Performance Appraisal Public Safety Employees
Fiscal Year:
Employee:
Date of Hire:
Job Title:
Supervisor:
Department:
Performance Appraisals are conducted to: measure job performance; improve communication between
employees and supervisors; improve the quality of work and increase productivity.
Performance Rating Categories
Exceeds Expectations
Consistent high overall performance. Routinely goes beyond what is expected to
surpass expectations.
Meets Expectations
Proficient in the job function. Fully meets all of performance expectations
relevant to the position.
Needs Improvement
Fails to perform the job at an acceptable level. Does not meet minimum
requirements.
Exceeds Meets
Needs
Improvement
Job Responsibilities
Performs all essential job functions as defined in the position description.
Comments:
Results Focused/Quality of Work
Completes an acceptable amount of work in an appropriate amount of time
without waste. Works efficiently and accurately.
Comments:
Teamwork
Cooperates and works well with others. Responds positively to supervision and
direction. Offers/accepts constructive criticism.
Communicates openly with
colleagues and supervisors.
Reliability
Consistently arrives ready to work at scheduled start time. Follows through on
assignments and delivers a full day’s work as assigned.
Comments:
3
2
1
Comments:
Exceeds Meets
Needs
Improvement
Initiative
Interested in learning and taking on additional duties/responsibilities. Does
what is necessary without being asked and takes responsibility for
independent a ction. Requires little/infrequent supervision and seeks additional
assignments when other tasks are completed.
Comments:
Safety and Cleanliness of Work Area
Completes all required training (Blood borne Pathogens, Chemical Hygiene, etc).
Adheres to safety guidelines. Utilizes proper PPE. Operates equipment and
machines in a safe manner. Maintains clean and organized work area.
Comments:
Comments:
Overall Performance:
Comments and required actions:
Employee Comments:
GOAL #1
GOAL #2
YES
NO
Comments:
Employee Signature:
Date:
(Your signature indicates that the appraisal was reviewed and discussed with you.)
Supervisor:
Next Level Mgr:
Human Resources:
Date:
Date:
Date:
Exceeds Expectations = 3 - 2.5
Needs Improvement = 1.9 or below
Meets = 2.4 - 2.0
0.00
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Code of Ethics Policy Acknowledgement
This is to acknowledge that I have been provided with a copy of the Wilkes University Code of Ethics
Policy. I attest that I have read and understand said policy and agree to comply with all stated
principles and responsibilities.
Employee Signature Date
Employee Confidentiality Agreement
As a Wilkes University employee, I understand that as part of my job responsibilities, I may have
access to confidential, financial, proprietary or personal information regarding faculty, employees,
students, applicants, parents, alumni, vendors, suppliers and the University in general.
I hereby affirm that I will not in any way access, use, remove, disclose, copy, release, sell, loan, alter
or destroy any confidential information except as required within the scope of my official University
job responsibilities. As an employee, I must comply with applicable local, state and federal laws and
University policies. I will protect the security of all confidential information.
I understand that I am responsible for my misuse or unauthorized disclosure of confidential
information, including the failure to safeguard my passwords or devices. My obligations under this
Agreement are effective as of this day and will continue after my employment with Wilkes University
ends. I acknowledge that I have received, read and understand Wilkes University’s Confidentiality
policy. I am aware that any violation of the Confidentiality policy will result in discipline, up to and
including termination of employment and legal action according to the appropriate local, state and
federal laws.
Employee Signature Date
Conflict of Interest – Policy Acknowledgment
I have read and familiarized myself with the University’s Conflict of Interest Policy. I certify that I am not,
and have no affiliation with, an existing or anticipated vendor to, or recipient of grants, goods or services
from, the University and have no information to report, except (please check the box if you have no
information to disclose): No information to disclose
Employee Signa
ture
Date
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