Judgment & Initiative 5 Comments: Safety Rules 6 Comments: Relationship with Others 7 Comments: Attendance & Punctuality (If rating is less than meets standard, fill in a., b., c. below) 8 a) number of absences: b) number of late to work: c) number of times has left work early without approval: C) OVERALL PERFORMANCE Provide a rating from Unsatisfactory to Outstanding in FEEDBACK TABLE C based on the same rating standards as Section A that best reflects the supervisor’s judgment of the employee’s overall work performance through an appraisal of all the ratings given for the factors listed above Provide relevant comments for BOTH of strength and growth FEEDBACK TABLE C - Overall Performance Rate the Use this space to describe employee's strengths and weaknesses. Give examples of work Instructions: Instructions: employee’s overall performance well done and suggestions of improving performance. Attach additional sheets, if necessary. (select one rating below) Outstanding Areas of Strength: Exceeds Standards Meets Standards Needs To Improve Areas for Growth: Unsatisfactory D) ACKNOWLEDGMENT & APPROVAL Provide your signature as the List any other employees who provided input used in this evaluation Ensure that the employee provides acknowledgment of receipt signature CLASSIFICATION OF POSITION Are assigned job duties within the scope of the classification? Please review class description. If either party indicates "No," attach a statement of out-of-class duties to a copy of this form and send it to the Personnel Commission. Supervisor: Yes No Employee: Yes No Rater's Signature (Supervisor) __________________________________________________Date________________ List others who had input in evaluation, if any: Reviewer's Signature (Dept. Head/Principal)_______________________________________Date________________
5 Judgment & Initiative Comments: 6 Safety Rules Comments: 7 Relationship with Others Comments: 8 Attendance & Punctuality (If rating is less than meets standard, fill in a., b., c. below) a) number of absences: b) number of late to work: c) number of times has left work early without approval: C) OVERALL PERFORMANCE Provide a rating from Unsatisfactory to Outstanding in FEEDBACK TABLE C based on the same rating standards as Section A that best reflects the supervisor’s judgment of the employee’s overall work performance through an appraisal of all the ratings given for the factors listed above Provide relevant comments for BOTH of strength and growth FEEDBACK TABLE C - Overall Performance Instructions: Rate the employee’s overall performance (select one rating below) Instructions: Use this space to describe employee's strengths and weaknesses. Give examples of work well done and suggestions of improving performance. Attach additional sheets, if necessary. Outstanding Areas of Strength: Exceeds Standards Meets Standards Needs To Improve Areas for Growth: Unsatisfactory D) ACKNOWLEDGMENT & APPROVAL Provide your signature as the List any other employees who provided input used in this evaluation Ensure that the employee provides acknowledgment of receipt signature CLASSIFICATION OF POSITION Are assigned job duties within the scope of the classification? Please review class description. If either party indicates "No," attach a statement of out-of-class duties to a copy of this form and send it to the Personnel Commission. Supervisor: Yes No Employee: Yes No Rater's Signature (Supervisor) __________________________________________________Date________________ List others who had input in evaluation, if any: Reviewer's Signature (Dept. Head/Principal)_______________________________________Date________________
DFBPE-1.docx