CLSFD Performance Evaluation - Barstow Community College Forms... · Performance Evaluation Report...
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APPENDIX C Performance Evaluation Report Regular/ProbationaryClassifiedEmployees 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 Standards Requires Improvement Not Satisfactory Does Not Apply Section 1 Factor Check List (Immediate Supervisor must check each factor in the appropriate column) Exceeds 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
Transcript of CLSFD Performance Evaluation - Barstow Community College Forms... · Performance Evaluation Report...
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
