Initial Review 6 month Review Annual Other. Immediate Supervisor: Position Title: DRAFT
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1 Last Name First M. Title Department Employee Performance Appraisal Form Employee ID TKL Work Phone Initial Review 6 month Review Annual Other Immediate Supervisor: Position Title: Department: Appraisal Period from: to: Mission: The University of Alaska inspires learning, and advances and disseminates knowledge through teaching, research, and public service, emphasizing the North and its diverse peoples. Part I: Performance Factors Use the following rating scale to rate employee on performance in conducting day-to-day work. Performance factors are organized to support the University of Alaska s mission and values. Under Performance Factor VII, include the top 3 essential job factors that are specific to the job duties of the employee or related to the employee s accomplishments. A total of 30 factors should comprise this list with each factor earning up to 5 rating points. Both employee and supervisor may provide comments. Descriptions of each of the performance factors are included in the attached Performance Factors Definitions. Levels: 5 Truly Amazing Performance is consistently extraordinary and is sustained at a level well beyond that of even other excellent employees. 4 Regularly Excels Performance is consistently better than that expected of a fully proficient employee. 3 Proficient Performance meets the full expectations of an employee for this job classification. 2 Needs Improvement Performance is less than that of a fully proficient employee. Improvement is necessary. 1 Not Working Out Performance does not meet the minimum job requirements. Immediate and substantial improvement is necessary. Performance plan required immediately. Supervisors should review the employee s position description and note any substantive changes in UAKjobs.com/hr. Please check the appropriate status: Position Description (PD): Updates made to PD in UAKjobs.com/hr No updates necessary Performance Factor (Use Performance Factor Definitions as a Guide) I: Communications 1. Skill and Clarity 2. Interpersonal Characteristics 3. Teamwork 4. Builds and Enhances Relationships 5. Straightforwardness and Composure Employee Supervisor 1
2 Performance Factor (Use Performance Factor Definitions as a Guide) II. Credibility 6. Job Knowledge 7. Comprehension 8. Judgment Employee Supervisor III. Responsibility 9. Dependability 10. Supports Diversity 11. For Supervisors. For Non-Supervisors. (Circle One) 12. Safety IV. Results 13. Decision-Making 14. Resourcefulness 15. Problem-Solving 16. Perseverance 17. Agility 18. Meets Goals V. Character 19. Ethics 20. Conduct 21. Values VI. Leadership and/or Management 22. Planning 23. Execution 24. Organization 25. Innovation 26. Style 27. Change Management 2
3 Performance Factor Employee Supervisor VII. Performance Factors Specific to Job Duties Provide top 3 essential job functions from position description so that the employee is evaluated on a total of 30 factors in this section Supervisor SubTotal Points (150 possible) * NOTE: Supervisors and employees may choose to comment on lesser responsibilities or duties identified on the employee s position description. If so, this feedback can be included under Part II: Comments. VIII: Performance Goals Performance Goals should support the University s mission and values. Identify goals that were set at the beginning of the performance cycle and summarize substantive accomplishments. Additional sheets can be attached to this section if more space is required. Last Appraisal Period Goals Accomplishments Supervisor A. B. C. Supervisor SubTotal Points: (15 possible) = Truly Amazing Employee Supervisor s Total Points = Regularly Excels = Proficient = Needs Improvement Last Appraisal Total Points: = Not Working Out This employee is ready to assume greater responsibilities. Please circle one of the following: Ready Now Exhibits Good Potential Working Well and Well-Placed No 3
4 Goals for the upcoming appraisal period are collaboratively identified with supervisor and employee, with accompanying measurements stated for each goal. Additional sheets can be attached to this section if space is required. These goals should be reviewed periodically and updated with any changes, deletions, or additions as determined to be necessary. Next Appraisal Period from: to: Next Appraisal Period Goals Measurement Part II: Comments This section provides an opportunity for the supervisor, employee, and the next level supervisor (optional) to furnish comments regarding the employee s performance. Additional sheets can be attached if more space is required. Part III: Signatures & Overall (1) Employee Signature and Date (signature acknowledges receipt, not necessarily agreement): (2) Rater/Supervisor Signature and Date: (3) Next Level Supervisor or Department Manager/VP Signature and Date: Staff Use Only: Received by Human Resources / Printed Name / Initial Date 4
