PERFORMANCE PLANNING AND REVIEW FORM INSTRUCTIONS
Town of Hilton Head Island
Performance Planning and Review Form
Non-Supervisory Employees
|Employee: |Performance Period: |
|Title: |Date Assumed Position: |
|Department: |Date of Hire: |
|SECTION 1 - PERFORMANCE OBJECTIVES and PERFORMANCE RESULTS ACHIEVED |
|Objective |Weight: |
|1. | |
| |Evaluation: |
|Expectations: |
| |
|Core Values and Competencies: | |
|Demonstration of Core Values |Commitment to Teamwork |
|Commitment to Quality Customer Service |Commitment to Maximizing Individual Productivity/Effectiveness/Development |
|Commitment to Continuous Process Improvement | |
|Results: |
| |
|Objective |Weight: |
|2. | |
| |Evaluation: |
|Expectations: |
| |
|Core Values and Competencies: | |
|Demonstration of Core Values |Commitment to Teamwork |
|Commitment to Quality Customer Service |Commitment to Maximizing Individual Productivity/Effectiveness/Development |
|Commitment to Continuous Process Improvement | |
|Results: |
| |
|Objective |Weight: |
|3. | |
| |Evaluation: |
|Expectations: |
| |
|Core Values and Competencies: | |
|Demonstration of Core Values |Commitment to Teamwork |
|Commitment to Quality Customer Service |Commitment to Maximizing Individual Productivity/Effectiveness/Development |
|Commitment to Continuous Process Improvement | |
|Results: |
| |
|Objective |Weight: |
|4. | |
| |Evaluation: |
|Expectations: |
| |
|Core Values and Competencies: | |
|Demonstration of Core Values |Commitment to Teamwork |
|Commitment to Quality Customer Service |Commitment to Maximizing Individual Productivity/Effectiveness/Development |
|Commitment to Continuous Process Improvement | |
|Results: |
| |
|Objective |Weight: |
|5. | |
| |Evaluation: |
|Expectations: |
| |
|Core Values and Competencies: | |
|Demonstration of Core Values |Commitment to Teamwork |
|Commitment to Quality Customer Service |Commitment to Maximizing Individual Productivity/Effectiveness/Development |
|Commitment to Continuous Process Improvement | |
|Results: |
| |
| | |
|SECTION 2 - PROFESSIONAL DEVELOPMENT PLANS |
| |Target Completion Date | |
| | | |
|Specific Developmental Action | |Developmental Action Results |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
|SECTION 3 – OVERALL PERFORMANCE SUMMARY |
|Performance Objective # |Weight |Evaluation |Weighted Evaluation |
|1 | | | |
|2 | | | |
|3 | | | |
|4 | | | |
|5 | | | |
|Total | | | |
|SECTION 4a – SUPERVISOR’S COMMENTS (To Include Use of Core Values and Competencies) |
| |
| |
|SECTION 4b – EMPLOYEE’S COMMENTS |
| |
| |
|SIGNATURES |
| |
|Performance Planning Discussion |
| |
|Supervisor’s signature Date __________________ |
| |
|Next level signature Date _________________ |
| |
|Employee’s signature Date _________________ |
|I have had the opportunity to review this document and discuss its contents with my supervisor. |
| |
|Mid-Year Review Discussion |
| |
|Supervisor’s signature Date _________________ |
| |
|Employee’s signature Date _________________ |
|I have had the opportunity to review this document and discuss its contents with my supervisor. |
| |
|Performance Review Discussion |
| |
|Supervisor’s signature Date _________________ |
| |
|Next level signature Date _________________ |
| |
|Next level comments: |
|________________________________________________________________________________________________________________________________________________________________________|
|________________________________________________________________________________________________________________________________________________________________________|
|________________________________ |
| |
|Employee’s signature Date _________________ |
|I have had the opportunity to review this document and discuss its contents with my supervisor. My signature above indicates that I have been informed of my overall |
|performance evaluation, but does not necessarily indicate agreement. |
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