PERFORMANCE EVALUATION FORM

FOR TCs & EWs

For the Period January – December 2017

NAME OF EMPLOYEE: ANN-ANN R. AVELINO OFFICE/AGENCY:

DATE HIRED: JUNE 16, 2016
I. PERFORMANCE
DUTIES/RESPONSIBILITIES TARGET/
ACCOMPLISHMENTS RATING
1. Project Team Leader – Mobile Emission Inventory NEPAS (Since 2016) 100% 100%
 Mobile Counting, Measuring and Analysis of Emission of Dagupan City
 Perform research and compile information for reports, forms, records and other documentation.
2. Team Leader – GHG Inventory 100% 100%
3. Print out the latest update weather bulletin, storm path and dam forecast of PAGASA 100% 100%
4. Preparing Communication Letters 100% 100%
5. Team Leader – Safe House Survey (Hospitals, Hotels and Pharmacy) 100% 100%
6. Team Leader – PHEC Cluster II 100% 100%
7. Project Team Leader/Event Coordinator – Science and Technology Caravan 2017 100% 100%
DOST Sec. Fortunato dela Pena – Science for the People
8. Project Team Leader/Event Coordinator – State of The City Address (SOCA) 2017 100% 100%
9. Event Watching/Weather Monitoring/Flood Tracking 100% 100%
10. Maintaining and Updating record files of designated PHEC Cluster 100% 100%
11. Coordinate paperwork and information flow in office and provide administrative and clerical support to co- 100% 100%
employee to run office efficiently.

II. BEHAVIOR/CONDUCT
RATING (b.)
BEHAVIOR/CONDUCT ASSESSMENT (a.)
G S E
1. COURTESY
2. HUMAN RELATIONS
3.PUNCTUALITY
4. INITIATIVE

a.)
1. Courtesy Polite, kind and thoughtful behaviors towards the public/clientele in manners of speech and actions. b.) G-GOOD
2. Human Relations Integrates concern for people at work, office, clientele, and supervisor-subordinate relationship into work stations. S- Satisfactory
3. Punctuality and Attendance Observed behavior of coming to the office on time or to be present at work to complete assigned responsibilities.
E- Excellence
4. Initiatives Starts action projects and performs assigned tasks without being told and under minimal supervisions.

III. COMMENTS/RECOMMENDATIONS:
EVALUATED BY: NOTED BY: APPROVED BY:
Project Team Leader

Supervising Team Consultant