7/21/2019 Short Form - Sample (1)

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RCUH Form D-1, Revised March 2006

The Research Corporation of the University of Haaii

EMPLOYEE: MICKEY SMITH

TITLE: PROJECT COORDINATOR

PROJECT NAME/LOCATION: RCUH HR - OAHU

This report covers the period from 7/1/200 to !/"0/200!

COMPETENCY: RANKIN#

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   E  ,  -  e  e   .  /   E  ,    e  -   '  a   '   %  o  (  /   )      +

   M  e  e   '  /   E  ,    e  -   '  a   '   %  o  (  /   )   "   +

   R  e    3   %  4  e  /   I  5    4  o  6  e  5  e  (   '   )   2   +

   U  (  /  a   '   %  /   f  a  -   '  o  4  7   )   1   +

Co55e('

10 ! "0

10 ! "010 ! "0

10 ! "0

# ! 20

10 ! "0

20 ! 60

# ! 20

10 ! "0

10 ! 20

100 TOTAL SCORE "00

To'a* So4e - S355a4 Ra'%(g:

E,ee. E,e'a'%o( "0 - 00

! Mee' E,e'a'%o( )8+ "00 - "9

Mee' E,e'a'%o( 20 - 299

ANNUAL PERORMANCE E;ALUATION )SAMPLE+

I('43'%o(: Fi$$ in the ei%htin% of each competency accordin% to yo&r pro'ect(s or%ani)ationa$ needs and importance *m&st tota$ 100 points+Comp$ete yo&r ranin% for the individ&a$ emp$oyee M&$tip$y the ei%htin% points .y the ranin% and p$ace score in the (s&.tota$( co$&mn Fi$$ in anycomments as necessary /dd to%ether a$$ va$&es in the (s&.tota$( co$&mn to determine (tota$ score( Chec the s&mmary ratin% that corresponds to the(Tota$ core(

So4%(g Ke:  34ceeds 34pectations" Meets 34pectations2 5eeds mprovement

1 Unsatisfactory

S3<

To'a* *7ei%htin%4 Ranin%+

A''e(.a(e *p&nct&a$, reports to or+

Co553(%a'%o( *speas and rites effective$y+

A<%*%' 'o Pe4fo45 Jo< *technica$ a.i$ity+

Deg4ee of S3o4' P4o6%.e. 'o P4o=e'/PI *provides directs&pport, contri.&tes to mission and %oa$s of the pro'ect+

I(%'%a'%6e *e$f starter in findin% so$&tions to pro.$ems+

T%5e*%(e of $o4> *prod&ces or on time, meetsdead$ines+

?3a('%' of $o4> *a.$e to prod&ce the 8&antities perstandard+

K(o@*e.ge of $o4> *nos technica$ parts of the 'o.+

?3a*%' of $o4> *a.$e to prod&ce the 8&a$ities per standard+

Safe' A@a4e(e *contri.&tes to 9 enco&ra%es a safe orenvironment+

For RCUH Use :n$y;Received .y HR Dept; <<<<<<<<<<<<< 

Revieed .y Director; <<<<<<< 

For RCUH Use :n$y;Received .y HR Dept; <<<<<<<<<<<<< 

Revieed .y Director; <<<<<<< 

7/21/2019 Short Form - Sample (1)

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RCUH Form D-1, Revised March 2006

Re3%4e I54o6e5e(' 10 - 29

U(a'%fa'o4 100 - 19

EMPLOYEE: MC=3> MTH

De4%'%6e A4a%a*:

Mr mith a$ays tries his .est in a$$ sit&ations He taes initiative 9 is ea%er to $earn

*?$ease &se .ac of form if necessary+

Reo55e(.a'%o( Rega4.%(g Mo.%f%a'%o( of I54o6e5e(' of E5*oee Pe4fo45a(e:

*?$ease &se .ac of form if necessary+

Micey mith @ohn Candy

PRINT Na5e of E5*oee PRINT Na5e of Ma(age4/S3e46%o4 o5*e'%(g e6a*3a'%o(

E5*oee S%g(a'34e S%g(a'34e of Ma(age4/S3e46%o4 o5*e'%(g e6a*3a'%o(

Dr ?eter ?iper 

P4%(%a* I(6e'%ga'o4 S%g(a'34e RCUH H35a( Reo34e Re4ee('a'%6e

Mr mith needs to .e aare of his or environment 7ith more trainin%, e .e$ieve hei$$ e4ce$

*This si%nat&re is mere$y an acno$ed%ment that thiseva$&ation as revieed ith me .y my s&pervisor+