:_____
Teacher Performance Evaluation Objectives
1. / To measure a teacher’s performance in fulfilling university’s objectives.
2. / To get the actual comparison of achievement for yearly working goals.

PART A – INFORMATION ON THE EVALUATED OFFICER (PYD)

(To be completed by PYD)

i. / Name / : / ______
ii. / UMS No. (PER) / : / ______
iii. / Passport No. / Identity Card No. / : / ______
iv. / School/Centre/Institute/Unit / : / ______
v. / Programme / : / ______
vi. / Salary: Grade / : / P ____ T ____ RM ______x 12 = RM ______
a. Allowances / : / RM ______x 12 = RM ______
b. University Loan/Government/Private / : / RM ______x 12 = RM ______
c. Total [Salary+(a)-(b)] / : / = RM ______

Note: Include apendices if the space provided is not sufficient and tick in the provided space.

PART B: PROFESIONALISME ASPECTS

(To be completed by PYD) Please fill in the spaces with new information.

1.Latest academic qualification(s) obtained this year.Enclosed copies of certificates.

NO. / ACADEMIC QUALIFICATION / DATE
(date-month-year) / UNIVERSITY / DEGREE SERIAL NO. / SPECIALIZATION
(a) / Masters Degree:
(b) / Doctorate:
(c)
(d)

2.Acknowledgement of Professional Bodies/ Skills/ Academic. Enclosed copies of Membership Certificates.

NO / SKILLS/ACADEMIC MEMBERSHIP / SPONSORSHIP
(a)
(b)
(c)

3.Award and Recognition (Star of Order/Recommendation Letter/Appreciation). Enclosed copies of Award Certificates.

NO / STAR OF ORDER, AWARD AND RECOGNITION / AWARD / DATE
(date-month-year) / RANK
a.
b.
c.

4.Language/Computer Skills. Appendices.

(i)Language (except forthe first language/mother tongue and English Language).Scale :Fluent:10 Good: 7.5 Fair: 5 Poor: 3 Not fluent: 0

LANGUAGE / SPEAKING / WRITING / READING / PRESENTATION / PUBLIC SPEAKING
a.
b.
c.

(ii)Computer

Level: A= Basic S= Moderate L= Advance P= Skilled

COMPUTER / LEVEL / SOFTWARE / RECOGNIZED BY
Word Processing
Spread Sheet
Presentation
Database
Programming
Networking
Operating Systems
Drawing

PART C: CAREER DEVELOPMENT/ HUMANITY.

(To be completed by PYD)

1.Courses, Trainings, Seminar and Workshops attended this year. Enclosed copies of certificates.

No / Name or Area of Course and Training
(State the name of certificate) / Date (date-month-year) / Certificate No. / Organizer
Begin / End
a. / General Induction Course
b. / Specific Induction Course
c. / Special Teaching and Learning Course
d.
e.
f.
g.
h.

2.Courses, Trainings, Seminars, Worshops and other type of trainings needed. Appendices.

No / Name or Area of Course and Training / Reasons
a.
b.
c.

PART D: DISCUSSION, COUNSELLING AND MOTIVATIONAL SESSION

(To be completed by PYD)

Frequency of discussion between you and your superior or other superior on matters relating to work and personal problems in order to increase your work performance during the evaluated year

No. / TYPE OF EVALUATOR / FREQUENCY / TIME / TOPIC OF DISCUSSION
(i)
(ii)
(iii)

2.Frequency of you getting specific advices, conselling and motivation from your immediate superior or other superiors.

No. / TYPE OF EVALUATOR / FREQUENCY / TIME / TOPIC OF DISCUSSION
(i)
(ii)
(iii)

3.Frequency of discussion, dialogues and ideas development session or contribution between you and your immediate superior or other superior on matters relating to strategy planning, development of quality and production by Programme, Institute, School, University during the evaluated year.

No. / TYPE OF EVALUATOR / FREQUENCY / TIME / TOPIC OF DISCUSSION
(i)
(ii)
(iii)

4.Does the meeting help you? YesNo

5. How far does the meeting assist you in developing your career? State reasons.

______

PART E: SUITABILITY OF OCCUPATION

(To be completed by PYD)

1.State the suitability of your occupation.

