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1 Supervisor Input Form Date Performance Appraisal Employee Name: Period Reviewed: Section 1: Activities and Accomplishments 1. Please state the primary responsibilities of this employee s position, as you perceive them. For example, prepare correspondence, analyze and evaluate processes, or develop reports. 2. Describe this employee s important accomplishments during the past year. Please provide examples. 3. What do you feel are this employee s primary strengths in terms of performance? 4. In what areas do you think this employee could improve his or her performance?

2 Section 2: Development 5. Please state your primary objectives for this employee in the upcoming year. 6. Please discuss your development goals for this employee. Indicate areas in which you would like this employee to work or develop, as well as any training opportunities you would like him or her to undertake. Section 3: Performance Ratings Please rate this employee s performance in the past year using the rating scale below: Sometimes Often Frequently (about 50% (about 75% (about 90% of the time) of the time) of the time) Rarely (less than 20% of the time) Always (every time) Performance Category Job Knowledge The employee applied knowledge of the job requirements to assigned tasks and responsibilities. 2. Organization of Work The employee arranged activities logically and effectively. 3. Team Work/Cooperation The employee willingly and consistently worked with others to accomplish goals and tasks; he or she worked well with a variety of different people. 4. Accountability The employee took responsibility in the execution of assigned tasks; I completed assignments on time. 5. Reliability The employee consistently came to work on time and requested leave in an appropriate and timely manner.

3 Performance Category Procedures The employee followed UD-wide and departmental processes and procedures consistently and thoroughly. 7. Oral Communication The employee was clear and concise when speaking to others, and provided accurate and complete information. 8. Written Communication The employee produced written products that were accurate, clear, concise, and complete. 9. Responsiveness The employee responded positively to suggestions/changes; he or she followed directions well and in a timely manner. 10. Adaptability The employee adjusted effectively to new and/or unexpected situations, to technology and/or procedural changes, and to reallocation and/or reassignment. 11. Initiative The employee completed assignments without the need for prompting from myself or others; he or she sought out necessary information on his or her own initiative. 12. Dedication The employee demonstrated commitment to and work towards achievement of UD s goals and mission. 13. Problem Solving The employee examined problems and developed logical conclusions through sound reasoning; he or she planned for required action to complete the task/assignment. 14. Interpersonal Relationships The employee established a good rapport with supervisor and co-workers, he or she communicated using tact and diplomacy and treated others with respect. 15. Professional Development The employee engaged in continuous learning opportunities to further develop his or her skills and capabilities; he or she used feedback from his or her supervisor, co-workers, and others to find ways to enhance his or her performance.

4 Section 4: Performance Ratings Supervisory Functions Note: This section is to be completed for employees in supervisory positions only Sometimes Often Frequently (about 50% (about 75% (about 90% of the time) of the time) of the time) Rarely (less than 20% of the time) Always (every time) Performance Category Employee Development The employee showed an interest in the development of employees he or she oversees, and provided employees with learning experiences necessary to improve their job performance. 2. Supervision The employee delegated and reviewed work progress of employees. He or she provided positive reinforcement and motivated staff to maximize performance and increase employee morale. 3. Negotiation and Influence The employee considered the needs and perspectives of others and articulated his or her position to generate solutions; he or she built support for his or her ideas and initiatives. 4. Self Direction The employee operated independently with minimal external direction 5. Leadership The employee set and communicated clear goals for the team; he or she monitored team performance and provided feedback to team members to keep them on track.

5 Section 5: Supervisor Comments Please use this area to provide any additional information that should be considered in this employee s performance appraisal. Supervisor Signature: Date: Employee Signature: Date: Supervisor: Please submit signed forms (Employee and Supervisor versions) to HR.

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