MCCDP DATE EVALUATION DUE by 78HKc7

VIEWS: 49 PAGES: 4

									                                                              Year Reviewed:
                         PERFORMANCE APPRAISAL
NAME                                  DEPARTMENT
JOB                          DATE OF HIRE                   POSITION
TITLE                                                       CHANGE
TIME IN THIS POSITION        PURPOSE       Choose Purpose


                                   PART I
SPECIFIC RESPONSIBILITY #1             RATING: Choose Value
                                       COMMENTS:




SPECIFIC RESPONSIBILITY #2             RATING: Choose Value
                                       COMMENTS:




SPECIFIC RESPONSIBILITY #3             RATING: Choose Value
                                       COMMENTS:




SPECIFIC RESPONSIBILITY #4             RATING: Choose Value
                                       COMMENTS:




SPECIFIC RESPONSIBILITY #5             RATING: Choose Value
                                       COMMENTS:




MCCDP-P-029B                                                                   1 of 4
6/08 R
INITIATIVE/SUPERVISION REQUIRED                                                 RATING: 1=Far Below Standards/Unsatisfactory
1-Requires close supervision. Begins tasks and completes them with              COMMENTS:
complete instruction from supervisor. Low level of initiative.
2-Begins tasks when prompted but can bring assignments to successful
completion.
3- Initiates and completes normal work assignments without prompting.
Responds well to supervision. Volunteers for additional assignments, always
ensuring regular assignments are completed first.
4- Plans daily workload by self; Prioritizes; Suggests new assignments.

JUDGMENT/DECISION MAKING                                                        RATING: 1=Far Below Standards/Unsatisfactory
1- Makes decisions that are beyond scope of authority and job experience,       COMMENTS:
with negative results OR avoids making appropriate decisions.
2- Tentative and/or slow in decision-making.
3- Makes good decisions based on sound reasoning. Seeks supervisory help
as appropriate.
4- Uses outstanding judgment and makes sound decisions. Provides creative
solutions for the non-routine.


TEAMWORK/INTERPERSONAL SKILLS                                                   RATING: 1=Far Below Standards/Unsatisfactory
1- Works poorly with other team members. Directs complaints to                  COMMENTS:
inappropriate persons. Creates conflict among or with other employees.
2- Exhibits cooperative spirit but no enthusiasm. Demonstrates polite
demeanor but complains if asked to perform beyond normal scope.
3- Develops positive relationships with staff at all levels. Demonstrates
cooperative and considerate spirit. Considers co-workers’ needs, always
assisting when asked. Generates team building skills within the department
and working across departments.
4- Always deals effectively and professional with staff at all levels. Freely
offers assistance to others. Shows enthusiasm for work and the agency.
LEARNING NEW SKILLS                                                             RATING: 1=Far Below Standards/Unsatisfactory
1-Basic new skills must be demonstrated repeatedly. Struggles when              COMMENTS:
presented with changes or new policies.
2-Learns new skills but functions inconsistently; sometimes struggles.
3-Learns new skills through minimal repetition, utilizing normal training
methods with good success. Accepts change with positive attitude.
4- Rapidly assimilates new tasks and aids in the training of others. Accepts
change easily and suggests changes; helps others adapt to change.


LEVEL OF DEPENDABILITY                                                           RATING: 1=Far Below Standards/Unsatisfactory
1-Supervisor does not count on this employee’s dependability.
2-Reliable attendance and expended effort, with unpredictable success.
                                                                                 COMMENTS:
3-Completes attempted tasks with high rate of success
4-Supervisor feels confident of this employee’s attendance and effort.



STRENGTHS:
Describe Employees Key Strengths




AREAS OF IMPROVEMENT:
Suggest Possible Improvements for Employee




MCCDP-P-029B                                                                                                                    2 of 4
6/08 R
                                                PART II

     JOB DESCRIPTION REVIEW                       Choose
     Indicate if Job Description
     Requires Revision:

REVIEW OF ATTENDANCE

FULL-TIME STAFF:                           Number of Sick                   Number of Unpaid Time
Current Accrued Hours:                     Time Used (Hours)                Used (Hours)
PART-TIME STAFF:                           Number of Days                   Number of Days Tardy or
Current Accrued Hours:                     Reported Off of                  Left Early
                                           Work

                                               PART III

A)      Assessment of Performance Objectives Established in Last Evaluation: Met Choose

B)      Identification of Performance Objectives and Training/Development Opportunities Related to
        Performance Objectives for Upcoming Year:

            PERFORMANCE OBJECTIVE(S)        DEADLINE FOR       TRAINING AND DEVELOMENT OPPORTUNITES
                                            COMPLETION           RELATED TO PERFORMANCE OBJECTIVE




MCCDP-P-029B                                                                                      3 of 4
6/08 R
                                            PART IV

A)    Employee’s Comments and Input of his/her Performance:




                                                    Percent (%) of Increase:
                                                    Effective Date of Increase:
                                                    New Wage:
                                                    Reason for Increase:
                                                     Merit
                                                     Wage Adjustment
                                                     Other:



                                                                               Reviewed by CEO:




Date of Review



Signature of Employee



Signature of Evaluator




MCCDP-P-029B                                                                                      4 of 4
6/08 R

								
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