Title Page
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Date and Time of Review
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Department
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Employee (Full Name)
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Employee Number
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Job Title
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Supervisor (Full Name)
BEHAVIORAL ANCHORS
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Completes Assignments: Final products are accomplished with accuracy and efficiency and completed in a timely manner.
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Demonstrates Initiative: Takes independent action and/or creates opportunities to accomplish a task; overcomes obstacles to address present problems with minimal direction; and contributes to the productivity of the unit.
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Respects Differences: Seeks and values input from others with objectivity; and avoids stereotyping based on race, gender, disability, age, ethnicity or culture.
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Accepts Responsibility: Takes responsibility for decisions made within job parameters; and holds self-accountable for work or actions.
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Demonstrates Service Motivation: Shows a commitment to serve the customers; works to improve services to meet the needs of consumers, and fellow employees.
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Demonstrates Adaptability: Ability and willingness to change work or perceptions based on new information or contrary evidence; and works effectively in light of new information, changing situations and/or different environments.
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Shows competence in Communicating: Demonstrates effective verbal and nonverbal delivery skills with employees, peers, supervisors and the public; shares useful information, concepts, and ideas openly; and handles sensitive issues with tact and diplomacy.
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Time and Attendance: Adheres to work schedule and follows time record keeping procedures including call out procedures, when applicable.
STRENGTHS AND AREAS FOR DEVELOPMENT
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What are the employee's strongest points?
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What are the employee's weakest points?
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Significant work-related accomplishments (Include projects, assignments, new skills or knowledge gained.)
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What can the employee do to be more effective or make improvements?
GOALS
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Employee Target goals
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What additional training would benefit the employee?
Completion
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Other comments
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Overall Employee Evaluation Rating
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By signing this form, you confirm that you have discussed this review in detail with your supervisor.
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Employee (Full Name and Signature)
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Supervisor (Full Name and Signature)