(Tickthe relevant box)

(a)Subject of Work(area of expertise)

(b)Working place

(c)Working Environment

2.State reasons if you find the occupation does not suit or less interesting:

______

PART F: WORK AND CONTRIBUTION ASPECTS

(This part should be completed by PYD and approved by the Head of Department)

1.Teaching Load

(i)Teaching

No / Responsibility / Course Code / Hour Per Semester / No of Students
1. / Lecture
2. / Tutorial Seminar
3. / Field Work
4. / Consultation Work
5. / Laboratory/Workshop Work

(ii)Teaching (Clinical)

No / Task / Posting / Posting Hour / Total Per
1. / Ward Teaching
2. / Tutorial/Seminar and Lecture/Meeting/Conference of Learning Package
3. / Clinical Teaching/Demostration
4. / Counselling Works (for example, on weak students)
5. / Laboratory/Workshop Work

2.Teaching Load

(i)Supervision (non-clinical)

No / Task / Course Code / Candidate’s Name / Hour Per Semester / Total No. of Students
1. / Practical/Project Paper
2. / Diploma/Practicum/Training/Project
3. / Masters Thesis
4. / Doctorate Thesis
5. / Others (please state)

(ii)Teaching (clinical)

No / Task / Course Code / Candidate’s Name / Hour Per Semester / Total No. of Students
1. / Academic Training/Project Paper/Case Writing
2. / Practical Training (End Posting Examination)
3. / Masters Thesis/disertation
4. / Others (please state)

3. Teaching Load/Effective Education based on University’s procedure.

Semester I ______hour/a week

Semester II ______hour/a week

4.Publication/Writing

(Enclosed copies of publication/writing abstract)

Type / Title / Associate Writers (List the names) / Journal/Prosiding Name Jurnal/Pascasidang / Volume / No of Pages / Publication Date
Book
Monograph
Article
Prosiding
Translation
Others (Technical Report, manuscript, and other unpublished paper works)

5.Innovation

No / Name of Innovation / Date of Approval by Department/Faculty / A patent Date/Software Copyright / Registration No
1
2
3

Reseach

No / Title / Area of Research / Sponsorship / Duration of Completion / Completion Date/Expected Completion Date / Status
1
2
3
4
5

7.Consultation/Development

No / Title / Area of Research / Sponsorship / Duration of Completion / Completion Date/Expected Completion Date / Status
1
2
3
4
5

8.Clinical Works (Average)

Clinic Management (Hour Per Month) / Patient Management (No of patient in a month / Active / On-call (Days Per Month) / Passive

9.Conference/Seminar/Workshop/Colloquium/Symposium and others.

No / Title of Conference and others / Category of Conference / Role / Date and Venue / Level
1
2
3
4

10.Administration/Contribution to Unit/Department/School/Centre/University

a)Position :______

b)Membership in University Committe Member

(does not include membership of ex-officio status or position)

______

ii.______

iii.______

iv.______

v.______

c) Other matters that you may have contibuted to Unit/Department/Institute/Centre/School

______

ii.______

iii.______

11.Community service (other than mentioned above). List down your participation in organization, board, committee member, general/popular writing, public workshop/forum/talk, sport and multi level welfare works.

______

ii.______

______

iv.______

v.______

12.Confirmation of the evaluated officer (PYD)

I, hereby, confirm that all statements given in Parts A until F is valid.

Signature: ______Date : ______

13.Confirmation by Dean/ Director/ Head of Department (PPP)

To my knowledge, all the information given in this form is valid.

Signature: ______Date : ______

14.Confirmation by the Vice Chancellor/ Deputy Vice Chancellor (PPK)

To my knowledge, I, hereby, confirm that the information given in this form is valid.

Signature: ______Date : ______

PART G: RELATIONSHIP WITH PYD

(To be completed by the immediate superior, PPP)

1.PYD Supervision

OfficialDuration:YearMonth

Non-officialDuration:YearMonth

2.Are you related to (be it through inheritance or marriage) PYD?YesNo

If yes, please state the type of relationship.

Inheritance ChildrenGrand-childrenIn-laws

Marriage SpouseDaugther/Son in-lawIn-laws

Nephew/Niece

NOTE:If PPP is related to PYD, he is not qualified to do this evaluation.

3.Your official relationship with PYD.DirectlyIndirectly

4.The frequency of relationship between you and PYD in work matters.

Every day Always Seldom

5.PYD is supervised by:______

PARTH: EVALUATED ASPECTS

(To be completed by PPP and PPK)

H.1.ACADEMIC WORKS’ CONFIRMATION (PERFORMANCE) OF THE EVALUATED OFFICER

The score for this part is 75%.

Based on the works and contributions mentioned above, the first and second evaluation officers (PPP and PPK) will give marks in the provided spaces.

