Performance Appraisal Form
Employee Information:
Name: Review Date:
Title: Department:
Appraisal Period: Appraised By:
Rating Definitions:
N/A: Not applicable.
Unsatisfactory: Performance consistently fails to meet minimum position requirements, employee lacks skills required or
fails to utilize necessary skills
Inconsistent: Performance meets some but not all position requirements.
Proficient: Performance consistently meets position requirements.
Highly Effective: Performance frequently exceeds position requirements.
Exceptional: Performance is consistently superior and significantly exceeds position requirements.
Knowledge and Productivity Skills Review:
N/A U I P H E
Job Knowledge: Shows comprehensive knowledge of skills needed to carry out responsibilities of
the job.
Technical Knowledge: Applies specialized knowledge gained through training and experience;
keeps informed of new developments in the field; shares relevant information with others.
Quality of Work: Work is clear, well organized, accurate, performed as directed, and conforms to
established standards.
Quantity of Work: Overall productivity is at a level necessary to perform all aspects of the job.
Dependability and Reliability: Conscientious, responsible, reliable with respect to attendance
and work completion.
Comments on knowledge and productivity skills:
Initiative and Problem-Solving Skills Review:
N/A U I P H E
Initiative: Originates or develops ideas or gets things started; shows willingness to tackle new
challenges, seeks additional assignments, responds to unusual or particularly demanding
situations
Problem Solving and Decision Making: Shows ability to obtain information needed to make a
decision; exercises sound judgment; shows decisiveness in recommending or taking action.
Flexibility and Adaptability: Adjusts to new assignments and changing workloads, working to
Maximum potential.
Comments on initiative and problem-solving skills:
Communication Skills Review:
N/A U I P H E
Oral Communication: Communications are clear, effective, and appropriate for the audience. N
Written Communication: Communications are clear, effective, concise, and well organized.
Working with Others: Cooperates with other individuals and groups internally and externally, as
appropriate; solicits, understands, and respects the opinions of others.
Comments on communication skills:
Professionalism
N/A U I P H E
Responsible: Is trustworthy and demonstrates confidentiality.
Resilient: Displays flexibility in adapting to change.
Attire: Consistently dresses neatly and appropriately.
Cooperation: Displays a high degree of dedication and a willingness to be a team member.
Influence: Demonstrates an attitude that consistently contributes to high morale.
Comments on professionalism skills:
Attendance
N/A U I P H E
Attendance is good; strives to be at work.
Is punctual and observes guidelines for lunch hour and breaks; makes good use of time.
Comments on attendance:
Goals and Objectives: (include time period to be completed)
1.
2.
3.
4.
Overall Evaluation:
U I P H E
Overall rating on performance skills and goal attainment.
Additional comments:
What future education, training, skills, or work assignments will help the employee reach his/her ultimate potential?
What newly acquired skills, education, or training has the employee acquired since his/her last review?
Comments on Self-Appraisal Worksheet:
Job Description:
Please review the employee's most current job description and update with changes as accurately as possible. Attach
revised job description to this appraisal and send copy to Human Resources.
Acknowledgements:
Employee Signature: Date:
Department Manager: Date:
Human Resources: Date:
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