CONFIDENTIAL
EMPLOYEE PERFORMANCE EVALUATION FORM
The following evaluation shall be utilized for ________________________ performance
appraisals for all employees.
The Evaluator will provide comments and suggestions designed to assist the employee for the
purpose of skill, knowledge, and performance improvement.
Employee Name:
________________________
Evaluation Date:
________________________
Position/Title: ________________________
Department: ________________________
Evaluator's Name: ________________________
The following evaluation is: ________________________
Employee's last performance evaluation was completed on ________________________.
RATING PARAMETERS
0 - BELOW PERFORMANCE STANDARDS:
Performance is below acceptable standards and expectations and is creating an issue with co-
workers and the department, as well as having a negative impact on department effectiveness and
productivity. The Supervisor should initiate a "Performance Improvement Plan," to be completed
by both the Supervisor and the Employee.
1 - NEEDS IMPROVEMENT:
Performance of job requirements is inconsistent and does not routinely achieve results expected.
Incidents of problematic work performance are typical, and improvement is required.
2 - PROVISIONAL (New Employee):
Employee is a new hire and not expected to perform at a fully competent level yet. Employee is
still receiving job training in order to reach a proficient level of performance.
3 - FULLY COMPETENT:
Employee exhibits consistent performance in meeting goals and objectives and achieves
acceptable and standard results expected. Periodic incidents of superior or problematic work
performance are typical.
4 - COMMENDABLE:
Performance of job requirements exceeds established expectations or requirements for quality,
quantity and timeliness. Employee at this level exceeds the performance expected of a fully
