SAMPLE
JOB PERFORMANCE EVALUATION FORM
EXEMPT POSITIONS
Name:
Evaluation Period:
Title:
Date:
Performance Review
• Current job description.
• Rate the person's level of performance, using the definitions below.
• Review with employee each performance factor used to evaluate his/her work performance.
• Give an overall rating in the space provided, using the definitions below as a guide.
Performance Rating Definitions
The following ratings must be used to ensure commonality of language and consistency on
overall ratings: (There should be supporting comments to justify ratings of “Outstanding”
“Below Expectations, and “Unsatisfactory”)
Outstanding
Performance is consistently superior
Exceeds Expectations
Performance is routinely above job requirements
Meets Expectations
Performance is regularly competent and dependable
Below Expectations Performance fails to meet job requirements on a frequent basis
Unsatisfactory
Performance is consistently unacceptable
A.
PERFORMANCE FACTORS (use job description as basis of this evaluation).
Outstanding
Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
Administration - Measures effectiveness in planning,
organizing and efficiently handling activities and eliminating
unnecessary activities
NA
Outstanding
Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
Knowledge of Work - Consider employee's skill level,
knowledge and understanding of all phases of the job and
those requiring improved skills and/or experience.
NA
Outstanding
Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
Communication - Measures effectiveness in listening to
others, expressing ideas, both orally and in writing and
providing relevant and timely information to management,
co-workers, subordinates and customers.
NA
Outstanding
Exceeds Expectations
Meets Expectations
Below