employee performance

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					                      University of California, Davis
                     OFFICE OF ADMINISTRATION
              EMPLOYEE PERFORMANCE APPRAISAL REPORT

                             Period covered (month/day/year): from         to


Employee Name                                             Department


Payroll Title / Title Code            Working Title                             Employee Number

                                                                       $
Personnel Program (MSP, PSS, or Collective Bargaining Unit)            Monthly Salary/Step/%Range

                                                                                     %
DaFIS Account Number(s)                                                         Percent appointment

This employee has been supervised by me for the full review period (check one):           YES         NO

If the answer is no, how long have you supervised this employee?

JOB-RELATED PERFORMANCE DURING THE REVIEW PERIOD: (Add sheets if needed.)

The following narrative describes this employee’s overall job-related performance, based upon
the employee’s position description/job functions, OOA core competencies, attainment of
established goals and overall contributions to the department/unit mission. Also include any
comments relative to employees activities related to safety in the work place.




SUPERVISOR’S ASSESSMENT:
   Meets or Exceeds Expectations (For merit purposes only, this is interpreted as “Satisfactory or better”.)
  Does Not Meet Expectations (This is equal to less than “Satisfactory”.)



                                University of California, Davis



                                                 I - 14
                    OFFICE OF ADMINISTRATION
             EMPLOYEE PERFORMANCE APPRAISAL REPORT

Employee name                                              Review Date                       Page


SPECIAL APPRAISAL CATEGORIES (Check box and attach comments on separate sheet or
incorporate in the narrative section.)

    Supervisory Skills: recruitment/selection, employee development, setting performance
    expectations/performance appraisal, leadership and delegation, communication with staff.
    Equal employment opportunity and affirmative action: job-related commitment to good faith efforts
    in recruitment, training.
    Safety: applicable to those employees who have specific safety-related department/campus
    responsibilities noted in the position description.
    Other:

EMPLOYEE COMMENTS (optional) Attach additional sheet if needed.




SIGNATURES

Employee: I have read and received a copy of this evaluation.                                 Date

Immediate Supervisor:                                                                         Date
Note to employee: Your signature indicates neither agreement nor disagreement with the appraisal, but
indicates that you have read the appraisal and it has been discussed with you. If you wish, you may
comment in the space above and attach an additional sheet if needed.




NEXT-HIGHER-LEVEL REVIEW:
All information on this report has been discussed with the employee.

Do you concur with the supervisor’s appraisal/assessment of the employee? YES        NO

If you don’t concur, please attach a statement specifying the areas in which you disagree.
Other comments pertinent to the appraisal/assessment may be provided as well.


_________________________________________________________________________________
Signature                                                                 Date

NEXT-HIGHER-LEVEL REVIEW (If applicable)

_________________________________________________________________________________
Signature                           Title                                 Date


                               University of California, Davis
                                                 I - 24
                     OFFICE OF ADMINISTRATION
               EMPLOYEE SUMMARY OF ACCOMPLISHMENTS

                           Period covered (month/day/year): from             to



Employee name                                              Department

The objective of this summary is to provide an opportunity to reflect upon the results of this past year’s
activity, ensure agreement with your supervisor regarding accomplishments, and strengthen
communication regarding future goals and priorities for the coming year. Attach additional sheets as
needed.

Describe:
  1. Accomplishments related to your job functions and applicable special appraisal category
  2. Accomplishments related to established individual or team goals and/or performance
     expectations aligned with the Balanced Scorecard Perspectives; Customer, Financial, Innovation
     and Learning and Internal Business.
  3. Equal employment opportunity and affirmative action activities.
  4. Training and development received.




       Employee Signature                                                   DateUniversity      of
                                   California, Davis
                             OFFICE OF ADMINISTRATION

                                                 I - 34
      FUTURE GOALS AND/OR PERFORMANCE EXPECTATIONS

                                For Appraisal Period: from          to


For the next appraisal period Include individual or team goals consistent with the Balanced Scorecard
Perspectives; Customer, Financial, Innovation and Learning and Internal Business. These goals are
expected to align with the department/unit-shared goals and mission. Specific goals intended to help
improve performance and performance standards also may be included.




SUPERVISORY SUPPORT: This section documents specific action steps or areas of support to be
provided by the supervisor to enable achievement of the above stated goals.




                                               I - 44

				
Richard Cataman Richard Cataman
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