Name of Employee: ____________________________ Position Title: __________________ Rater: ______________________________________ Position Title: __________________ Date of last Evaluation___________________________ Guidelines to the Rater: 1. Evaluate the employee’s performance during the period under review. 2. Go over each performance characteristics carefully and select the rating which best describes the employee’s performance. 3. Be as objective as possible. Base your evaluation on facts and not on impressions and feelings. Rating Scale: NA-Not Applicable 4-Barely meets the requirements 3-Meets requirements (SATISFACTORY) 2-Exceeds requirements (VERY SATISFACTORY) 1-Outstanding (EXCELLENT)

Please evaluate the employee by checking the appropriate space beside each item.

A. ATTITUDES TOWARDS WORK (for ALL) 1. Displays a positive attitude and shows concern for the company as a whole rather than one’s own unit. Understands and promotes the “big picture” rather than what’s best only for one’s own operation. 2. Demonstrates the initiative to improve skills 3. Inspires confidence , respect and teamwork from associates






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or opportunities and takes action to address issues. respect. ___ ___ ___ ___ ___ 10.Manages own time and uses appropriate work methods.Makes and sustains effective and productive relationships with other members of the workplace and the public. & presents a positive public image. Is mutually respectful of the time and schedule of others. Shows enthusiasm for the job. conscientious and can be trusted to do the job. ___ ___ ___ ___ ___ 6. PRODUCTIVITY and USE of TIME. techniques. Demonstrates this initiative without being directed to do so. fairness. STAFF PERFORMANCE (for ALL) 8. including company managers.Responds effectively and in a timely manner to the needs of a diverse set of internal and external customers such that customer service is accurate. 4 3 2 1 ___ ___ ___ ___ ___ 5. honesty. Observes appropriate lunch and break schedules. Treats customers and staff with courtesy.NA 4. 7. and timely fashion.Follows through on assigned tasks to ensure high quality work products that match the company and . ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ B. obstacles. eager to accomplish tasks and desires to excel. Receives authorization when time off is needed. Submits justification for absences as required and/or requested. accurate. ___ ___ ___ ___ ___ 9. concise. ___ ___ ___ ___ ___ 12. Gives notice when absence or tardiness is unavoidable. Good work habits. Meets commitments to co-workers and employees in other departments. and effective. TEAMWORK and COLLABORATION. Balances multiple priorities and focused on desired outcome(s). Identifies problems. dignity. Is respectful of differing viewpoints. and equipment to achieve the most effective and efficient result in the time available. courteous. Provides oral and written information and services in a clear. ___ ___ ___ ___ ___ 11. FEEDBACK and COMMUNICATION. QUALITY and ACCOUNTABILITY. Develops and maintains effective working relationship with others. thorough. ATTENDANCE-Reports for work regularly with a minimum number of absences and tardiness.

5) __Satisfactory (2.6-3.0-1.5) __Barely meets requirement (3. ADAPTABILITY. do you believe that the employee has limited/unlimited potential? Please elaborate.g. technology. INITIATIVE and PROBLEM-SOLVING.department objectives. Based on the overall rating. ___ ___ ___ ___ ___ 13. and personnel). resources.Adapts to organizational changes (e. Rated by:_________________________________ Reviewed by:_____________________________ CHIEF OPERATING OFFICER Date: _____________________________ Date: ____________________________ The above appraisal was discussed and shown to me by my supervisor.7) __Very Satisfactory (1. __ Excellent (1.. ___ ___ ___ ___ ___ C. OVERALL RATING 1. N/A ratings should be excluded in arriving at the overall rating). Takes initiative in identifying any problems and takes appropriate steps to resolve them.6 and above) 2. Ratee:__________________________________ Date:_____________________________ RECOMMENDATION FOR PERSONNEL ACTION (RPA): .8-2. What is your overall rating for this employee? (To get the overall rating add all the points and divide by the number of items. Makes responsible use of company resources (time and money) and follows company policies.

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