CSU/APC Collective Bargaining Agreement
January 31, 2018 June 30, 2020 Appendix L
APPENDIX L
INSTRUCTIONS FOR COMPLETION
USE: The Report of Employee Performance form is to be used for the evaluation of employees in Unit 4, Academic Support. Evaluations
are conducted during the employee's probationary period and annually thereafter. The evaluator may wish to evaluate an employee more
often than the prescribed intervals. When doing so, mark the box labeled Special. If space is inadequate, the evaluator may attach extra
sheets containing comments, or Page 3 of this document provides additional space.
Section A: Check one column for each factor. When a factor is not considered applicable to a particular job or when the evaluator has not
been able to observe the behavior, the category may be recorded as Not Applicable (NA). Check marks in Columns "1" and "2" require
specific explanation in Section D. Record the overall performance in the section entitled Overall Evaluation, taking into account all factors
and total performance over the period being evaluated. The Overall Evaluation should not be viewed as an average of all areas rated. The
value applied to a factor may vary depending on the duties assigned to the position.
Meets Expectations: Meets all normal requirements of the position in a competent manner. Exceeds Expectations: Consistently competent
performance exceeding normal standards in all critical factors for the position. Outstanding: Total performance is far above normal standards
for the position. Below Expectations: Total performance periodically or regularly falls short of expectations. Specific deficiencies should
be noted in Section D or in a signed and dated attachment.
Unacceptable Performance: Performance is clearly inadequate. Employee has demonstrated an inability or unwillingness to improve or
meet expectations. Performance is not acceptable for position held. Specific deficiencies should be noted either in Section D or in a signed
and dated attachment.
Section B: Describe outstanding qualities. Provide examples for check marks in Columns "4" and "5." (Attach additional sheets if
necessary.)
Section C: Discuss progress or lack thereof toward achievement of goals during last rating period.
Section D: Discuss required improvement or correction. Provide examples for marks in Columns “1” and “2”. (Attach Additional sheets
if necessary.)
Section E: Record agreed-upon or prescribed performance goals for the next evaluation period.
Section F: Complete this section only if the employee is on probation. At any time during the probationary period, an employee may be
rejected from further employment or, if permanent in another class, returned to that class. If the evaluator wishes to recommend
rejection during probation, the evaluator must immediately notify the Office of Consultation will be provided at that time.
RECOMMENDATIONS FOR COMPLETING THE EVALUATION PROCESS:
1. Prepare an initial draft of the Report of Employee Performance. Prior to meeting with the employee to discuss the draft Report, the
evaluator may request the employee to complete a self-evaluation, which will also be discussed during the performance evaluation
interview.
2. Provide the employee with a draft copy of the Report of Employee Performance prior to a performance evaluation interview and inform
the employee of the date, time, place and purpose of the evaluation interview. The employee shall have 14 days to submit a rebuttal (if
any) to the evaluator before the evaluation is finalized. During the interview, the evaluator should encourage the employee to discuss
his/her opinions and observations regarding the content of the evaluation.
3. Upon completion of the evaluation interview, the Report of Employee Performance is completed in final form and signed by the
evaluator. The Report is then given to the employee for signature. The employee may include comments on the form or may attach
written comments, if desired, and return the Report to the evaluator. If the employee refuses or declines to sign the Report, the evaluator
must indicate this under EMPLOYEE'S SIGNATURE OR ACKNOWLEDGEMENT. If the employee disagrees with the final
performance evaluation, the employee may also subsequently submit a rebuttal statement that will be attached to the final performance
evaluation in the employee’s personnel file.
4. The Report of Employee Performance is forwarded to the reviewing officer for signature. The reviewing officer is an MPP manager to
whom the evaluator reports unless the college or department has designated another manager to act as reviewing officer
5. The completed Report of Employee Performance and any attachments must be copied and distributed by the evaluator as follows:
ORIGINAL-to the Office of ; COPY-to the employee being evaluated; COPY-to the department.
CSU/APC Collective Bargaining Agreement
January 31, 2018 June 30, 2020 Appendix L
EVALUATOR BEFORE COMPLETING THIS REPORT PLEASE READ INSTRUCTIONS FOR COMPLETION
REPORT OF EMPLOYEE PERFORMANCE
UNIT 4 ‐‐ACADEMIC SUPPORT
CSU Campus ___________________
EMPLOYEE ID
DEPARTMENT
CLASSIFICATION
RATING PERIOD
TYPE OF
EVALUATION:
PROBATIONARY
ANNUAL
SPECIAL
TEMPORARY
FROM:
TO:
SECTION A - Evaluation
Criteria
SECTION C Record PROGRESS ACHIEVED in attaining goals established during previous
rating period.
1
2
3
4
5
1 = UNACCEPTABLE 2 =
BELOW EXPECTATIONS 3 =
MEETS EXPECTATIONS 4 =
EXCEEDS EXPECTATIONS 5
= OUTSTANDING
Quality of Work
SECTION D Record specific REQUIRED IMPROVEMENT or CORRECTION needed in
performance or behavior.
Quantity of Work
Professional Judgment*
Contributions to
Campus/CSU/Community*
SECTION E Record GOALS or IMPROVEMENT PROGRAMS established
for next performance period.
*Per provision 18.1.A of the Collective Bargaining Agreement:
Professional judgment includes professional responsibility,
attendance abuse, and working relationships. Contributions
include those to the community, which are directly related to
the employee’s work assignment.
SECTION B Utilizing the criteria above, record JOB
STRENGTHS and superior performance. (See Page 3 for
more space, if necessary, for Sections B-E.)
SECTION F For PROBATIONARY EMPLOYEES:
Permanent Status Recommended (To be determined in conjunction with
final probationary evaluation.) Permanent Status Not Recommended (To
be determined not later than the final probationary evaluation in accordance
with the INSTRUCTIONS FOR COMPLETION on Page 1.)
EVALUATOR
(Signature) (Title) (Date)
REVIEWING OFFICER
(Signature) (Title) (Date)
This review is based on direct observation or supervision of the employee’s
work since the last performance evaluation… and/or… the content of the
employee’s personnel file. (Per provision 18.1.B of the Collective Bargaining
Agreement)
Date draft given to employee for review:
1
2
3
4
5
1 = UNACCEPTABLE 2 = BELOW
EXPECTATIONS 3 = MEETS
EXPECTATIONS 4 = EXCEEDS EXPECTATIONS 5
= OUTSTANDING
COMMENTS:
OVERALL EVALUATION
Record Overall Performance
EMPLOYEE’S SIGNATURE OR ACKNOWLEDGEMENT:
DATE:
CSU/APC Collective Bargaining Agreement
January 31, 2018 June 30, 2020 Appendix L
EVALUATOR BEFORE COMPLETING THIS REPORT PLEASE READ INSTRUCTIONS FOR COMPLETION
REPORT OF EMPLOYEE PERFORMANCE
UNIT 4 ‐‐ACADEMIC SUPPORT
CSU Campus ___________________
NAME
EMPLOYEE ID
DEPARTMENT
CLASSIFICATION
RATING PERIOD
TYPE OF
EVALUATION:
PROBATIONARY
ANNUAL
SPECIAL
TEMPORARY
FROM:
TO:
SECTION B (continued)
Record JOB STRENGTHS and superior performance.
SECTION C (continued)
Record PROGRESS ACHIEVED in attaining goals established during previous rating period.
SECTION D (continued)
Record specific REQUIRED IMPROVEMENT or CORRECTION needed in performance or behavior.
SECTION E (continued)
Record GOALS or IMPROVEMENT PROGRAMS established for next performance period.
COMMENTS (continued)
a