Employee Performance Tracker - PDF by qpg10257


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									                                                                               Performance Appraisal Worksheet
               Employee:                                                               Employee Number:



           Appraisal Date:                                 Last Appraisal Date:

  Purpose of Evaluation:

 Functions Rating Scale:
      1            Unsatisfactory - Performance on this element of your job is well below expected standards and there is question whether there is
                   potential and/or willingness to meet the minimum standards set.

      2            Marginal - Performance is somewhat below the minimum standard for this element of your job. There appears to be, however,
                   potential and willingness to improve.

      3            Satisfactory - Performance is at or above the standards required.

      4            Very Good - Performance in this area is consistently better than required standards.

      5            Outstanding - Performance is so successful at this element of your job that special note should be made.

     Administers first aid and prescription medications to students (under the direction of a health care professional) for the purpose of meeting
     immediate health care needs within established guidelines.
          Rating       Comments

     Answers telephone calls for the purpose of screening calls, transferring calls, responding to inquiries and/or taking messages.

          Rating       Comments

     Assists with processing of documents, forms, mailings and materials (e.g. attendance, enrollments, etc.) for the purpose of disseminating
     information to appropriate parties.
          Rating       Comments

     Attends department and/or in-service meetings for the purpose of gathering information required to perform functions.

          Rating       Comments

     Distributes materials (e.g. mail, checks, supplies, messages, etc.) for the purpose of ensuring delivery to addressee.

          Rating       Comments

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                                                                              Performance Appraisal Worksheet
     Maintains manual and electronic documents files and records (e.g. letters, forms, reports, etc.) for the purpose of providing up-to-date
     information and/or historical reference in accordance with established administrative guidelines and legal requirements.
           Rating       Comments

     Maintains inventory of supplies and materials (e.g. forms, office supplies, etc.) for the purpose of ensuring itemsÆ availability.

           Rating       Comments

     Monitors students referred for illness or disciplinary action for the purpose of ensuring student welfare and maintaining a secure office
           Rating       Comments

     Performs other related duties as assigned for the purpose of ensuring the efficient and effective functioning of the work unit.

           Rating       Comments

     Prepares standardized documents (e.g. form letters and memos, calendars, bulletins, etc.) for the purpose of communicating information to
     other parties.
           Rating       Comments

 Competencies Rating Scale:
       1            Needs Improvement

       2            Satisfactory

       3            Very Good

  SKILLS are required to perform multiple tasks with a potential need to upgrade skills in order to meet changing job conditions. Specific skill-based
  competencies required to satisfactorily perform the functions of the job include: operating standard office equipment including using pertinent
  software applications; and preparing and maintaining accurate records.
           Rating       Comments

  KNOWLEDGE is required to perform basic math, including calculations using fractions, percents, and/or ratios; read a variety of manuals, write
  documents following prescribed formats, and/or present information to others; and solve practical problems. Specific knowledge-based
  competencies required to satisfactorily perform the functions of the job include: concepts of grammar and punctuation; common office machines;
  and office methods and practices.
           Rating       Comments

  ABILITY is required to schedule activities; gather and/or collate data; and use basic, job-related equipment. Flexibility is required to work with

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                                                                             Performance Appraisal Worksheet
  others in a variety of circumstances; work with data utilizing defined and similar processes; and operate equipment using defined methods. Ability
  is also required to work with a wide diversity of individuals; work with a variety of data; and utilize specific, job-related equipment. Some problem
  solving may be required to identify issues and select action plans. Problem solving with data may require independent interpretation; and problem
  solving with equipment is limited. Specific ability-based competencies required to satisfactorily perform the functions of the job include: being
  attentive to detail; and adapting to changing work priorities.
        Rating      Comments

  Responsibilities include: working under direct supervision using standardized routines; providing information and/or advising others; and operating
  within a defined budget. Utilization of some resources from other work units may be required to perform the job's functions. There is a continual
  opportunity to have some impact on the Organization’s services.
        Rating      Comments

  Additional Factors:
     Employee observes work hours as established by supervisor and has consistent and predictable attendance.

        Rating      Comments


               Employee:                                                             Date:

               Supervisor                                                            Date:

                 Evaluator                                                           Date:

                               Signature confirms that this document has been received and reviewed by the employee.

Wednesday, October 15, 2008                                                                                                                 Page 3 of 3

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