SUPPORT STAFF PERFORMANCE REVIEW FORM



SUPPORT STAFF PERFORMANCE REVIEW FORMNAME:CAMPUS:CLASSIFICATION:DEPARTMENT:SUPERVISOR:Length of time in current position:Period of Review:From:To:Status: FORMCHECKBOX Regular FORMCHECKBOX ProbationaryRecommendation for permanent status: FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AVerification and review of the current position description (please initial):Supervisor ________Employee ________Confirmation of review of position description:Does the review result in revisions? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, the supervisor must submit revised position description to Human Resources.Review of Appendix I from previous year: FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AReview of Appendix II from previous year: FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/ANOTE: Both supervisor and employee provide separate ratings and comments as required in the columns and spaces provided. The space provided under any section is intended for short summaries or concise comments. The intent is not to limit the evaluation. Should you wish to extend your written evaluation or comments in any area, do not hesitate to do so on a separate sheet and attach it to the evaluation.As per the Support Staff Collective Agreement: “The employee’s rights concerning performance appraisals are found under article 16.1 of the Collective Agreement.”PART A: Position-Related CharacteristicsFactors listed below pertain to position-related characteristics. Statements are given following each factor and both supervisor and employee are asked to check the rating which most accurately reflects an objective evaluation of the employee with respect to the specific factor.Space is provided for concise comments. Comments are mandatory where specific improvement is required to the job.1.KNOWLEDGESpecific position-related procedures, policies, and duties.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Mastery of all phases of the job FORMCHECKBOX FORMCHECKBOX Well informed on most phases of the job FORMCHECKBOX FORMCHECKBOX Adequately informed; relies on others for specialized information FORMCHECKBOX FORMCHECKBOX Understands basic job functions but requires frequent instruction FORMCHECKBOX FORMCHECKBOX Inadequate knowledge to perform current jobSupervisor Comments:Employee Comments:2.QUALITY OF WORKThoroughness, presentation and accuracy.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Exceptional FORMCHECKBOX FORMCHECKBOX Consistently above average FORMCHECKBOX FORMCHECKBOX Acceptable FORMCHECKBOX FORMCHECKBOX Frequently requires work to be redone FORMCHECKBOX FORMCHECKBOX Does not meet requirementsSupervisor Comments:Employee Comments:3.QUANTITY OF WORKProductivity within established time frames (consider use of time, the volume of work accomplished and ability to meet goals).Employee Supervisor FORMCHECKBOX FORMCHECKBOX Consistently handles required workloads; undertakes additional workwhen required FORMCHECKBOX FORMCHECKBOX Volume of work meets expectations FORMCHECKBOX FORMCHECKBOX Volume of work is marginal FORMCHECKBOX FORMCHECKBOX Does not meet requirementsSupervisor Comments:Employee Comments:4.TIME MANAGEMENTEffective use of working time, organization and priority setting.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Performs consistently even with peak loads FORMCHECKBOX FORMCHECKBOX Usually accomplishes work in advance of deadlines FORMCHECKBOX FORMCHECKBOX Completes work on time FORMCHECKBOX FORMCHECKBOX Work is frequently late FORMCHECKBOX FORMCHECKBOX Does not meet requirementsSupervisor Comments:Employee Comments:5.PROBLEM SOLVINGJudgment and ability to analyze and respond to situations effectively; timely decision making.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Able to evaluate and determine correct response to situations FORMCHECKBOX FORMCHECKBOX Can be depended on to exercise routine decisions in most situations FORMCHECKBOX FORMCHECKBOX Anticipates problems & seeks direction from supervisor as appropriate FORMCHECKBOX FORMCHECKBOX Lacks foresight; unable to analyze and respond to some situations FORMCHECKBOX FORMCHECKBOX Does not meet requirementsSupervisor Comments:Employee Comments:6.RESPONSIBILITYAcceptance of accountability for performance of duties.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Accepts responsibility for results of actions FORMCHECKBOX FORMCHECKBOX Accepts responsibility for results of actions when clarification ofresponsibility is given FORMCHECKBOX FORMCHECKBOX Avoids responsibility for results of actions FORMCHECKBOX FORMCHECKBOX Does not accept responsibility for results of actionsSupervisor Comments:Employee Comments:7.INITIATIVEAbility to suggest and/or take action independently; self-started.