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					   EMPLOYEE PERFORMANCE APPRAISAL - EXEMPT
 DATE:
                         (I.E., 07/01/01)

 CENTER/DEPT:


 NSU ID#:                                                                                          REVIEW PERIOD (Month/Year):
                                                                                                  From:                To:
 EMPLOYEE NAME:
                                                                                                             (I.E., 07/01/01)

 JOB TITLE:                                                                                                   OVERALL RATING:
                                                                                                                       #DIV/0!
                                  ANNUAL                             ORIENTATION                              SPECIAL
 INSTRUCTIONS:
 1. Complete all sections (A, B and C).

 2. Carefully evaluate each of the factors separately, based on recurring day-to-day performance since the last review and not on
 recent or isolated exceptional events. Use examples, whenever possible, to support each performance rating.
 3. There are ten core performance categories. All exempt employees must be rated in each of these areas and given specific
 feedback on performance. There are also five optional performance categories that may be relevant, depending on the exempt
 position.
 4. For each factor, evaluate the employee using the definitions provided below.
 5. The overall rating will be automatically calculated on Page 7.

 EXCELLENT (EXCEEDS STANDARDS) (4)
 Performance frequently exceeds the established requirements for the job. The employee fully understands the position, takes the
 appropriate initiative, and requires only occasional direct supervision.
 GOOD (FULLY MEETS STANDARDS) (3)
 Performance fully meets all the established requirements for the job. The employee is familiar with all aspects of the position and
 performs these in a competent and satisfactory manner.
 ACCEPTABLE (USUALLY MEETS STANDARDS) (2)
 Performance usually meets all the minimal established requirements for the job. The employee’s performance occasionally may
 require improvement.
 UNSATISFACTORY (SUBSTANTIALLY SHORT OF STANDARDS) (1)
 Performance is considered below established requirements for the job. The employee needs to improve performance significantly
 to reach satisfactory performance and requires daily close supervision and/or additional training to bring performance within
 acceptable limits. Performance plan required.

                                  The care and accuracy with which this appraisal is completed will
                                 determine its value to you, to the employee, and to the organization.




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Employee Performance Appraisal - EXEMPT                                                                                          rev 04.08
 OVERALL COMMUNICATION SKILLS
 (Consider written, verbal, and listening skills)
                                                                                                                *PERF*
                                                                                                                    PERF-Perf Rev
 Demonstrates proficiency at expressing ideas and listening, asking for and providing productive feedback, and has a positive,
 effective communication style.

 Excellent (4)                  Good (3)                 Acceptable (2)           Unsatisfactory (1)      RATING:         0.00




         COMMENTS:
                 SECTION A: FACTORS AFFECTING JOB PERFORMANCE (CORE PERFORMANCE CATEGORIES)



 DEPENDABILITY

 Fulfills responsibilities, instills full confidence, works well without continual supervision.

 Excellent (4)                  Good (3)                 Acceptable (2)           Unsatisfactory (1)      RATING:         0.00




         COMMENTS:




 RELIABILITY
 Consistent attendance, punctually arrives and leaves work, meetings and appointments.

 Excellent (4)                  Good (3)                 Acceptable (2)           Unsatisfactory (1)      RATING:         0.00




         COMMENTS:




 ATTITUDE/COOPERATION/ADAPTABILITY

 Commitment, team spirit, amount of interest and enthusiasm shown in the performance of responsibilities and attitude toward
 coworkers, students and the University. Works effectively and willingly with others (individuals and departments) in positive,
 supportive, and cooperative relationship. Accepts new or changed situations, adjusting activities and plans to accommodate.

 Excellent (4)                  Good (3)                 Acceptable (2)           Unsatisfactory (1)      RATING:         0.00




         COMMENTS:




Page 2
Employee Performance Appraisal - EXEMPT                                                                                          rev 04.08
 JUDGMENT
 Demonstrates ability to make sensible and appropriate decisions. Demonstrates discretion/professionalism in unusual situations.
 Ability to make solid decisions.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)            RATING:      0.00




         COMMENTS:




 KNOWLEDGE
 Demonstrates skills and an understanding of the position, policies, and procedures required in present job.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)            RATING:      0.00



              SECTION A: FACTORS AFFECTING JOB PERFORMANCE (CORE PERFORMANCE CATEGORIES)
         COMMENTS:




 PROBLEM SOLVING
 Identifies problems and determines their causes, assesses alternatives; makes recommendations/decisions.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)            RATING:      0.00




         COMMENTS:




 INITIATIVE
 A self-starter who contributes and/or carries out new ideas or methods.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)            RATING:      0.00




         COMMENTS:




Page 3
Employee Performance Appraisal - EXEMPT                                                                                       rev 04.08
 PLANNING
 Develops and utilizes methods and work organization to efficiently complete overall workload.

 Excellent (4)                  Good (3)                Acceptable (2)     Unsatisfactory (1)           RATING:        0.00



         COMMENTS:




 QUALITY
 Works with attention to detail and absence of error.

