"ADMINISTRATIVE PERFORMANCE REVIEW"
ADMINISTRATIVE PERFORMANCE REVIEW Name Class Title Date SECTION I: The performance review must be based on the duties and responsibilities as outlined in the position description. Indicate the appropriate rating, and provide comments in each category. Rating Definitions: (E)xcellent Consistently exceeds expectations (V)ery Good Frequently exceeds expectations (S)atisfactory Meets expectations (F)air Inconsistently meet expectations (U)nsatisfactory Fails to meet expectations Accomplishment of Major Job Responsibilities: Rating Comments Interpersonal and Communication Skills: Rating Comments Quality and Management of Work: Rating Comments Problem Solving and Initiative: Rating Comments Supervision of Staff: Rating Comments Commitment to Safety: Rating Comments Implementation to Affirmative Action Goals: Rating Comments Distribution: Original – Human Resources Copy – Supervisor Copy – Employee Revised 10/3/07 Section II: The employee and supervisor must set goals and objectives to be attained during the coming year. An optional mid-year review may be conducted to discuss progress, or address goal changes. Briefly outline major goals, determine goal related activities, results expected, and timelines for achieving goals during the next rating period. Overall Comments: Employee’s Signature______________________ Employee ID_____________________ Date________ Please print Supervisor’s Name________________________ Signature________________________ Date________ Please print Second-level Supervisor’s Name _____________________________________________ Second-level Supervisor’s Signature __________________________________________ Date________ Employee’s Comments: Employee signature does not imply concurrence with supervisor’s performance review; only that performance review was administered. If the employee refuses to sign, the supervisor should note this on the form. Use attachments if necessary. * Please deliver form to the Division of Human Resources, Payroll Department, PC 220. Distribution: Original – Human Resources Copy – Supervisor Copy – Employee Revised 10/3/07