SOUTHERN UNION STATE COMMUNITY COLLEGE
Director Evaluation / Supervisor
Year:
Date:
Name:
The following is a request for information that will assist your supervisor in the development
of your annual evaluation. Please respond to the following items and return them to your supervisor.
Following receipt of your information, your supervisor will contact you for an agreement on a time for your
evaluation interview if applicable.
I. Goals/Objectives
A. Describe your goals/objectives and accomplishments for the past year.
B. Describe your goals/objectives for the coming year.
A. List professional organizations in which you are a member and leadership roles, etc.
B. List professional activities, seminars, and/or courses you have attended.
III. Service
A. List service for the Institutional and Alabama Community College System Committees, and other.
Form A
2019
1. Establishes goals/objectives within the department that support the College’s mission.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
2. Demonstrates effective leadership in the administration of the department.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
3. Performs essential functions and other job related responsibilities effectively.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
4. Follows Board and College Policies.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
5. Gives firm direction when needed and delegates appropriately.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
6. Resolves conflicts in a constructive way.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
SOUTHERN UNION STATE COMMUNITY COLLEGE
Director Evaluation / Supervisor
Space is provided below for self-evaluation by the employee and performance evaluation by the
supervisor. Please check the rating box which you believe most accurately reflects performance for the
respective category. Checking “Exceeds Expectations” or “Needs Improvement” requires an explanation
and/or guidance. Use the back of the page to write explanations and comments.
Department:
Employee Section | Supervisor Section
Technical
(Continued on next page)
Form B
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
8. Supports and fosters the use of changing technologies to improve department.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
9. Maintains a professional and cooperative attitude in working with other departments.
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
7. Takes action to achieve goals beyond what is required and shows evidence of seeking to improve professionally.
ACKNOWLEDGEMENT:
By typing your name and clicking on the Acknowledgement check box below you acknowledge that you
have read and discussed this evaluation with your supervisor. This acknowledgement does not imply
agreement with the evaluation. (The information submitted and any responses will be placed into the
individual’s personnel file.)
Employee:
Supervisor:
Date:
Date:
Employee Acknowledgement:
Supervisor Acknowledgement:
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