The Staff Member and Supervisor Meet to Reach Agreement on (I) Goals, Objectives and Priorities

Date: / Subject:
CRICOS Provider No. 00103DPage 1 of 3
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 16/08/2005
Document owner: / Manager, Human Resources / Current Version: / 13/01/2014
Date: / Subject:
Name: / Year:
CRICOS Provider No. 00103DPage 1 of 3
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 16/08/2005
Document owner: / Manager, Human Resources / Current Version: / 13/01/2014
Date: / Subject:

The staff member and supervisor meet to reach agreement on (i) goals, objectives and priorities for the forthcoming period, (ii) the strategies to be utilised, (iii) the performance indicators and the feedback to be sought, (iv) the period of time for achievement of goals, objectives, priorities. The outcomes/comments column is used at the end of the performance management cycle for the evaluation of performance.

Goals/Objectives/Priorities / Strategies / Performance Indicators/Feedback / Period for achievement of goals, objectives, priorities / Outcomes/Comments/
Actions Required
(self-assessment)
CRICOS Provider No. 00103DPage 1 of 3
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 16/08/2005
Document owner: / Manager, Human Resources / Current Version: / 13/01/2014
Performance Plan /
CRICOS Provider No. 00103DPage 1 of 3
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Authorised by: / Director, Human Resources / Original Issue: / 16/08/2005
Document owner: / Manager, Human Resources / Current Version: / 13/01/2014
Performance Plan /
CRICOS Provider No. 00103DPage 1 of 3
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 16/08/2005
Document owner: / Manager, Human Resources / Current Version: / 13/01/2014
Performance Plan
Human Resources /

Agreement about contents of the Individual Performance Plan:

The goals, strategies, performance indicators and feedback to be sought have been agreed to.

The Review date(s) for this Plan will be

Staff member: Date: Supervisor: Date:

Signature:______Signature:______

The information on this form is collected for the primary purpose of creating an individual performance plan. If you choose not to complete all the questions on this form, it may not be possible for the University to support you in providing a performance plan. Personal information may also be disclosed to any relevant authorities. You have a right to access personal information that the University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or inquire about the handling of your personal information, please contact the University Privacy Officer at .

CRICOS Provider No. 00103DPage 1 of 3
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 16/08/2005
Document owner: / Manager, Human Resources / Current Version: / 13/01/2014