PERFORMANCE EVALUATION FORM For the Rating Period: __________________________________ Employee: Position/Designation: PART I - PERFORMANCE (70%) Weight Allocation

(100%) Office: Division/Unit:

Work/Activity

Unit of Measurement/ Indicator

TARGETS AND ACCOMPLISHMENTS Quantity Quality Time Target Accomp. Target Accomp. Target Accomp. QN

RATINGS Supervisor (50%) QL T APS EPS QN QL Employee (20%) T APS EPS

Total Equivalent Score (EPS) Multiply by Supervisor (50%) Employee (20%) percentage weight allocation Weighted Average Score (WAS)

We discussed and agreed on the above targets :

Legend: QN- Quantity APS- Average Point Score QL- Quality EPS- Equivalent Point Score T - Timeliness WAS- Weighted Average Score OWS- Overall Weighted Score

PERC Actions:

Date