Employer Performance Evaluation

EMPLOYEE PERFORMANCE EVALUATION
NAME POSITION/TITLE
HIRE DATE LOCATION/DEPARTMENT
EMPLOYMENT STATUS
FT PT PD
LAST REVIEW DATE IMMEDIATE SUPERVISOR
DATE:
TYPE OF
REVIEW: ANNUAL PROBATIONARY OTHER
Instructions for Evaluators
Performance evaluations are conducted by the employee’s immediate supervisor at least once every 12
month period or as needed. The goal is to reach a mutual understanding of the standards of performance
expected, and an overall performance rating. As the information recorded on this form will become
part of the employee’s personnel record, and may be used in decisions concerning advancement, future
training needs, performance-related salary adjustments or even disciplinary actions, take time to think
through and complete all sections.
The performance evaluation process has been divided into two parts, one for the supervisor and one for
the employee. Upon receipt of this package, give the employee the self-evaluation form to complete and
at the same time schedule a performance meeting within two weeks. Then complete the supervisor’s
section which has been divided into two sections: Major Job Elements and Performance/Customer
Service Factors.
First, list and briefly describe the major elements (duties and responsibilities) of this employee’s
position. Then, rate this employee’s performance of these major job elements and indicate with
comments your justification for each rating. YOU MUST MAKE A COMMENT WHENEVER YOU
CHOOSE THE RATING “EXCEEDS EXPECTATIONS” OR “FAR BELOW
EXPECTATIONS/UNSATISFACTORY”. Next, rate this employee’s performance on the performance
factors listed; again you must justify a high or low grade. Note: you may give a half grade if you feel
the performance is between two rating levels. Finally, give an overall rating for this employee’s
performance and sign the form.
After the review, please make two copies of the performance evaluation; one for your records, the other
should be given to the employee. Return the original forms to the Human Resources Department.
F-HR-041 re v. 0
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