Employee Performance Review
Employee Name
First Name
Last Name
Title
Department
Supervisor
First Name
Last Name
Date of Hire
-
Month
-
Day
Year
Date Picker Icon
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Performance Competencies
Brief explanation
Possesses skills and knowledge to perform the job competently
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Skill at planning, organizing and prioritizing workload
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Holds self accountable for assigned responsibilities; sees tasks through to completion in a timely manner
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Proficiency at improving work methods and procedures as a means toward greater efficiency
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Communicates effectively with supervisor, peers, and customers
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Ability to work independently
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Ability to work cooperatively with supervision or as part of a team
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Willingness to take on additional responsibilities
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Reliability (attendance, punctuality, meeting deadlines)
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
Adeptness at analyzing facts, problem solving, decision-making, and demonstrating good judgment
Needs Improvement
1
2
3
4
Exceeds Expectations
5
1 is Needs Improvement, 5 is Exceeds Expectations
Brief explanation
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Performance Summary
List all aspects of employee’s performance that contribute to his or her effectiveness.
List aspects of employee’s performance that require improvement for greater effectiveness.
In what way is the employee ready for increased responsibility? What additional training will he/she need to be successful?
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Goal Setting and Development Planning
List the employee’s performance goals for the coming year:
How do these align with departmental goals?
List the employee’s development goals for the coming year:
Employee Signature
In the coming year, how will you provide guidance and assistance for the employee to accomplish his/her goals?
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Should be Empty: