HTML Preview Performance Evaluation page number 1.
PERFORMANCE EVALUATION REPORT
DOCUMENT A - Evaluation Summary
Employee: __________________________________________________________
Department: ________________________________________________________
Position Title: _______________________________________________________
Evaluation Period From: _______________________________________________
Performance Review Conference held on:
_________________________________
Type of Evaluation:
Original Probation
Annual
Promotion
Special
Warning
Separation
OVERALL PERFORMANCE DURING THE EVALUATION PERIOD IS RATED AS:
(Check one)
OUTSTANDING
The employee's overall performance significantly and consistently surpasses all
performance standards established for the position. This evaluation recognizes an
employee's sustained excellence and accomplishments which are substantially above usual
expectations.
EXCELLENT
The employee's overall performance in all areas frequently exceeds the performance
standards established for the position. This evaluation recognizes an employee's
consistent effectiveness and accomplishments which are above usual expectations.
SATISFACTORY
The employee's overall performance consistently meets the performance standards
established for the position and regularly achieves expected results. An employee at this
achievement level meets usual expectations and performs tasks in a timely and acceptable
manner.
UNSATISFACTORY
The employee's overall performance inconsistently meets the performance standards
established for the position and indicates that significant tasks are not completed in the time
or manner expected. Performance is below the minimum acceptable level for the position.
Correction of performance deficiencies is necessary for continued employment.
Name of Supervisor: ___________________________
Title: ________________________________________
Signature:
Date:
Name of Reviewer: ____________________________
Title: ________________________________________
Signature:
Date:
Appointing Authority: ___________________________
Title:_________________________________________
Signature:
Date:
Employee: ___________________________________
Title:_________________________________________
Signature:
Date:
To the Employee: Signature only indicates receipt of the evaluation.
AA-PER-6C (Revised May 1997) STATE of VERMONT Department of Personnel
Save Form
Print Form