UC MERCED PERFORMANCE APPRAISAL AND DEVELOPMENT PLAN
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1 Employee Name: Payroll Title: Bargaining Unit: Percent Appointment: Employee ID: Review Period: Department: Length of time in this position: Supervisor s Name: Supervised for entire review period? If not describe duration: Part I Last Period s Achievement, s, Key Responsibilities and Supporting Comments This section is used to capture all performance related information. Performance elements include the performance goals carried over from the last evaluation period and/or made since the last evaluation period (speak to the progress made on each goal); specific achievements and or deliverables (which may or may not be related to a goal); and/or performance related to specific key responsibilities as listed on the job description. (Choose one) For Rating
2 Supporting Comments
3 Part II Future Performance and/or Development s This section is completed by the employee and shared with the supervisor prior to the Performance Appraisal meeting. At the Performance Appraisal meeting the supervisor and employee will work together to finalize the Future Performance and/or Development s. This section is used to list performance and/or development goals for the next evaluation period. Individual performance and/or development goals and objectives should align with those of the department and the campus. Future s: Future s: Future s: Future s: Future s:
4 Part III Supervisor s Recommendation and Overall Rating In addition to checking a box, supervisors must provide written narration that justified the rating overall, the performance rating for the review period is: Rating Justification: Employee Comments: Signatures: (All signatures as appropriate) Immediate Supervisor Next Level of Supervision Department Head/Unit Manager (whichever is applicable) My signature indicates neither agreement nor disagreement with the appraisal, but it does indicate that I have reviewed the appraisal, and have discussed it with my supervisor. I understand that I may complete the Employee Comments sheet as a part of this appraisal. Employee s Signature
5 Supporting Comments
6 Supporting Comments
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