Purpose: □Annual □ Probation □ Regular

PERFORMANCE EVALUATION FORM (C)

(For Non-Management staff)
Employee Name Job Title:
Dept./Division Period Covered by Review (MM/DD/YY)
Item 2nd 1st Empl
Supervi Supervi oyee
(1) Employee describes
(Total Evaluation Criteria (SCORE & RATING) sor sor (1) his/her main Achievements
score) (3) (2) in the past year.
Excellent Good Fair Marginal Poor

9-10 8 7 6 1-5
Productivity & Effectiveness
9-10 8 7 6 1-5
Working Quality & Efficiency
Ability Spontaneous & self 9-10 8 7 6 1-5
management

(50)
Communication & 9-10 8 7 6 1-5
Coordination
9-10 8 7 6 1-5 (1) Self-growth plan in
Creativeness & Innovation next year list when, what,
Working 9-10 8 7 6 1-5 where & how
Attitude Spirits & attitude of service
(20) 9-10 8 7 6 1-5
Sense of responsibility
9-10 8 7 6 1-5
Potential Knowledge & skill
(20) 9-10 8 7 6 1-5
Self-motivated Development
Others Attendance 9-10 8 7 6 1-5
(10)

Grant Total, sum= (3)*40%+(2)*60%= ___________ Sub total=

(2) Comment by Superior
A.□ 1.EXCELLENT(>=90)□ 2.GOOD(>=80)□ 3.FAIR(>=70) □4.MARGINAL(.>=60) □5. POOR(<60)
B. Performance improvement plan suggested by superior
□ Service attitude □ Coordination & Communication □ Expertise & skill □ Language talent
□ Suggest training courses, list as below
□ Suggest salary adjustment _____% □ Suggest promotion/reposition to __________
Flow of Procedure:
(1)Self evaluate  (2) Superior evaluation  Confirmed by employee  Approved by Station Head  HR filing

簽名(Signature): 1.________________(employee) 2. ___________________(superior) 3.___________________(Approval)