You are on page 1of 3

Performance & Development Review

Staff Name:

ID:

Results Assessment
Goal Name
1.

Title:

Dept:

Performance Year:

Competency Assessment
*E / A / B

2.

*E / A / B

*E / A / B

Customer Focus

Global Perspective

Leadership

Communication

Champions Change

Innovation

3.

Teamwork & Diversity

Technical Excellence

4.

Unique Competency

Unique Competency

Unique Competency

Unique Competency

5.

Comments on Competencies that Exceed Standard:

6.
7.
8.
*Rating Key:
E=Exceeds Standard
A=At Standard
B=Below Standard
D=for Development

Comments on Competencies that are Below Standard or for Future Development:

Overall Performance Summary


Comments:

Development Planning

Signatures
Manager-1st Level:
PDS12-2005

Potential Next Position

Date:

Manager-2nd Level:

Date:

Staff:

Date:

Performance & Development Review


Instructions:
Refer to the following descriptions when assessing your staff members results. Each goal must be rated E, A or B:
Exceeds Standards- Exceeded the targets for this goal with respect to quality and/or quantity and delivered on or ahead of schedule.
At Standards- Met the targets for this goal with respect to quality and/or quantity and delivered on or ahead of schedule.
Below Standards- Did not meet the targets for this goal with respect to quality, quantity and/or timing.
Refer to the following descriptions when assessing your employees Competencies. Each Competency must be rated E, A or B:
Exceeds Standards- Exceeds expectations for this Competency. Can serve as a role model for others.
At Standards- Meets the standard in this Competency. May occasionally make a mistake, but quickly recovers and learns from the experience.
Below Standards- Regularly falls short of meeting the standard for this Competency. Needs to demonstrate improvement in this area.
Refer to the following description when assessing your employees behaviors for future development:
Competencies for Future Development-Competencies the employee should continue to develop to improve effectiveness in current role or prepare for expanded
responsibilities or new roles in the future.
You must enter comments for Competencies rated E or B and for those selected for future development.

9-Block Assessment:
Based on your assessment of your employees results and Competencies, please type your employees name into the appropriate box below.
Competency

yyyyyyyyy
Exceeds Standards

Exceeds Standards
R
E
S
U
L
T
S

At Standards

Below Standards

9 Block Position
Definitions:

Competency

S
At Standards

Below Standards

R
E
S
U
L
T
S

Performance & Development Review

Exceeds Standards

Exceeds Standards

At Standards

Results - Exceeded targets for most


goals with respect to quality and/or
quantity and delivered these results
on or ahead of schedule.

Results - Exceeded targets for most


goals with respect to quality and/or
quantity and delivered these results
on or ahead of schedule.

Competency Consistently
demonstrates outstanding behaviors.
Can serve as a role model for others.

Competency- Demonstrates expected


behaviors overall. May require
development in some areas.

Results - Met targets for most goals


with respect to quality and/or quantity
and delivered these results on or
ahead of schedule.

Results - Met targets for most goals


with respect to quality and quantity
and delivered these results on or
ahead of schedule.

Competency Consistently
demonstrates outstanding behaviors.
Can serve as a role model for others.

Competency - Demonstrates
expected behaviors overall. May
require development in some areas.

Results - Failed to meet targets for


multiple goals with respect to quality,
quantity and/or timing.

Below Standards

At Standards

Competency Consistently
demonstrates outstanding behaviors.
Needs to demonstrate improvement
in results.

Below Standards

Results - Exceeded targets for most


goals with respect to quality and/or
quantity and delivered these results on
or ahead of schedule.
Competency - Regularly falls short of
meeting standards for behaviors.
Needs to demonstrate improvement in
behaviors.

Results - Met targets for most goals with


respect to quality and quantity and
delivered these results on or ahead of
schedule.
Competency- Regularly falls short of
meeting standards for behaviors.
Corrective action is required.

Results - Failed to meet targets for


multiple goals with respect to quality,
quantity and/or timing.

Results - Failed to meet targets for


multiple goals with respect to quality,
quantity and/or timing.

Competency- Demonstrates expected


behaviors overall. May require
development in some areas.

Competency - Regularly falls short of


meeting standards for behavior.

Corrective action is required.

Corrective action is required.