Employee Written Evaluation

							                                                 EMPLOYEE EVALUATION
                The University Corporation - California State University, Northridge - Mail Code 8309

 Name of Employee
Department:                                                   Job Title:

Rating Period: From:                       To:
   Type of
  Evaluation:          Annual              Special           Temp




                                                                  ns
                                                               io
                                                              ns

                                                              ns

                                                            at
                                               Ex atio

                                                           io

                                                         ct
                                                        at
                                  le




                                                     pe
                                                     le

                                                     ct

                                                     ct
                                ab




                                                   ng
                                                   ab




                                                  Ex
                                                  pe

                                                  pe
                              lic




                                                di
                                                pt

                                               Ex




                                                s
                            pp




                                              an
                                      e




                                             ed
                                                                                 (See Instructions For
                                   cc

                                           ow

                                            ts
                            A




                                           st
                                          ce
                                         ee
                                na




                                        ut
                         ot




                                        el

                                                                         Completion sheet for definitions)

                                       Ex
                                       M




                                       O
                        N

                                U

                                       B



                                                             Attendance
                                                             Appropriate Attire & Grooming
                                                             Customer Service - SMART Goals
                                                             S = SERVICE
                                                             M = MOTIVATE
                                                             A = ATTITUDE
                                                             R = RESPECT
                                                             T = TEAM
                                                             Safety Practices
                                                             Job Knowledge
                                                             Job Skills
                                                             Quality of Work
                                                             Planning and Organization
                                                             Judgment and decisions
                                                             Meets Deadlines
                                                             Accepts Responsibility
                                                             Accepts Direction
                                                             Oral/Written Communication
                                                             Initiative
                                                             Learning Ability
                       MANAGEMENT/SUPERVISORS
                                                             Affirmative Action/Equal Opp. Efforts
                                                             Budget Management
                                                             Evaluating Subordinates
                                                             Leadership
                                                             Productivity of Work Unit
                                                             Scheduling & Coordination
                                                             Training & Instruction
                                                             Financial Control
                                                             OVERALL PERFORMANCE
                     EVALUATOR                                                    H. R./ADMIN. REVIEW


Signature                                        Date        Signature                                       Date


Print Name & Title                                           Print Name & Title


   1/31/2011, af3676ed-9446-4027-bcb2-d566b58d1455.xls
                                       Employee Evaluation Continued

SECTION B:                Record Job Strengths & Superior Performance




 SECTION C :              Record Progress achieved in attaining goals during previous rating period




 SECTION D:     Record specific required improvement or correction needed in performance or behavior. Give
                                          dates for those corrections to be reviewed.


                                                                                                           Date

                                                                                                           Date

                                                                                                           Date

 SECTION E                        Record goals or objectives for the next performance period.




Employee's            This report has been discussed with me. I understand my signature does not indicate agreement
Acknowledgment:                                   (attach additional sheets if necessary).




                       Employee Signature                                                                 Date




  1/31/2011, af3676ed-9446-4027-bcb2-d566b58d1455.xls
1/31/2011, af3676ed-9446-4027-bcb2-d566b58d1455.xls
1/31/2011, af3676ed-9446-4027-bcb2-d566b58d1455.xls