THECITYUNIVERSITYOFNEWYORK
PUBLICSAFETYSERVICE
PERFORMANCEANDPROMOTIONAPPRAISAL
ProbationarySerg eant6months ProbationarySergeant9months ProbationarySergeant12months Other
ProbationaryPatrolOfficer6months ProbationaryPatrolOfficer9months ProbationaryPatrolOfficer12months
NAME: TITLE/RANK: COLLEGE:
PERIODCOVEREDBYTHISREPORT
FROM: TO:
SHIELDNO.: PAYPLAN:
IMPORTANTNOTE
Infairnesstoth eemployeeandTheCityUniversityofNewYork,considereachitemcarefullybeforerating.Judgetheemployeeontheentireperiodcoveredbythis
report,notuponisolatedincidentsalone.Baseyourratingontheemployee’sperformanceincomparisonwithwhatisconsideredstandardperformancefortheparticular
positionratherthanincomparisonwithotheremployees.
ATTENDANCELASTFIVEYEARS
YEAR 20____ 20____ 20____ 20____ 20____
ABSENCEOCCASIONS
DAYSLOST
I.O.D.’S(INJUREDONDUTY)
PUNCTUALITY
TOTALTIMES
LATE
DURINGTHE
LAST12MONTHS
___________
FACTORSHUMANINTERACTION
UNACCEPTABLE
(CLEARLYBELOW
STANDARD)
AVERAGE
(MEETS
STANDARD)
MARGINAL
(APPROACHES
STANDARD)
ABOVE
AVERAGE
(ABOVE
STANDARD)
OUTSTANDING
(AMONGTHE
VERYBEST)
1.JOBKNOWLEDGE
Possessestheknowledge and
skillsrequiredt operformthejob
2.QUALITYOFWORK
Accuracy
Completeness ~ ~
Efficiency
3.ABILITYTOLEA RN
Learnsquickly ~ ~
Rememberswh atistaught
4.WRITTENREPORTS
Reportsar ecomplete
Reportsar eaccurate
Reportsar eclear
Reportsar econcise
5.RESPONSETOINCIDENTS
Respondsquickly
Handlesproperly
6.DECISIONMAKING
Possessesjudgmentrequiredtomake
gooddecisionsandiswillingtomakethem
7.DRIVINGABILITY
Alertandsafe
Numberofacciden tsinthelast12months____
OVERALLRATING:
COMMENTSONTECHNICALCOMPETENCE
FACTORSHUMANINTERACTION
UNACCEPTABLE
(CLEARLYBELOW
STANDARD)
AVERAGE
(MEETS
STANDARD)
MARGINAL
(APPROACHES
STANDARD)
ABOVE
AVERAGE
(ABOVE
STANDARD)
OUTSTANDING
(AMONGTHE
VERYBEST)
8.RELATIONSWITHSUPERIORS
Supportivebutwillingtoexpres sopinions
9.RELATIONSWITHCOWORKERS
Operatesaspartofateam
10.RELATIONSWITHSUBORDINATES
Maintainshighmorale
(SergeantsandLieuten antsonly)
11.RELATIONSWITHPUBLICANDSTUDENTS
Treatscampuscommunitywithrespect,dignityand
tactfulnesswhilecarryingoutallresponsibilities
OVERALLRATING:
COMMENTSONHUMANINTERACTION
FACTORSHUMANINTERACTION
UNACCEPTABLE
(CLEARLYBELOW
STANDARD)
AVERAGE
(MEETS
STANDARD)
MARGINAL
(APPROACHES
STANDARD)
ABOVE
AVERAGE
(ABOVE
STANDARD)
OUTSTANDING
(AMONGTHE
VERYBEST)
12. MATURITY
Responsibleandstable
13.INITIATIVE
Takesstepstopreparehimself/herself
independentlyandwithouturging
14.DEPENDABILITY
Canbecountedontoperf ormeffectively
withminimumsupervision
15.ORALEXPRESSION
Speaksclearly ~ ~
Speaksconcisely
16.APPEARANCE
Uniform,equipm entandpersonalgrooming
17.PHYSICALFITNESS
Weig htandcondition
18.FLEXIBILITY
Adaptstochangesincircumstancesandideas
19.RESOURCEFULNESS
Abilitytohandlenonroutinemattersina
capablemanner
20.INTEGRITY
Adherencet oahighcodeofethicaland
moralstandards
OVERALLRATING:
COMMENTSONPERSONALCHARACTERISTICS
FACTORSHUMANINTERACTION
UNACCEPTABLE
(CLEARLYBELOW
STANDARD)
AVERAGE
(MEETS
STANDARD)
MARGINAL
(APPROACHES
STANDARD)
ABOVE
AVERAGE
(ABOVE
STANDARD)
OUTSTANDING
(AMONGTHE
VERYBEST)
21.SUPERVISORYSKILLS
Effectivelyplans,organizesandmotivates
Othertoaccomplishorganizational goals
22.MANAGEMENTORIENTATION 
Supportiveoforganizationanditsgoals
OVERALLRATING:
COMMENTSONSUPERVISORY/MANAGEMENTABILITY
RELATEDDATADISCIPLINARYINFORMATION,COMMENDATIONS,AWARDS(ifapplicable):
RECOMMENDATIONFORPROMOTION(Completeoneofthefollowingstatementswhenratingforpromotiononly).Thebestperformeratonelevelisnotnecessarilythebest
individualtopromotetothene xtlevel.Inmakingyourrecommendationforpromotion,considertheknowledge,skillsandattitudesrequiredforsuccessasapublicsafetysuperior
officer.
A. STRONGLYRECOMMENDEDThisindividualpossesses C. NEEDSDEVELOPMENTThisindividualhaspotentialforposition
theknowledge,skillsandpersonalcharacteristicstobeanoutstanding
of _________
butneedsfurtherdevelopmentatthepresentlevel.
B. RECOMMENDEDThisindividualpossessestheknowledge, D . LACKSPOTENTIALThisindividuallackspotentialatpresentfor
skillsandpersonalcharacteristicsrequiredtobea
positionof____________________________________________________
REVIEWED(CollegePublicSafetyDirector) DATE
REVIEWED(CollegePersonnelDirec tor) DATE
RATER’SSIGNATURE COUNSELOR’SSIGNATURE DATE
RATER’STITLE/RANK DATE EMPLOYEE’SSIGNATURE DATE
GENERALCOMMENTSBYRATER
REVIEWED(Univ.DirectorofPublicSafety)
DATE