The scales of work quality are based on the followings:

10-9 / Excellent / The performance is always at the maximum level that has been determined (10) or frequently achieves the determined maximum level (9)
7-8 / Very Good / Sometimes the performance achieves the determined maximum level (8) or always precedes the determined maximum level (7).
5-6 / Good / At times the performance achieves the determined maximum level (6) or always precedes the determined maximum level (5).
3-4 / Low / The performance is frequently fulfilled the determined maximum level ( 4) or sometimes achieves the determined maximum level (3).
1-2 / Weak / The performance is frequently below the determined maximum level ( 2) or always below the determined maximum level (1).

The quantitative scale will also be based on the same scale used above.

The first and second evaluation officers should do the evaluation based on the actual achievement of the evaluated officer by comparing his or her determined yearly working goals and his or her controlled sources mentioned in SKT1 (Yearly Working Goals). The evaluation should be based on each detail of criterion mentioned by using the above scales.

Direction : Evaluation aspects from (i) until (x) are based on 5 criterion below.

Criterion;

1). QUANTITYOFWORK–the quantity of work is compared to the determined working goals from the legislation and management views, planning and coordination of program, project and activities.

2). QUALITYOFWORK–the quality of work should meet the assigned requirement.

3). COST EFFECTIVENESS–the actual total cost of sources used to produce or actual service is compared to the targeted goal and production or services.

4).PUNCTUALITY–the ability to comprehend and execute principles, regulations and administration instructions in order to improve the performance of public organization and services.

5).EXECUTION OF REGULATIONS AND ADMINISTRATION INSTRUCTIONS - the ability to comprehend and execute principles, regulations and administration instructions in order to improve the performance of public organization and services.

(i)Teaching: 15% (The quality should be based on students’ views and other determined factors)

CRITERION / PYD / PPP / PPK
1 / QUANTITY OF WORK / / /
2 / QUALITY OF WORK / / /
3 / COST EFFECTIVENESS / / /
4 / PUNCTUALITY / / /
5 / EXECUTION OF REGULATIONS AND ADMINISTRATION INSTRUCTIONS / / /
Average A : Total x 3
52 / / /

(ii)Supervision: 10% (The quality of supervision for graduates should be based on the views of responsible parties on the quality of graduates produced)

iii)Publication:10% (30 % for those taking sabbatical/study leave; 10% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

iv)Invention/Design: 10%(30 % for those taking sabbatical/study leave; 10% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

(v)Research: 10% (35% for those taking sabbatical/study leave; 5% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

(vi)Consultation/Development: 10% (35% for those taking sabbatical/study leave; 5% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

(vii)Cllinical Work: 10% (does not include those taking sabbatical/study leave; 5% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

(viii)Conferences/Seminar/Workshop/Colloquium and Others: 10% (5% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

(ix)Administration/Contribution to Department/Faculty/University: 5% (25% for administrators whose fiields are not related to pre-cllinical or clinical excluding Vice Chancellor/Deputy Vice Chancellor)

(x)CommunityService : 5%

H.2: KNOWLEDGE AND SKILLS OF THE EVALUATED OFFICER

The score for this part is 5%.

Aspects of Knowledge and Skill Scale:

10-9 / Excellent / Very knowledgeable and highly skillful in his/her field; certified by experts in the field and has become the source of reference by internal and external organizations.
8-7 / Very Good / Very knowledgeable and highly skillful in his/her field and has frequently become the source of reference by the organization.
6-5 / Good / Has enough knowledge and skill to execute tasks in the organization; has frequently become the source of reference in the organization.
4-3 / Low / Has poor knowledge and skill in his/her field and needs guidance from superior.
2-1 / Weak / Has no knowledge and basic skills in his/her field and needs supervision.
CRITERION / PYD / PPP / PPK
1. / Working Knowledge:
Will be evaluated based on the officer’s competence in executing responsibilities. / / /
2. / Time management in producing result/work:
Will be evaluated based on time needed to accomplish tasks. / / /
3. / Supervision Ability
Ability to use and apply main sources such as manpower, information and financial in order to achieve the organization and government’s goals by taking into account the changing surroundings. / / /
4. / Decision Making Ability:
(a) Ability to make firm and accurate decision that relates to organization’s goals, regulations, existing rules and goverment’s ojectives.
(b) Ability to make detailed decision- Will be evaluated based on the ability to make decision after considering background factors, problems as well as the advantages and disadvanges of proposed matter.
(c)Ability to make decision based on the suitability of time. Will be evaluated based on the decision made on the required time. / / /
5. / Problem Solving Ability:
Ability to identify problems and complicated issues in the organization and state, and to recommend various alternatives and to solve problems effectively. / / /
6. / Communication Efficiency:
Will be evaluated based on his/her ability to deliver clear, organized and effecient message, instruction, opinion and others in his/her career.
(a) Oral
(b) Written
(c) Able and efficient in establishing understanding about organizational principles, goals and strategy in order to nurture determination and dedication of officers from every level in conjunction with the organization and state’s goals.
(d)Acceptability– Will be evaluated based on the willingness to listen and accept other people’s opinion and advices. / / /
7. / Will be evaluated based on the ability to anticipate, take early action, suggest new ideas as well as to make changes and development in the execution of tasks, relevant and useable in achieving organization’s goals which are aligned with the state’s goals. / / /
Average U : Total x ½
7 / / /

