Fillable Work Plan Goals And Objectives Rating Form MERIT PAY PROCEDURES

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Work Plan Goals And Objectives Rating Form MERIT PAY PROCEDURES

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BROWSE CITY (AR) FORMS

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Attachment 1
WORK PLAN GOALS AND OBJECTIVES
FOR MERIT INCREASE RATING
Employee #:
Employee Name:
Job Title:
Dept.:
Appraisal Period: to
Date of Rating:
Work Plan Goals and Objectives for current Appraisal Period:
Work Plan Goals and Objectives Rating Scale
4 All goals were completed within or before assigned time frames with no time management issues. Projects
were exceptionally researched
, planned, and implemented; Goals and Objectives were consistently
monitored by the employee and status reports provided in a timely manner.
3 Goals were completed within assigned time frames with no significant time management issues. A few
time management issues were noted; projects were researched, planned and implemented with only a few
significant exceptions; goals were well-monitored and project status reports provided with only a few
significant exceptions.
2 Goals frequently completed within assigned time frames with several significant time management issues;
projects were frequently
well researched, planned and implemented, but with several significant exceptions.
Goals and Objectives were frequently monitored and project status reported but with significant exceptions.
1 Goals only occasionally completed within the assigned time frames; projects were only occasionally well-
researched, planned and implemented; goals and objectives were only occasionally monitored
and little or
no project status reports
were reported.
Ratings of 1 or 4 require written documentation to be submitted with the rating to Human
Resources.
Work Plan Goals and Objectives Rating
1 1.5 2 2.5 3 3.5 4
________________________________ _______________________________
Employee Signature / Date Immediate Supervisor Signature / Date
______________________________
Department Director Signature / Date
Employee Comments:
Supervisor Comments:
Attachment 2
MERIT INCREASE RATING FORM
Employee #:
Employee Name:
Job Title:
Dept.:
Appraisal Period: to
Date of Rating:
SOURCE OF RATING
SOURCE*
% WEIGHT PER SOURCE
Performance Feedback Summary Rating
Work Plan Goals and Objectives Rating
*At end of the appraisal period, ensure source and % weight are consistent with the notification
provided to employee previously in the appraisal period.
MERIT INCREASE RATING*
Column 1
Column 2
Column 4
SOURCE
% WEIGHT
PER SOURCE (1-4)
WEIGHTED
RATING (column 2
X’s column 3)
Performance Feedback
Summary Rating
Work Plan Goals and
Objectives Rating
MERIT INCREASE RATING (Sum of Column 4)
**
*Attach completed rating forms for each source utilized.
**Merit Increase Rating below 2.6 is not eligible for a merit increase. Written documentation is
required for merit increase ratings of 1 or 4.
_____________________ _______________________________
Employee Signature / Date Immediate Supervisor Signature / Date
______________________________
Department Director Signature / Date
Employee Comments:
Supervisor Comments:
Attachment 3
MEMORANDUM
TO: (Name of Employee)
FROM:
SUBJECT: Merit Increase Rating Source Notification
DATE:
As you are aware, annual pay increases for employees in non-union eligible, non-uniform
positions and non-union eligible uniform positions, if pay increases are approved in the budget,
will be based on merit. Higher performing employees may receive a higher percent increase
based on their evaluated performance on the job. The merit increase rating may be based on the
Performance Feedback Form Summary rating or the Workplan Goals and Objectives rating, or a
combination of both. Workplan Goals and Objectives (for applicable positions) will be
evaluated based on the rating scale included in the merit pay policy.
Your merit increase rating for the ______________ to _____________appraisal period will be
based on the following:
SOURCE
% WEIGHT PER SOURCE
Performance Feedback Summary Rating
Workplan Goals and Objectives Ratings
Thank you for your valuable service to the citizens of Little Rock.
Attachment 4
WORK PLAN GOALS AND OBJECTIVES
FOR
NEXT APPRAISAL PERIOD
Employee #:
Employee Name:
Job Title:
Dept.:
Appraisal Period: to
GOALS AND OBJECTIVES FOR UPCOMING YEAR:
Work Plan Goals and Objectives Rating Scale
4 All goals were completed within or before assigned time frames with no time management issues. Projects
were exceptionally researched
, planned, and implemented; Goals and Objectives were consistently
monitored by the employee and status reports provided in a timely manner.
3 Goals were completed within assigned time frames with no significant time management issues. A few
time management issues were noted; projects were researched, planned and implemented with only a few
significant exceptions; goals were well-monitored and project status reports provided with only a few
significant exceptions.
2 Goals frequently completed within assigned time frames with several significant time management issues;
projects were frequently
well researched, planned and implemented, but with several significant exceptions.
Goals and Objectives were frequently monitored and project status reported but with significant exceptions.
1 Goals only occasionally completed within the assigned time frames; projects were only occasionally well-
researched, planned and implemented; goals and objectives were only occasionally monitored
and little or
no project status reports
were reported.
_____________________________ ___________________________________
Employee Signature / Date Supervisor Signature / Date
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Work Plan Goals And Objectives Rating Form MERIT PAY PROCEDURES

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Completed 21 March 2020

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