KIRKWOOD COMMUNITY COLLEGE
SUPPLEMENTAL FORM A
To be completed by supervisor; please type or use black ink.
Read all prerequisites for each factor. Determine which specification best describes the employee’s performance; then check the appropriate response in the provided. In the space
provided for comments, provide justification for your selection, including areas where improvement is needed and/or the strengths in this area.
HUMAN RELATION SKILLS
Diplomacy and Tact Commendable Satisfactory Marginal
Displays good judgment and ability Makes extra effort to be tactful Uses good judgment in Does not get along well with others;
in handling potentially difficult and/or and diplomatic with co-workers working with co-workers and many times is not tactful or diplomatic
delicate situations with co-workers and supervisor(s); good supervisor(s); is capable of with co-workers, supervisor(s) or
and supervisor(s); demonstrates customer service skills. handling customer relations. customers.
good customer service skills.
Communication Commendable Satisfactory Marginal
Expresses ideas effectively in oral Communicates well using most Usually communicates in a Has trouble receiving, translating and
and written messages, methods of communication. satisfactory manner. transmitting basic information.
comprehends information from
others; works to keep others
Initiative Commendable Satisfactory Marginal
Acts as a self-starter and displays Acts voluntarily in most Normal supervision needed. Often waits to be told what to do. Needs
originality in achieving job situations. Alert performer. Will act voluntarily in routine continuous help in starting work, needs
objectives; points out situations matters. follow-up regularly.
where corrective action or
improvements are needed.
Attitude Commendable Satisfactory Marginal
Cooperates with supervisors and co- Works well with others. Positive Cooperative. Interested; Indifferent disposition, reluctant to
workers; responds positively to attitude. Takes pride in work. respects supervision. comply with instructions. Uncooperative;
change, criticism and ideas; can be difficult to work with.
represents the College in a positive
Planning and Organization Commendable Satisfactory Fair Marginal
Plans and organizes workload for Skillful in organizing and planning Efficient for this point in Fair on routine jobs. Unable to Unsystematic. Unable to
maximum efficiency. work. Meets emergencies promptly. employment. Gives priority to organize variations effectively. organize workload.
Technical/Job Knowledge Commendable Satisfactory Fair Marginal
Applies a combination of education, Excellent understanding of most Good working knowledge. Knows enough to get by. Poor understanding of the job.
experience and practical skill for phases of the job. Learning most of job duties at a Does not have a sound Unable to perform at the
effective job performance. satisfactory level. understanding of the job. minimum level.
Resourcefulness & Adaptability Commendable Satisfactory Fair Marginal
Cooperates and demonstrates Capable of meeting and solving most Usually able to complete Limited in ability to finish work Restricted to current job
willingness and ability to complete tasks situations when forced to use assignments in cases where when usual methods or duties. Unable to perform
and handle situations when the usual unconventional means. some means or materials are not materials are not available. related job functions.
means or materials are not available. available.
Quality of Work Commendable Satisfactory Fair Marginal
Produces work that is accurate, Exceeds job standards. Exact and Meets job standards. Works at minimum standards; Below minimum standards;
complete and neat. precise most of the time. Satisfactory in accuracy of work. improvement in accuracy frequent follow-up or re-work
necessary. required. Numerous errors.
Quantity of Work Commendable Satisfactory Fair Marginal
Produces a high volume of work with Industrious, rapid; does more than Output meets job requirements Produces just enough to get Insufficient output; slow;
speed, accuracy and consistency of required. for this point in employment. by. Improvement necessary. usually behind in work.
output. Satisfactory volume.
Problem Solving Commendable Satisfactory Fair Marginal
Analyzes and solves problems Thinks logically and rapidly; arrives Acceptable judgment in use of Needs assistance in analysis Fails to use common sense
employing logical and critical thinking at sound conclusions. common sense and logical of problems and decision and consider obvious facts in
processes. Minimal assistance making. making decisions. Usually
needed in analysis of problems. makes wrong decision.
Summarize your overall observations about this employee’s performance and contributions both to the department
and to the College as a whole.
The current job description for this position has been reviewed. It is recommended:
_____No change _____New job description attached
Supervisor’s signature Date
This evaluation has been discussed with me and my signature on this document in no way signifies either agreement or
disagreement with the aforementioned comments.
Employee’s signature Date
Please print Employee Name
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