5 Performance Factor Definitions For Employee Performance Appraisal Part I of the performance appraisal form has the employee and the supervisor rate the employee s performance in conducting his/her day-to-day business. The following set of definitions explains the meaning associated with each of the performance factors. Using these definitions as a guide to scoring will help focus and standardize scoring consistency. I: Communications 1. Skill and Clarity: Expresses ideas clearly, both written and oral; succinctly explains concepts to others; provides balanced feedback; demonstrates sensitivity to the communication needs of others; listens well. 2. Interpersonal Characteristics: Works for and with others without creating problems; handles confrontations diplomatically; demonstrates respect, patience, and shows an appreciation of others varied skills and abilities. 3. Teamwork: Shares information; works cooperatively in groups; supports and builds consensus; focuses on group results; offers skills/abilities for the good of the team. Demonstrates a good work ethic. 4. Enhances Relationships: Creates and strengthens relationships with co-workers, customers, and external parties; negotiates effectively; handles work problems without alienating people; tries to understand others; cooperates with others. 5. Straightforwardness and Composure: Steadfast; assesses the facts; forthright, able to recover quickly from challenging situations; maintains self-control at all times. II. Credibility 6. Job Knowledge: Develops and improves level of professional job knowledge; improves skills required to master the work; takes the initiative in tackling new tasks and learning new skills; respected for professional performance at work. 7. Comprehension: Understands the job and the associated work; uses understanding to organize and complete work tasks. 8. Judgment: Seeks diverse sources of facts and points of view; uses all available data in decision-making; acknowledges mistakes; searches out and uses good examples; demonstrates good choices. III. Responsibility 9. Dependability: Demonstrates good attendance, punctuality, attentiveness. Follows instructions; follows up on tasks and assignments; accepts accountability. 10. Diversity: Comprehends and demonstrates the value of cultural diversity and differences among others when working with employees and customers. 11. For Supervisors: Thorough, timely, fair, and appreciative when dealing with subordinates career, challenges, and their difficulties. Accepts responsibility and accountability for tasks and subordinates. For Non-supervisors: Deals effectively with peers and superiors. Recommends and supports developmental initiatives and alternative courses of action to improve productivity and teamwork. 12. Safety: Demonstrates and expands the culture of safety, safety awareness; promotes safe work habits by example; assumes safety as a professional responsibility. Understands and supports the UA Risk Management process. 5
6 IV. Results 13. Decision-Making: Makes decisions that improve the organization s performance; gathers information related to problems; analyzes opportunities accurately; makes recommendations that add value. 14. Resourcefulness: Works hard to get things done faster, cheaper, and more safely. Not satisfied with maintaining the status quo. A go-to person. 15. Problem-Solving: Identifies and solves problems resourcefully; plans, assigns, and schedules work load to meet objectives; understands factors within the work environment; appropriately adjusts performance to meet goals. 16. Perseverance: Shows determination in the face of obstacles; works diligently within difficult situations to reach successful outcomes. 17. Agility: Internalizes new information quickly; learns new work eagerly; grasps business concepts well. Reacts well in adverse situations. 18. Meets Goals: Knows and comprehends the University s Strategic Direction, department goals, safety program practices, environmental responsibilities, and the importance of customer service. V. Character 19. Ethics: Ethical in personal and professional dealings; follows ethics policies and regulations. 20. Conduct: Respectful, patient, tolerant, understanding, and maintains good self-control. Avoids person to person conflict requiring corrective action (see P ). 21. Values: Makes important decisions based on the University s best interests; acts in ways that build respect; bases actions on established university s principles. Demonstrates fairness. Admirable University representative to the community. VI. Leadership and/or Management 22. Planning: Establishes goals, processes, and procedures; makes credible plans; organized. Evaluates possible events, outcomes and consequences. 23. Execution: Assumes ownership and accountability when responsible for a task or project. Gets the job done right, on time, on budget. 24. Organization: Uses time and resources efficiently; adheres to plans and schedules; accepts challenges beyond the normal work scope. 25. Innovation: Looks beyond existing ways of doing things for solutions; takes risks in search of continuous improvement; anticipates future events; capable of non-traditional thinking. 26. Style: A participative consensus-builder. Uses effective listening and communication skills to engage others; builds consensus; influences others in decision-making. Stimulates others to work together toward common goals. Pleasant disposition. Understands the importance of service to others and puts it into practice. 27. Change Management: Accepts change; participates in University developments; seeks out new opportunities; sees change as an opportunity; communicates in a positive tone; helps others understand the big picture. 6
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