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Staff Performance Appraisal Confidential Name of
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					                                Staff Performance Appraisal
                                        Confidential


Name of Staff Member: ________________________________________________

Job Title: ____________________________________________________________

Department/Office: _________________________________

Name of Supervisor: ________________________________________________

Appraisal Period: _____________________________________

Date of Appraisal: ___________________________

Sections I is to be completed by the staff member.

I.     Major Responsibilities: List the major responsibilities of the staff member’s position in
approximate order of importance. After you complete this section, forward this form to your
supervisor.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Sections II, III, and IV are to be completed by the supervisor.

II.      Supervisor’s Review of Responsibilities: Review the above list of major
responsibilities and note your concurrent or comment on any additions, deletions, or changes in
priority that you feel are appropriate.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


III.    Performance Factor Ratings: Using the following definitions, check the box that most
closely describes the staff member’s performance for each of the required performance factors. If
a performance factor does not apply, please leave blank.

       1. Exceptional: Contributions and excellent work are widely recognized. Performance
        consistently exceeds all defined expectations, producing important and impactful results
        through superior planning, executing, and creativity.

        2. Highly Effective: Most performance objectives exceed expectations. Projects and
        objectives are completed in a manner that expands the scope and impact of the
        assignment and increases the impact on the business. The employee is viewed as having
        made notable contributions to the department.

        3. Effective: Performance is competent and effective along established expectations,
        initiative, resourcefulness and good judgment are consistently exercised. Employee
        makes a solid, reliable and meaningful contribution to the department.

        4. Improvement Required: Performance falls below expectations on one or two job
        requirements and responsibilities. A performance improvement plan should be created.

        5. Unsatisfactory: Performance falls below expectations on several critical job
        requirements and responsibilities. Without significant improvement reassignment or
        sep
				
DOCUMENT INFO
Description: The purpose of this appraisal form is to provide a written record for the staff member and his or her supervisor on the nature of the former’s job and his or her performance in it. Supervisors are urged to be frank in their evaluations both for the benefit of the staff member and for the accuracy of this appraisal record. This appraisal should become a part of the personal file of the staff member.
PARTNER William Glover
I received my B.B.A. from the University of Mississippi in 1973 and my J.D. from the University of Mississippi School of Law in 1976. I joined the firm of Wells Marble & Hurst in May 1976 as an Associate and became a Partner in 1979. While at Wells, I supervised all major real estate commercial loan transactions as well as major employment law cases. My practice also involved estate administration and general commercial law. I joined the faculty of Belhaven College, in Jackson, MS, in 1996 as Assistant Professor of Business Administration and College Attorney. While at Belhaven I taught Business Law and Business Ethics in the BBA and MBA programs; Judicial Process and Constitutional Law History for Political Science Department); and Sports Law for the Department of Sports Administration. I am now on the staff of US Legal Forms, Inc., and drafts forms, legal digests, and legal summaries. I am a LTC and was Staff Judge Advocate for the Mississippi State Guard from 2004-2008. I now serve as the Commanding Officer of the 220th MP BN at Camp McCain near Grenada, MS. I served on active duty during Hurricanes Dennis (July, 2005), Katrina (August, 2005) and Gustav in 2008. I played football at the University of Mississippi in 1969-1971 under Coach John Vaught. I am the author of the Sports Law Book (For Coaches and Administrators) and the Sports Law Handbook for Coaches and Administrators (with Legal Forms),