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TRANSCRIPT
APPENDIX C
Performance Evaluation Report
Regular/Probationary Classified Employees
Employee's Name Social Security Number (Last 4)
Classification Anniversary Date of Hire:
Type of Evaluation: Six Month (Probationary) Eleventh Month (Probationary) Annual Unscheduled
HR - Classified Evaluation Form Keep a copy for your records and forward a copy to Human Resources
A B C D E Section 2-- Job strengths and superior performance
Meets
Sta
ndar
ds
Requir
es
Impro
vem
ent
No
t Sat
isfa
cto
ry
Does
Not
Apply
Section 1
Factor Check List
(Immediate Supervisor
must check each factor
in the appropriate column)
Exce
eds
Section 3-- Job weaknesses and less than sufficient performances (Explain checks in column D if any)
1--Observation of work hours
2--Dependability
3--Compliance with rules
4--Safety practices
Section 4-- Progress achieved in attaining previously set goals for improved work performance, for personal, or job qualifications
5--Public interaction
6--Student interaction
7--Employee interaction
8--Knowledge , Skill and Ability
9--Work judgements
10--Planning and organizing
11--Initiative
Section 5-- Specific goals to be undertaken during next evaluation period 12--Quality of work
13--Quantity of Work
14--Team Work
15--Meeting deadlines
16--Responsibility
17--Follows direction
18--Adaptability
Summary Evaluation [Check () overall performance]
Exceeds Standards Meets Standards Requires Improvement Not Satisfactory Not Observed
19--Effectiveness under pressure
20--Professionalism
21--Neatness of work station
22--Use of Equipment
Supervisor's-- I certify that this report represents my best judgement. I do I do
not recommend this employee be granted permanent status. (For final probationary
reports only)
Additional Factors (Related to job description)
23--
24--
25-- Supervisor's Signature Date
26--
27-- Title 28--
29--
Reviewer (If none, so indicate) Employee: I certify that this report has been discussed with me.
I understand my signature does not necessarily indicate agreement. I
understand that it is recommended that I respond within ten (I0)
working days in writing to any material in this report and that my
response will be attached to this report. (Please place comments on
a separate sheet of paper and attach to this report.)
Reviewer's Signature Date
Title
HR Reviewer's Signature Date
Employee's Signature Date
Title