Performance Management Program-Annual Review Form
This form documents Staff Compensation System* employee performance at the end of the annual review period. During the review period, any modifications or revisions to objectives and competencies should be documented on this form. Supporting performance-related documentation should be retained by the department. At the year-end performance review meeting, both the supervisor and employee sign the form. Provide a copy to the employee, retain a copy for the departmental file, and send the original to Human Resources, Mail Stop 5217. EmployeeEnter employee nameEmployee ID No.Enter employee ID no. DepartmentEnter department nameReview PeriodSelect or enter review period.Position TitleEnter position titlePosition No.Enter position no.SupervisorEnter supervisor nameSupervisor ID No.Enter supervisor ID no.Overall Rating:Select overall rating (See definitions below)*If overall rating will be Needs Improvement, supervisor must contact Human Resources before giving review to employee. Employee Signature: Date:(Employee signature confirms receipt of form. It does not imply agreement or disagreement with supervisor’s comments or ratings.)Supervisor Signature:Date: Rating Definitions:Exceeds Expectations (EE) – Performance exceeds expectations. Individual has extensive knowledge of the position and is able to initiate and perform most work with minimal direction.Meets Expectations (ME) – Performance meets expectations. Individual demonstrates ability to meet overall requirements on a consistent basis; overall composite is solid performance. Needs Improvement (NI) – Performance does not meet minimum expectations and needs immediate improvement, although certain components of performance may be acceptable or improving. Individual demonstrates inability to meet overall requirements on a consistent basis. May require constant direction and regular follow-up. Objectives and Success MeasuresEnter objective and success measure(s) - 1Select ratingEnter objective and success measure(s) - 2Select ratingEnter objective and success measure(s) - 3Select ratingEnter objective and success measure(s) - 4Select ratingEnter objective and success measure(s) - 5Select ratingEnter objective and success measure(s) - 6Select ratingCompetencies and Related NotesSelect competency – 1Enter related notesSelect ratingSelect competency – 2Enter related notesSelect ratingSelect competency – 3Enter related notesSelect ratingSelect competency – 4Enter related notesSelect ratingSupervisor’s Overall Comments:Enter supervisor’s overall comments ................
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