EMPLOYEE PERFORMANCE EVALUATION
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EMPLOYEE
TITLE
DEPARTMENT
EMPLOYEE NO.
DATE OF PRESENT POSITION
MM
/
DD
/
YYYY
DATE OF LAST EVALUATION
MM
/
DD
/
YYYY
NEXT SCHEDULED EVALUATION
MM
/
DD
/
YYYY
REASON FOR EVALUATION
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INSTRUCTIONS: Evaluate employee's work performance as it pertains to the job requirements.Circle the letter that best describes the employee's performance since the last evaluation. Add comments if necessary. (N/A if Not Applicable)
E - Excellent A - Above Average S - Satisfactory D - Decreased Performance U - Unsatisfactory
FACTORS
AVAILABILITY The degree to which anemployee is prompt, follows rules concerning break and meal periods and overall attendance.
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Comments
ADHERENCE TO POLICY The degree to which anemployee follows safety rules and other regulations.
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Comments
BEHAVIOR PATTERN The stability, politeness, and judgement shown on the job.
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Comment
CREATIVITY The degree to which anemployee suggests ideas, discov- ers new and better ways of accomplishing goals.
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Comment
DEPENDABILITY The degree to which anemployee can be relied uponto complete a job.
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Comment
INDEPENDENCE The degree of work accomplished with little or no supervision.
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Comment
INITIATIVE The degree to which an employee searches out new tasks and expands abilities professionally and personally.
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Comment
INTERPERSONAL RELATIONSHIPS The willingness and abilityto communicate, cooperate, and work with co-workers, supervisors, and customers.
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Comment
KNOWLEDGE OF JOB Useful technical skills and information used at work.
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Comment
PRODUCTIVITY The accuracy of work finished in a specific amount of time.
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Comment
QUALITY The accuracy, detail, and acceptability of workaccomplished.
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Comment
NEW ACCOMPLISHMENTS OR ABILITIES SINCE LAST EVALUATION:
AREAS WHICH NEED IMPROVEMENT
RECOMMENDATIONS FOR CAREER DEVELOPMENT - SCHOOLING, SEMINARS, ETC.:
Rate employee's performance overall in comparison to the job requirements involved with his/her position.
Comments
 Individual was evaluated on
MM
/
DD
/
YYYY
Employee's Signature
Follow up evaluation requested
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Follow Up Date
MM
/
DD
/
YYYY
Evaluator
Date
MM
/
DD
/
YYYY
Evaluator's Supervisor
Date
MM
/
DD
/
YYYY
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