EMPLOYEE PERFORMANCE EVALUATION
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EMPLOYEE
TITLE
DEPARTMENT
EMPLOYEE NO.
DATE OF PRESENT POSITION
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DD
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YYYY
DATE OF LAST EVALUATION
MM
/
DD
/
YYYY
NEXT SCHEDULED EVALUATION
MM
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DD
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YYYY
REASON FOR EVALUATION
Clear selection
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.
Clear selection
Comment
DEPENDABILITY The degree to which anemployee can be relied uponto complete a job.
Clear selection
Comment
INDEPENDENCE The degree of work accomplished with little or no supervision.
Clear selection
Comment
INITIATIVE The degree to which an employee searches out new tasks and expands abilities professionally and personally.
Clear selection
Comment
INTERPERSONAL RELATIONSHIPS The willingness and abilityto communicate, cooperate, and work with co-workers, supervisors, and customers.
Clear selection
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
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DD
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YYYY
Employee's Signature
Follow up evaluation requested
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Follow Up Date
MM
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DD
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YYYY
Evaluator
Date
MM
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DD
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YYYY
Evaluator's Supervisor
Date
MM
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DD
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YYYY
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