 Excellent (4)                  Good (3)                Acceptable (2)     Unsatisfactory (1)           RATING:        0.00



         COMMENTS:



 QUANTITY/APPLICATION
 The amount of work an individual accomplishes. Consistently applies ability and completes work in given timeframe.

 Excellent (4)                  Good (3)                Acceptable (2)     Unsatisfactory (1)           RATING:        0.00



         COMMENTS:

                 SECTION A: FACTORS AFFECTING JOB PERFORMANCE (CORE PERFORMANCE CATEGORIES)




 DEDUCTIVE REASONING
 Draws a conclusion by reasoning. Uses analysis and/or logic that is thorough, accurate, and appropriate while working on a
 project or assignment.

 Excellent (4)                  Good (3)                Acceptable (2)     Unsatisfactory (1)           RATING:        0.00



         COMMENTS:




Page 4
Employee Performance Appraisal - EXEMPT                                                                                       rev 04.08
 NEGOTIATION
 Demonstrates ability to effectively reach agreement with others.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)           RATING:        0.00




         COMMENTS:




 PRESENTATION
 Performs group presentations in an effective, credible, and professional manner. Disseminates information to group participants
 in a way that is concise and easy to understand.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)           RATING:        0.00
              SECTION B: FACTORS AFFECTING JOB PERFORMANCE (OPTIONAL PERFORMANCE CATEGORIES)

         COMMENTS:




 RESPONSIVENESS
 Responds quickly and appropriately to requests for documents, reports, or information, whether verbal or written.

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)           RATING:        0.00




         COMMENTS:




 OTHER (IDENTIFY)

 Excellent (4)                  Good (3)             Acceptable (2)         Unsatisfactory (1)           RATING:        0.00



              SECTION B: FACTORS AFFECTING JOB PERFORMANCE (OPTIONAL PERFORMANCE CATEGORIES)
         COMMENTS:




Page 5
Employee Performance Appraisal - EXEMPT                                                                                        rev 04.08
         THIS SECTION SHOULD BE COMPLETED WITH THE EMPLOYEE AT THE CONCLUSION OF THE APPRAISAL.

 COMPLETED MANDATORY TRAINING

 Has employee completed mandatory training? (E.G. Sexual Harassment Awareness & Prevention Training, Human Resources
 Code of Conduct & Ethics Training OR Compliance Code of Conduct & Ethics Training, Safety-Sensitive training, Other (please
 specify).
 Yes                                No
 Note: Failure to comply with Mandatory training requirements will be noted on this performance appraisal, and tentative fiscal
 merit salary increases will be withheld until all required training has been completed.
 COMMENTS




 PLANS, GOALS, AND OTHER COMMENTS

 What plans have you and the employee developed to build on present strengths?




 What plans have you and the employee established to work on areas requiring improvement?




 Describe any specific goals or special projects this employee is assigned during the next four quarters. Specify details and
 milestones. (Set cooperatively by supervisor and employee.)




 EMPLOYEE COMMENTS
 After you have reviewed this appraisal and discussed it with your supervisor/manager, please state briefly your comments
 regarding this evaluation. If you have no comments, please indicate “none.”



                                                             SECTION C: CONCLUSION




       Employee’s Signature:                                                            Date:

                    Evaluated By:
                                           Print Name                                   Signature
                    Reviewed By:
         (Next Level Supervisor)           Print Name                                   Signature



Page 6
Employee Performance Appraisal - EXEMPT                                                                                         rev 04.08
                                Gray-shaded areas contain formulas and are protected against entry.

 PERFORMANCE CATEGORIES                                             PERFORMANCE RATING
 CORE CATEGORIES:

 OVERALL COMMUNICATION SKILLS                                                0.00
 DEPENDABILITY                                                               0.00
 RELIABILITY                                                                 0.00
 ATTITUDE/COOPERATION/ADAPTABILITY                                           0.00
 JUDGMENT                                                                    0.00
 KNOWLEDGE                                                                   0.00
 PROBLEM SOLVING                                                             0.00
 INITIATIVE                                                                  0.00
 PLANNING                                                                    0.00
 QUALITY                                                                     0.00
 QUANTITY/APPLICATION                                                        0.00

 OPTIONAL/CATEGORIES:

 DEDUCTIVE REASONING                                                         0.00
 NEGOTIATION                                                                 0.00
 PRESENTATION                                                                0.00
 RESPONSIVENESS                                                              0.00
 OTHER                                                                       0.00

                                                                                             NUMBER OF CATEGORIES:
                                                           TOTAL:            0.00                             0
                                                                                             (Field automatically counts categories entered)




                            OVERALL PERFORMANCE RATING:                  #DIV/0!




                                                            EXTENSION INFORMATION

                  30 days
                                                                    Reason
                                      60 days    90 days




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Employee Performance Appraisal - EXEMPT                                                                                                   rev 04.08