Overall Review/Others by the First Evaluation Officer (if there is one)

PARTH.3: SELF ESTEEM (PERSONAL ASPECTS AND LEADERSHIP CHARACTERISTICS)

The score for this part is 10%

Marks should be given based on the following scales:

10-9 / Exellent / Always applying pure values to the highest level: honest, reliable, discipline, loyal, and firm, righteous and considerate.
8-7 / Very Good / Applying very good pure self-esteem values.
6-5 / Good / Applying good self-esteem values.
4-3 / Low / Lack of pure self-esteem.
2-1 / Weak / Never have pure self-esteem.
CRITERION / PYD / PPP / PPK
1 / Integrity:
Will be evaluated based on honesty, truthfulness, reliability, moral, consideration and righteous in doing tasks by not using power and position for self interest. / / /
2 / Righteous:
Considerate, warm and righteousin doing tasks. / / /
3 / Discipline:
Have self control mentally and physically including following the rules, being punctual and keeping promises, being patience as well as being organized and clean. / / /
4 / Leadership -
Have vision, ability to organize and monitor sources and organization, quality self-esteem that can be exampled, ability to make firm, accurate and detailed decision in order to achieve organization and state’s goals. / / /
5 / a) Responsiblity -
Will be evaluated based on responsibility and willingness to execute tasks.
b)Commitment -
Will be evaluated based on attentiveness and diligence as well as dedication of the officer in executing his/her tasks regardless of time and energy. / / /
Average P : Total
5 / / /

Overall Review/Others by the First Evaluation Officer (if there is one)

H.4: RELATIONSHIP AND COOPERATION OR SELF MANAGEMENT

The score for this part is 5%

Aspects of Relationship and Cooperation Scale.

10-9 / Excellent / The establishement of relationship/cooperation is strong, friendly and gives maximum benefitto the organization and community.
8-7 / Very Good / The establishement of relationship/cooperation of the internal and external organization is very strong, friendly and gives huge benefits to the organization and community.
6-5 / Good / The establishement of relationship/cooperation of the internal and external organization is strong, friendly and beneficial to the organization and community.
4-3 / Low / The establishement of relationship/cooperation of the internal and external organization is not that strong and friendly. It also contributes less benefits to the organization.
2-1 / Weak / The establishement of relationship/cooperation of the internal and external organization is not strong and friendly. It does not benefit the organization.
CRITERION / PYD / PPP / PPK
1 / Relationship with superior:
Will be evaluated based on loyalty, politeness, kindness, resfectfulness. / / /
2 / Relationship with downlines:
Will be evaluated based on his/her ability to lead, motivate, give example and encouragement in order to establish cooperation between workers. / / /
3 / Relationship with colleagues:
Will be evaluated based on cooperation, support and togetherness. / / /
4 / Relationship with students :
Will be evaluated based on his/her concern towards students’ problems, welfare and development. / / /
5 / Relationship with targeted group and civilian:
Will be evaluated based on good courtesy, friendliness, patience and understanding on the targeted group and civilians’ problems. / / /
6 / Diplomacy :
Will be evaluated based on efficiency and ability to manage effectively the relationship among individuals. / / /
7. / Relationship and Cooperation:
The officer’s ability, wisdom and efficiency in creating friendly and harmonious environment in organization’s level. Ability to adapt to any situationsand be efficient in establishing relationship among government and private’s organizations as well as public be it locally or internationally. / / /
Average H : Total x ½
7 / / /

Overall Review/Others by the First Evaluation Officer (if there is one)