Employee Evaluation Form

Updated 3/2007 Page 1
EMPLOYEE EVALUATION FORM
Directions: This form will be used for all evaluations, including the Employee Self-Assessment,
Supervisor’s Evaluation of Employee, and 360-degree (customer feedback) evaluations. Direct reports and
others providing 360-degree feedback will forward completed form (either by email, campus mail, or US
Mail) to third party (listed below in box) for tabulation.
Person being evaluated completes blanks within this box and send form to evaluators.
Evaluation of
for
academic year.
Forward completed form to
by
for tabulation.
Prior to completing this evaluation, please review the individual’s official PCC job description.
When providing information in any area, please provide specific examples/ comments that
support your rating/evaluation. Comments for specific areas should be co ntinued on a separate
page, if required.
This evaluation was completed by: (select one)
Employee
Supervisor
Direct Report
Other
1. What are my greatest strengths? (Please provide supporting examples).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
2. What are the areas where I need to make improvement? (Please provide examples and
suggestions for improvement).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. If you were doing my job, how would you do if differently? Are there any specific
things/behaviors you want me to STOP or START?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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