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Published by Cheri Ho
HR
HR

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Published by: Cheri Ho on Jan 19, 2014
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01/19/2014

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EMPLOYEE WORK PROFILEWORK DESCRIPTION/PERFORMANCE PLAN
[Parts I and II should be used alone to establish a new position and/or to change a position’s duties and responsibilities. Parts I through IV should be completed annually between September 1 and December 31
discussed with the employee
 and retained in the department’s !iles. Parts V through I" must be used to conduct the annual e#aluation and then the entire $%P must be submitted to &ni#ersity 'uman (esources to complete the annual e#aluation process.)
TIPS FOR FILLING OUT THIS FORM USING Microsoft
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*his !orm is a %ord document and is protected. *his preser#es the !ormatting while allowing you to complete the !orm. Should the need arise to remo#e protection +to insert the organi,ational chart at the end o! the document !or e-ample you may do so by selecting *00S2 then clic &4P(0*$5*2. I! you don’t see the option to unprotect clic the down button in the list. *here is no password necessary to unprotect the document.
P!RT I " Positio# Ide#tific$tio# I#form$tio#%&
 
U#i'& of (! )*+,- U#i'& of (!.s /olle0e $t ise )*12- Southwest (! Hi0her 3d /e#ter )415-
*& School67ept8
 
Or0 /ode8
 
9& Positio# I#form$tio#8
Position 4umber6
 
Incumbent’s 4ame6
 
Incumbent’s ID6
 
(ole *itle +'( &se6
 
(ole 5ode +'( &se6
 
%or *itle6
 
Pay 7and e#el +'( &se6
 
1& Super'isor I#form$tio#8
Super#isor’s 4ame6
 
Super#isor’s ID6
 
Super#isor’s *itle6
 
Super#isor’s Position 4umber6
 
Super#isor’s (ole 5ode +'( &se6
 
:& Positio# Le'el I#dic$tor 
6 $mployee Super#isor 8anager $mployees Super#ised6 Does employee super#ise 9 or more employees +:*$’s; <es 4o
2& FLS! St$tus )
HR Use):
 $-empt 4on=$-empt$-emption/Partial $-emption *est +i! applicable6
 
,& 3ffecti'e 7$te8
 
Statement o! $conomic Interests (e>uired; 
(HR Use)
<es 4o
5& Occup$tio#$l F$mily ; /$reer Group
 
HR Use)
8
 
4& 33O /ode
HR Use):
 
%+& SO/ Title ; /ode
HR Use):
 
 
P!RT II " or< 7escriptio# $#d Perform$#ce Pl$#
%& Or0$#i=$tio#$l O>?ecti'e8
[7rie! statement o! how the position relates to the wor unit di#ision or agency’s ob?ecti#es.)
*& Purpose of Positio#8
[@ statement e-plaining why the position e-ists. Speci!y the most important ser#ice or product e-pected !rom the employee in this position.)
 
3.
@S!.s $#d6or /ompete#cies reAuired to successfully perform the wor<8
[Describe the e-pertise re>uired to success!ully per!orm the assigned wor. Pro#ide a narrati#e o! at least three +3 AS@’s/competencies but not more than !i#e +B that are re>uired to per!orm the wor.)
C.
3duc$tio#B 3Cperie#ceB Lice#sureB /ertific$tio# reAuired for e#try i#to positio#8
[State the educational bacground that is minimally re>uired and/or pre!erred and list any occupational certi!ications or licenses that the employee must hold.)
:& Le'el of I#depe#de#t !cti'ity
[State the wor actions and/or decisions the employee maes without prior appro#al. State to what e-tent the employee recei#es ad#ice and guidance !rom the super#isor. State e-amples o! the type o! super#isory ad#ice and guidance that is gi#en as well as actions or decisions the employee maes without prior appro#al.)
 
2& /o#t$cts of Positio#
[ist and e-plain the contacts the employee has both inside and outside the State o#ernment i! any as a routine !unction o! the wor. Do not list contacts with super#isors co=worers and subordinates.)
Perso#s or Or0$#i=$tio#PurposeHow Ofte#I#side6OutsideSt$te Go'.t
 
$mployee’s Signature6 EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE  Print 4ame6 EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE Date6 EEEEEEEEE Super#isor’s Signature6 EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE  Print 4ame6 EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE Date6 EEEEEEEEEE 'a#e the duties and responsibilities o! this position recently changed; <es 4o
!TT!/H " ORG!NID!TION!L /H!RT
+*he remainder o! this page intentionally le!t blan
 
Perform$#ce Pl$#
ETime
,&
 
Respo#si>ilities
[ist in order o! importance the ma?or duties or !unctions which are primary and essential to the position. Statements in the section should be concise.)
5& Me$sures for Respo#si>ilities
[Identi!y the >ualitati#e >uantitati#e and timeliness measures against which each responsibility will be assessed.)
 
F@.Per!ormance 8anagement +!or all employees who super#ise others 
Me$sures for Perform$#ce M$#$0eme#t
6
Insures that e-pectations are clear well communicated and relate to the goals and ob?ecti#es o! the department or unit
Insures that sta!! recei#e !re>uent constructi#e !eedbac including interim e#aluations as appropriate
Insures that sta!! ha#e the necessary nowledge sills and abilities to accomplish goals
Insures that the re>uirements o! the per!ormance planning and e#aluation system are met and e#aluations are completed by established deadlines with proper documentation
Insures that per!ormance issues are addressed and documented as they occur 
5onsistently stri#es to insure a sa!e wor en#ironment through education assessment and the demonstrated obser#ance o! sound sa!ety practices and !urther demonstrates commitment to reducing lost time by supporting the sa!e resumption o! wor by employees with wor=related or non=wor related illnesses or in?uries.
 
F7. F5. FD. F$. F:. 4/@. 8ay be re>uired to per!orm other duties as assigned. 8ay be re>uired to assist the agency or state go#ernment generally in the e#ent o! an emergency declaration by the o#ernor.
 ____ 100%
+*he remainder o! this page intentionally le!t blan

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