CSCU System Office
Management / Confidential
Annual Performance Appraisal
NOTE TO EMPLOYEE: Your signature confirms that you have seen this report and discussed it with your supervisor. .It does not indicate your agreement with
or approval of the rating. The supervisor must give the employee a copy of the rating at the time the employee signs it.
Should any subsequent change be made, all copies must be revised, and the change must be initialed by the employee
EMPLOYEE NAME
JOB TITLE
DEPARTMENT
PERIOD
COVERED
FROM
TO
FACTORS
Good or
Better
Less Than
DEFINITION OF RATINGS
Evaluate the employee on the job now
being performed based on the report
period. Check (x) the rating category
which most nearly describes your overall
judgment for each of the job factors
E
X
C
E
L
L
E
N
T
S
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P
E
R
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R
S
A
T
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F
A
C
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O
R
Y
F
A
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N
S
A
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Y
EXCELLENT = Distinctly and consistently outstanding.
SUPERIOR = Definitely above the norm.
SATISFACTORY = Meets basic requirements
FAIR = Need for improvement.
UNSATISFACTORY = Definitely inadequate.
NOTE: Written explanations are required for ratings of “Less than Good”,
and they are recommended for ratings of Excellent”.
QUALITY OF WORK:
Thoroughness, accuracy and appearance
of work, regardless of volume
EXPLANATION
SUGGESTIONS FOR IMPROVEMENT
QUANTITY OF WORK:
The amount of work produced under
normal conditions, disregarding errors,
and giving full consideration to
contributions in all official areas.
EXPLANATION
SUGGESTIONS FOR IMPROVEMENT
DEPENDABILITY:
The ability to do assigned tasks on
schedule under normal circumstances
with a minimum of supervision.
Unauthorized absence should be
considered as it affects dependability.
EXPLANATION
SUGGESTIONS FOR IMPROVEMENT
ABILITY TO DEAL WITH PEOPLE:
Relationships with staff and the public;
cooperativeness.
EXPLANATION
SUGGESTIONS FOR IMPROVEMENT
SUPERVISORY ABILITY:
(if applicable)
The ability to delegate authority and
accomplish assigned tasks through
subordinates.
EXPLANATION
SUGGESTIONS FOR IMPROVEMENT
RATED BY:
SIGNATURE
TITLE
DATE
REVIEWED BY:
SIGNATURE
TITLE
DATE
EMPLOYEE:
SIGNATURE
TITLE
DATE
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