3 month eval new emp - Worcester Polytechnic Institute
PART I
EMPLOYEE SELF-APPRAISAL
(To be completed by ALL employees)
Appraisal Period – March 1, 2006 through February 28, 2007
EMPLOYEE NAME: POSITION TITLE:
___________________________________________________________________________________________________________________
DEPARTMENT: SUPERVISOR:
___________________________________________________________________________________________________________________
STATUS: (CIRCLE) DATE OF SELF-APPRAISAL:
BI-WEEKLY MONTHLY
|Please review carefully your accomplishments during the past rating period. This appraisal focuses on factors, which determine the quality of your overall | |
|performance and indicates areas, which may require further development. This appraisal is a summary of your performance and will be regarded as a permanent record | |
|of performance. The ratings are as follows: | |
|5= EXCEPTIONAL – Truly outstanding performance that results in extraordinary and exceptional accomplishments with significant contributions | |
|to objectives of the department, division, and the university. | |
|4= ABOVE EXPECTATIONS – Meets and consistently exceeds the job description requirements. | |
|3= MEETS EXPECTATIONS – Fully satisfactory. Fulfills job description requirements. | |
|2= BELOW EXPECTATIONS – Partially meet job description requirements. Remedial plan should be developed. | |
|1= UNACCEPTABLE – Does not meet key objectives or requirements. Termination may be recommended. | |
| |1 |2 |3 |4 |5 |NA | COMMENTS |
|Technical & Professional Knowledge | | | | | | | |
|Remains current on technical developments in necessary area of expertise. | | | | | | | |
|Possesses in-depth professional knowledge of the field. Seeks new knowledge | | | | | | | |
|as necessary. | | | | | | | |
|Communication Skills | | | | | | | |
|Communicates clearly and concisely both orally and written form. Listens and| | | | | | | |
|processes information well and in a timely fashion. Provides clear | | | | | | | |
|instructions and guidelines. Shares information with others. | | | | | | | |
|Interpersonal Skills/Service Oriented | | | | | | | |
|Ability to interact effectively and courteously, tactfully and efficiently | | | | | | | |
|with, internal and external constituents. Fosters community and builds peer | | | | | | | |
|relationships. Team player. | | | | | | | |
|Need for Excellence/Work Quality | | | | | | | |
|Strives to achieve highest standard of excellence. Meets work standards and | | | | | | | |
|deadlines. Provides dependable results. | | | | | | | |
|Work Reliability | | | | | | | |
|Accomplishes primary mission of position or function and achieves results in | | | | | | | |
|a timely fashion. Plans and organizes work to meet priorities and goals. | | | | | | | |
|Decision Making | | | | | | | |
|Capable of gathering facts, analyzing problems, identifying and implementing | | | | | | | |
|solutions. Exhibits sound judgment. | | | | | | | |
|Leadership/Initiative | | | | | | | |
|Takes charge of situations as necessary. Assumes more responsibility. | | | | | | | |
|Coaches, motivates, and develops others. Serves as a role model. Acts | | | | | | | |
|independently, as appropriate. Promotes innovative changes. | | | | | | | |
|Fiscal Responsibility | | | | | | | |
|Cost conscious. Operates within budget guidelines. Identifies, selects and | | | | | | | |
|implements the most cost effective procedures, products and services to | | | | | | | |
|conduct business efficiently. Identifies areas of savings for the community.| | | | | | | |
|Diversity/Pluralism | | | | | | | |
|Recognizes the special obligation of promoting a multicultural | | | | | | | |
|community based on mutual respect and tolerance. Understands and appreciates | | | | | | | |
|other cultures. | | | | | | | |
|Attendance & Punctuality | | | | | | | |
|Attendance dependable and punctual. | | | | | | | |
OVERALL RATING: (Please circle one)
5= Exceptional 4=Above Expectations 3= Meets Expectations 2= Below Expectations 1=Unacceptable
PART II
EMPLOYEE SELF-APPRAISAL
(To be completed by ALL employees)
EMPLOYEE NAME: ________________________________________________
ASSESSMENT AND DEVELOPMENT SUMMARY:
__________________________________________________________________________________________________
Please detail the accomplishments and notable achievement you have made over the last appraisal period.
_________________________________________________________________________________________________
Goals for upcoming appraisal period:
_________________________________________________________________________________________________
Training and professional development sessions you’d like to attend in the coming year to accomplish these goals:
Customer Service____ Technology Training (please specify)_________________________________
Communication Skills____ Writing Skills____
Time Management/Organization____ Presentation Skills____
Supervisory Training (if applicable)____ Wellness related (please specify)____________________________________
Leadership Development (if applicable)____ Other (please specify)____________________________________________
____________________________________________________________________________________________________
Please identify any obstacles standing in the way of successful performance of the job. Also, please identify areas where your supervisor may assist you in achieving the goals you have set for yourself in the coming year:
____________________________________________________________________________________________________
Employee Comments:
____________________________________________ ___________________________________________
Employee Signature Date Supervisor Signature Date
JOB DESCRIPTION CHANGED □ YES □ NO
PART III
SELF-APPRAISAL OF SUPERVISORY SKILLS
(To be completed by employees with supervisory responsibilities ONLY)
EMPLOYEE NAME: ______________________________________________
This section should be completed by those employees who have supervisory responsibilities. Use the comment section to explain strengths
and weaknesses in each area.
1. Planning and Organization. Ability to forecast, set objectives, anticipate changes; secure and budget resources effectively, structures
tasks, and establishes priorities.
Comments: ___________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
2. Leadership. Ability to take charge of situations. Able to select, direct and coordinate activities of others for performance efficiency,
assumes more responsibility, or prepares for future job opportunities. Coaches, motivates, and develops others. Serves as a role model.
Makes decisions and communicates clearly.
Comments: ___________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
3. Control. Identifies, measures and reports results, evaluates and corrects performance, directs policy and procedures, operates within
budget. Establishes realistic cost projections for specific operation/projects; performance against budget; effective use of people and funds.
Comments: ___________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
4. Affirmative Action/Equal Opportunity/Pluralism/Diversity. Takes positive steps to recruit, and promote individuals from groups
that have traditionally been discriminated against on the basis of race, gender, disability, or other characteristics. Prevents discriminatory conditions, whether inadvertent or intentional, and treats all employees equal in the workplace. Is sensitive to issues relative to race, gender, color, handicap, sexual orientation, etc.
Comments: ___________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
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