University of Pittsburgh

STAFF PERFORMANCE APPRAISAL FORM (NON-SUPERVISORY ROLE)
Employee Name (Last, First, Middle Initial)       Employee Title       Employee Department       Supervisor Name       Supervisor Title       Review Date      

PURPOSE OF CURRENT APPRAISAL Annual Appraisal  rovisional eriod Mid! oint Review STATEMENT OF PHILOSOPHY
T#is per$orman"e appraisal pro"ess is desi%ned to evaluate an employee&s per$orman"e over a spe"i$ied period o$ time' (#en t#e pro"ess wor)s well, t#e employee and #is*#er supervisor plan to%et#er to +uild on stren%t#s and develop t#ose areas needin% improvement' Durin% t#e per$orman"e appraisal session, time is set aside to, -) Restate e.pe"tations a+out /o+ responsi+ilities and per$orman"e standards 0) Evaluate /o+ per$orman"e a%ainst previous e.pe"tations 1) Dis"uss $uture development opportunities and relate t#em to or%ani2ational needs Supervisors: In evaluatin% an employee&s per$orman"e, you are to identi$y stren%t#s and areas o$ per$orman"e w#i"# re3uire improvement' 4ou are as)ed to provide e.amples o$ t#e employee&s per$orman"e to illustrate t#e ratin%s you %ive' E.amples +ased on your own o+servations wor) +est' 5owever, se"ond #and o+servations are permissi+le i$ you #ave veri$ied t#e in$ormation' Su"# e.amples "lari$y your messa%e' A$ter t#e meetin%, $ollow up on t#e development plans mutually esta+lis#ed +y you and t#e employee' Emp o!ees: T#e more involved you are in t#e per$orman"e appraisal session, t#e more e$$e"tive t#e pro"ess is li)ely to +e' 6e prepared +y "ompletin% t#e sel$!appraisal $orm'

Spe"ial

Form #0040 Non-Supervisory - Revised April 1, 2012

a%e Num+er " o$ #

2012 a%e Num+er .Revised April 1.        • 7+tain and review sel$!appraisal $rom employee 8omplete Sta$$ er$orman"e Appraisal $orm $or employee9 S"#edule meetin% to dis"uss t#e appraisal 8ondu"t per$orman"e appraisal meetin% rovide "opy o$ si%ned Sta$$ er$orman"e Appraisal to employee la"e si%ned Sta$$ er$orman"e Appraisal in t#e employee&s Departmental personnel $ile S"#edule meetin% to dis"uss per$orman"e e."eeds per$orman"e standards' E1/ep)io'+ (or) per$orman"e "onsistently e.University of Pittsburgh STAFF PERFORMANCE APPRAISAL FORM INSTRUCTIONS T#e per$orman"e appraisal pro"ess s#ould in"lude t#e $ollowin% steps. o$ # .pe"tations wit# employee $or up"omin% year 8omplete ea"# appli"a+le se"tion o$ t#e $orm +elow' For additional in$ormation."eeds per$orman"e standards' Form #0040 Non-Supervisory . A0ove E1pe/)+)io's (or) is $ully satis$a"tory and o$ten e."eed per$orman"e standards' This represents the expected level of performance as established by the supervisor.:' APPRAISAL RATIN%S AN.t appraisal period (e'%'. 1 mont#s) -eve opme') Nee&e& er$orman"e standards are not $ully a"#ieved< employee needs to improve per$orman"e durin% t#e ne.CRITERIA: U's+)is(+/)or! Employee must demonstrate improved wor) per$orman"e wit#in immediate period o$ time (e'%'. on t#e 5uman Resour"es we+site at www'#r'pitt'edu*mana%ers*::. see t#e instru"tion do"ument $%ui&e i'es (or Supervisors: Comp e)i'* + S)+(( Appr+is+ Form. -0 mont#s) Su//ess(u (or) is $ully satis$a"tory< employee "onsistently meets and o""asionally may e.

