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State of Arizona
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Employee Appraisal Form
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EMPLOYEE INFORMATION
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Employee Name:
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Employee EIN:
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Job Title:
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Position Number:
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SUPERVISOR INFORMATION
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Supervisor Name:
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Evaluation Period:
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STATEWIDE COMPETENCIES (Standard for all State Agencies)0.00
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Customer ServiceSelect Rating from Drop Down Box…
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Comments:
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AccountabilitySelect Rating from Drop Down Box…
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Comments:
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Teamwork and CooperationSelect Rating from Drop Down Box…
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Comments:
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AGENCY SPECIFIC COMPETENCIES 0.00
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Select Competency from Drop Down Box…Select Rating from Drop Down Box…
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Comments:
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Select Competency from Drop Down Box…Select Rating from Drop Down Box…
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Comments:
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Select Competency from Drop Down Box…Select Rating from Drop Down Box…
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Comments:
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PERFORMANCE PERIOD RESULTS0.00
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Results OrientationSelect Rating from Drop Down Box…
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Comments:
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SMAART Result 1:
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Comments:
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SMAART Result 2:
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Comments:
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State of Arizona
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Supervisor Appraisal Form
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PERFORMANCE PLAN ACKNOWLEDGEMENT
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A signature below indicates that the supervisor and employee have discussed the performance plan and that the discussion included review of the competencies, performance period results and work standards upon which the employee will be evaluated.
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Date:
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Supervisor Signature:
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Date:
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Employee Signature
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LEARNING AND DEVELOPMENT
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Comments:
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OVERALL APPRAISAL & ACKNOWLEDGEMENT0
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Date:
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Supervisor Signature:
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Date:
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Employee Signature
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If you have questions, please contact HRIS Help Desk at hrishelpdesk@azdoa.gov or 602.542.4700
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Click here for a full description of competencies
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