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Takes positive action under own initiative; constructively independent FORMCHECKBOX FORMCHECKBOX Takes action when need is evident FORMCHECKBOX FORMCHECKBOX Hesitates to take action FORMCHECKBOX FORMCHECKBOX Lacks initiative; must be given directionSupervisor Comments:Employee Comments:8.ADAPTABILITYFlexibility regarding new procedures, changing or unusual conditions; demonstrated ability to adapt work habits.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Consistently responds to and supports new approaches and methods FORMCHECKBOX FORMCHECKBOX Flexible; responds adequately to new situations FORMCHECKBOX FORMCHECKBOX Able to handle routine tasks in an established manner FORMCHECKBOX FORMCHECKBOX Has difficulty handling changeSupervisor Comments:Employee Comments:9.DEPENDABILITYAbility to fulfill responsibilities with limited supervision. Observance of established policies and procedures.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Reliable with minimum supervision even under difficult circumstances FORMCHECKBOX FORMCHECKBOX Accomplishes tasks; works well on own FORMCHECKBOX FORMCHECKBOX Normal supervision required FORMCHECKBOX FORMCHECKBOX Requires more supervision than average FORMCHECKBOX FORMCHECKBOX Must be constantly supervisedSupervisor Comments:Employee Comments:10.PUNCTUALITYAdherence to hours of work.Employee Supervisor FORMCHECKBOX FORMCHECKBOX Always punctual FORMCHECKBOX FORMCHECKBOX Usually punctual FORMCHECKBOX FORMCHECKBOX Not sufficiently punctualSupervisor Comments:Employee Comments:PART B: Human Relations SkillsCheck the rating which most nearly reflects an objective evaluation of the employee with respect to the specific factor.AEXCEPTIONALBEXCEEDS EXPECTATIONSCMEETS EXPECTATIONSDIMPROVEMENT REQUIREDEUNACCEPTABLE MUNICATIONDemonstrates ability to express ideas clearly (written and verbal).Supervisor > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX EEmployee > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX EDemonstrates ability to listen effectively.Supervisor > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX EEmployee > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX ESupervisor Comments:Employee Comments:2.INTERPERSONAL SKILLSDemonstrates ability to relate to others and to establish and maintain effective working relationships.Supervisor > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX EEmployee > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX ESupervisor Comments:Employee Comments:3.COOPERATIONDemonstrates ability to work effectively as a team member; demonstrates willingness to accept direction, change, supervision, and constructive criticism.Supervisor > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX EEmployee > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX ESupervisor Comments:Employee Comments:4.SERVICE ORIENTATIONDemonstrates ability to respond to client and/or College needs effectively and appropriately.Supervisor > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX EEmployee > FORMCHECKBOX A FORMCHECKBOX B FORMCHECKBOX C FORMCHECKBOX D FORMCHECKBOX ESupervisor Comments:Employee Comments:PART C: Summary/Overview (To be completed by supervisor)Performance Summary(May include highlights, achievements, improvement, special projects, objectives/plans achieved in the past)Performance Areas Requiring ImprovementSpecific Plans to Improve PerformancePART D: Overall EffectivenessEmployee Supervisor FORMCHECKBOX FORMCHECKBOX Fully meets job requirements FORMCHECKBOX FORMCHECKBOX Meets most job requirements FORMCHECKBOX FORMCHECKBOX Does not meet minimum requirementsOverall Employee Comments (prior to signature)SignaturesImmediate Supervisor’s SignatureDateEmployee’s SignatureDate(My signature indicates that I have read this review)Supervisor’s Supervisor’s SignatureDateAPPENDIX I: Objectives/Plans for the Coming YearDeveloped by supervisor in consultation with the employee.APPENDIX II: Career Development Profile (Optional) FORMCHECKBOX Yes FORMCHECKBOX NoDeveloped by employee in consultation with supervisor (if yes, please attach).Date final copy given to employee:Date final copy given to HR:APPENDIX I: Objectives/ Plans for the Coming YearThis may include plans/objectives that refer to: special projects anticipated, new approaches to be developed, training, etc. These plans/objectives are clearly related to the employee’s position and are developed in consultation with the employee. These should be reviewed on an ongoing basis.Employee Comments/AdditionsPlease submit original copy to Human Resources. ................
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