Fillable N TY OF HICKORY CI PERFORMANCE PAY RECOMMENDATION (City of Hickory)

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N TY OF HICKORY CI PERFORMANCE PAY RECOMMENDATION (City of Hickory)

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(Please do not staple or paper clip)
N
ame:
Title:
Review:
Due:
CI
TY OF HICKORY
PERFORMANCE PAY RECOMMENDATION
UN
ACCEPTABLE: Performance is inconsistent and does not meet requirements in one or more
areas. Remedial action and close supervision are required. Significant improvement must occur
or termination of employment could result.
(IMPROVEMENT PLAN MUST BE ENCLOSED)
M
EETS JOB REQUIREMENTS: Performance meets requirements established for the job in all
or most areas. The coworker does a capable job of providing services that are required and
expected from the position. Most coworkers perform at this level.
EXC
EEDS JOB REQUIREMENTS: Performance clearly exceeds most or all work requirements. Work
is performed at a high level of proficiency, skill, and quality throughout the evaluation period. Work
is accomplished with a minimum of supervision. To receive an Exceeds Job Requirements, the
performance must be rated as exceeds in at least 3 of the 5 categories.
I acknowledge that I have had an opportunity to discuss this review with my supervisor. I understand that
signing this form does not necessarily imply agreement with my supervisor’s rating and that I may write my
comments below or attach additional sheets of paper to explain any c
omments.
Employee’s Signature: ____________________________________ Date: ____________
Comments:
Supervisor’s Signature: ____________________________________ Date: ____________
Comments:
Department Head’s Signature: _______________________________ Date: ____________
Comments:
Reset
Name:
Title:
Review:
Due:
CITY OF HICKORY
Employee Performance Review
The City of Hickory has established and maintains an equitable system for defining and improving the
performance level of employees of the City and encourages communication between supervisor and employee
in regard to work expectations and responsibilities.
All full-time employees of the City participate in a performance review based on work performance standards.
The supervisor completes the work performance standards section of the appraisal form before listing the
accomplishments, disciplinary actions, areas for improvement and/or training, and the employee’s overall work
performance rating.
Accomplishments
this review period:
Disciplinary Actions this review period:
Areas for improvement and/or training and development: (Completion of this section is
required for area(s)
marked “Unacceptable.” It is recommended that it also be used for personal development goals for the
employee.)
(Please do not staple or paperclip)
(Please print work plan on 8 ½ x 11 only)
Nam
e:
Title:
Review:
Due:
WO
RK PLAN REQUIREMENTS
According to Human Resources records, this position requires a work plan.
Please include the following:
*The work plan being evaluated and the progress made.
*The new work plan for the upcoming year
*A narrative detailing the reason for the rating including the items listed below:
• Core Values of Innovation, Communication and Customer Service
• Attendance and Punctuality (the degree to which the employee can be depended upon to be
available for work and complete work responsibilities)
• Work Habits (the manner in which the employee conducts him or herself in the work
environment)
• Interactions with others (the extent to which the employee shows understanding to the needs
and problems of internal and external customers)
• Quality of Work (the extent to which the employee completes work duties accurately within
established time frames)
• Job Knowledge (the degree of familiarity with procedures and equipment essential to the job)
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N TY OF HICKORY CI PERFORMANCE PAY RECOMMENDATION (City of Hickory)

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Completed 23 January 2021

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