Employee Evaluation 2024

Employee Evaluation 2024

Employee Evaluation

2024-2025
Your Name*
Your Email Address*
Employee Being Evaluated*
Their Email Address*
Their Job Title*
Date of Meeting*

MonthDayYear

Ratings:

NI:	This area requires supervision and/or the performance of the employee does not meet the standard (Needs Improvement). NI ratings require example(s).
C:	The employee performs Competently.
E:	The employee functions at an Exceptional level. This performance is due to the employee’s effort and ability. E ratings require example(s).
N/A:	Does not apply to this employee and/or position.

Organizational Priorities

Rows	Rating	Comments/Examples
Works in a way that supports and honors the mission to provide or assure access to the highest quality health care for all people experiencing homelessness in the community.
Respects individuals regardless of differences in background, experience, achievements or potential
Adheres to the Standards of Excellence: Respect, Compassion, Teamwork, Integrity

Job Knowledge and Skills

Rows	Rating	Comments/Examples
Has gained the required level of knowledge and skill to perform job
Applies knowledge to meet job requirements
Keeps current in knowledge needed to perform
Learns and adapts as needed to fulfill job responsibilities

Service Orientation

Rows	Rating	Comments/Examples
Shares information with patients, colleagues, etc. as appropriate
Acts quickly to meet needs and resolve issues of patients, colleagues, etc.
Seeks opportunities to improve service and procedures to meet the needs of patients, colleagues, etc.
Demonstrates openness to new ideas

Communication

Rows	Rating	Comments/Examples
Relates well to others – builds strong work relationships – colleagues, supervisors, and subordinates want to work with the employee.
Listens and pays attentions when others speak
Alleviates difficult interpersonal situations before they escalate into problems

Initiative

Rows	Rating	Comments/Examples
Suggests ways for team to improve
When appropriate, seeks opportunities to act beyond what’s required
Volunteers readily (committees, special projects, etc.)
Sticks with projects -- doesn’t start things and then let them drop

Decision Making

Rows	Rating	Comments/Examples
Identifies issues and opportunities for action
Taps sources (known or new) from which to better understand issues
Analyzes information effectively
Includes others, when needed, to make better, more inclusive decisions
Decisions, once made, prove to be effective

Planning and Organization

Rows	Rating	Comments/Examples
Prioritizes multiple activities effectively
Uses time effectively and maintains focus
Self-monitors deadlines
Meets deadlines

Quality of Work

Rows	Rating	Comments/Examples
Follows procedures
Completes work without errors
Finds innovations that result in higher quality of work

Work Habits

Rows	Rating	Comments/Examples
Complies with organizational obligations (for instance completes and signs ADP, submits required documents for credentialing, immunizations, etc.)
Acts, speaks, carries oneself professionally
Attendance is reliable
Always follows established procedures for calling out
Adheres to established schedule (e.g. ready to begin work at start time, punctually returns from breaks)
Dresses appropriately

Please describe the ways in which the staff person has demonstrated a commitment to equity, racial and social justice.*
What are the employee’s goals for the year?*
How will these goals get accomplished?*
YesNo

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Your Name
Date

MonthDayYear
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Director Name
Director Email Address
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