pro+lems. and e. needs.ternally to t#e S"#ool*Department • Esta+lis#es rapport< +uilds and maintains e$$e"tive wor)in% relations#ips • ra"ti"es attentive and a"tive listenin% • >ses diploma"y and ta"t< "an di$$use #i%#!tension situations "om$orta+ly E1+mp es )7+) Suppor) R+)i'* R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Form #0040 Non-Supervisory . 2012 a%e Num+er 9 o$ # . down.pe"tations • S#ares in$ormation wit# "ustomers to +uild t#eir understandin% o$ issues and "apa+ilities • Responds 3ui")ly to meet "ustomer needs and resolve pro+lems • See)s opportunities to improve t#e produ"ts and*or servi"es to meet "ustomer needs E1+mp es )7+) Suppor) R+)i'*       R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Per(orm+'/e S)+'&+r& I')erperso'+ Commu'i/+)io' • Relates well to all people ! up. and a"ross ! internally and e.University of Pittsburgh SUPERVISOR2S APPRAISAL OF EMPLOYEE2S PERFORMANCE STAN-AR-S Per(orm+'/e S)+'&+r& 3o0 4'o5 e&*e6Fu'/)io'+ +'& Te/7'i/+ S8i s • 5as a"#ieved re3uired level o$ )nowled%e and s)ills in position!related areas • Applies )nowled%e and s)ills to meet /o+ re3uirements • =eeps up to date in all relevant )nowled%e and s)ills areas to meet /o+ re3uirements E1+mp es )7+) Suppor) R+)i'*       R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Per(orm+'/e S)+'&+r& Servi/e Orie')+)io' • A"tively see)s in$ormation to understand "ustomers& "ir"umstan"es.Revised April 1.

Revised April 1. 2012 a%e Num+er = o$ # . #i%# 3uality output R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Form #0040 Non-Supervisory .u+ i)! o( <or8 • A""urately and "are$ully $ollows pro"ess*pro"edures $or "ompletin% wor) • Ensures a #i%#!3uality output o$ wor) (resultin% in minimal a""epta+le*2ero errors) • Attentive to all details and aspe"ts o$ a /o+ or pro"ess to ensure a "omplete.University of Pittsburgh       Per(orm+'/e S)+'&+r& I'i)i+)i'* A/)io' • Readily ta)es a"tion "onsistent wit# department o+/e"tives • Loo)s $or and ta)es advanta%e o$ opportunities to a"t +eyond w#at is re3uired • Ta)es independent a"tions w#en appropriate • ?olunteers readily • Su%%ests met#ods and pro"edures to improve departmental operation E1+mp es )7+) Suppor) R+)i'*       R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Per(orm+'/e S)+'&+r& Or*+'i:i'* +'& P +''i'* • rioriti2es multiple a"tivities and assi%nments e$$e"tively and ad/usts as appropriate • Determines tas)s and se"ures appropriate resour"es to %et t#in%s done • >ses time e$$e"tively and stays $o"used to ensure wor) is "ompleted • Meets "ommitments and deadlines "onsistently E1+mp es )7+) Suppor) R+)i'*       R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Per(orm+'/e S)+'&+r& .

2012 R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! a%e Num+er > o$ # . issue or opportunities • Analy2es in$ormation and %enerates options $or addressin% issue.Revised April 1. pro+lem or opportunity • 8#ooses appropriate a"tion +y evaluatin% options and "onsiderin% impli"ations in a timely manner • Involves ot#ers as needed to ensure 3uality and "ommitment o$ de"ision E1+mp es )7+) Suppor) R+)i'*       R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Per(orm+'/e S)+'&+r& Composure • Maintains e$$e"tive per$orman"e under pressure • 8opes e$$e"tively and develops e$$e"tive approa"#es to deal wit# pressure or stress • resents a positive disposition and maintains "onstru"tive interpersonal relations#ips w#en under stress E1+mp es )7+) Suppor) R+)i'* Form #0040 Non-Supervisory .University of Pittsburgh E1+mp es )7+) Suppor) R+)i'*       Per(orm+'/e S)+'&+r& <or8 H+0i)s • 8ondu"ts wor) wit#in t#e esta+lis#ed (and a""epted) department pra"ti"es • 8ondu"ts wor) a""ordin% to t#e esta+lis#ed and approved wor) s"#edule • Demonstrates pro$essionalism and wor)pla"e eti3uette E1+mp es )7+) Suppor) R+)i'*       R+)i'* ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! Per(orm+'/e S)+'&+r& -e/isio' M+8i'* • Identi$ies issues. pro+lems and opportunities and determines t#at a"tion is needed • ro+es all relevant sour"es to +etter understand pro+lem.

RATIN% Summ+r!.       Form #0040 Non-Supervisory .Revised April 1.       ! Sele"t Ratin% ! EMPLOYEE COMMENTS (Op)io'+ )       Emp o!ee Si*'+)ure6-+)e rint Name.University of Pittsburgh       SUMMARY OF CURRENT YEAR O?3ECTIVES       I-ENTIFY -EVELOPMENT OPPORTUNITIES       SUPERVISOR2S OVERALL SUMMARY AN. 2012 a%e Num+er # o$ # .       Supervisor Si*'+)ure6-+)e rint Name.

Sign up to vote on this title
UsefulNot useful