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Employees Position:

Print Form

Assures accuracy, thoroughness and reliability of


results in the work product.

Exceeds Stan

Factor 2

Employ

Quantity of Work

Meets the workload requirements of the job

Job Performance AppraisalFactor 3


Employees Name:

Employees Position:Job Knowledge

Department:

Date of Job Appraisal


theDiscussion:
knowledge required to complete job

Supervisor:

Supervisors Position:

Demonstrates a comprehensive understanding of

Exceeds Stand

Employ
5

Exceeds Stan

responsibilities

Appraisal for a one-year period beginning (month)

Part 1 Generic Factors


Factor 1

Employees

Quality of Work

Factor 4

Employ

Dependability

Can be depended on to plan and complete work


assignments as required.
Performance

Exceeds Stan

Factor 5

Employees Performance

Ability to improve

Uses constructive feedback to improve


performance. Open to new methods for
completing job responsibilities.

Exceeds Standards

Part 1 Comments:

Employees Action:

Meets Standards

* Does not meet Standards

Supervisors Action:

*Requires comments

Part II Specific Factors


Factor 6

Employees Performance

Organization

Demonstrates ability to plan and establish

Exceeds Standards

3
Meets Standards

Does not meet

N/A
Not applicable

Standards*

priorities to achieve job objectives. Manages


workload in an organized manner.

Factor 7

Employees Performance

Problem Solving

Demonstrates analytical ability to gather facts


and develop solutions. Makes decisions
which are sound and timely.

Exceeds Standards

Factor 8

Employees Performance

Customer Service

Ability to interact with customers, both


internally and externally.

Exceeds Standards

Meets Standards

Does not meet


Standards*

Meets Standards

Does not meet


Standards*

Factor 9

Employees Performance

Initiative

Is a self-starter. Ability to proceed without

Exceeds Standards

Meets Standards

Does not meet


Standards*

being told every detail.

Factor 10

Employees Performance

Creativity

Contributes new ideas and methods.

Exceeds Standards

Meets Standards

1
Does not meet
Standards*

Factor 11

Employees Performance

Adaptability

Responds effectively to changing needs of


the department.

Exceeds Standards

Meets Standards

1
Does not meet

Employees Performance

Interpersonal Skills

Exceeds Standards

1
Does not meet
Standards*

Meets Standards

Factor 13

Employees Performance

Communication Skills

Exhibits good verbal and written

Not applicable

N/A
Not applicable

N/A
Not applicable

N/A
Not applicable

N/A
Not applicable

Standards*

Factor 12

Ability to maintain a positive and supportive


work environment.

N/A

Exceeds Standards

3
Meets Standards

1
Does not meet

N/A
Not applicable

N/A
Not applicable

communication skills as related to job duties.

Standards*

Factor 14

Employees Performance

Technical Skills

Is proficient in technical skills required for the


job.

Exceeds Standards

3
Meets Standards

1
Does not meet
Standards*

N/A
Not applicable

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