PER Performance Management Program This form documents Staff Compensation System* employee performance at the end of the annual review period. During the review period, any modifications or revisions to objectives and competencies should be documented on this form. Supporting performance-related documentation should be retained by the department. At the year-end performance review meeting, both the supervisor and employee sign the form. Provide a copy to the employee, retain a copy for the departmental file, and send the original to Human Resources, Mail Stop 5217. Employee Enter employee name Employee ID No. Enter employee ID no. Department Enter department name Review Period Select or enter review period. Position Title Enter position title Position No. Enter position no. Supervisor Enter supervisor name Supervisor ID No. Enter supervisor ID no. Overall Rating: Select overall rating (See definitions below) *If overall rating will be Needs Improvement, supervisor must contact Human Resources before giving review to employee. Employee Signature: Date : (Employee signature confirms receipt of form. It does not imply agreement or disagreement with supervisor’s comments or ratings.) Supervisor Signature: Date : Rating Definitions: Exceeds Expectations (EE) – Performance exceeds expectations. Individual has extensive knowledge of the position and is able to initiate and perform most work with minimal direction. Meets Expectations (ME) – Performance meets expectations. Individual demonstrates ability to meet overall requirements on a consistent basis; overall composite is solid performance. Needs Improvement (NI) – Performance does not meet minimum expectations and needs immediate improvement, although certain components of performance may be acceptable or improving. Individual demonstrates inability to meet overall requirements on a consistent basis. May require constant direction and regular follow-up. Objectives and Success Measures Enter objective and success measure(s) - 1 Select rating Enter objective and success measure(s) - 2 Select rating Enter objective and success measure(s) - 3 Select *Performance Management Program and associated forms are designed for Staff Compensation System (SCS) employees. Use for other employee groups is not to be construed as membership in the SCS employee group. HR-101 (08/11) Page 1 of 2
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PER
Performance Management ProgramAnnual Review Form
This form documents Staff Compensation System* employee performance at the end of the annual review period. During the review period, any modifications or revisions to objectives and competencies should be documented on this form. Supporting performance-related documentation should be retained by the department.
At the year-end performance review meeting, both the supervisor and employee sign the form. Provide a copy to the employee, retain a copy for the departmental file, and send the original to Human Resources, Mail Stop 5217.
Employee Enter employee name Employee ID No. Enter employee ID no.
Department Enter department name Review PeriodSelect or enter review period.
Position Title Enter position title Position No. Enter position no.
Supervisor Enter supervisor name Supervisor ID No. Enter supervisor ID no.
Overall Rating: Select overall rating (See definitions below)*If overall rating will be Needs Improvement, supervisor must contact Human Resources before giving review to employee.
Employee Signature: Date:
(Employee signature confirms receipt of form. It does not imply agreement or disagreement with supervisor’s comments or ratings.)
Supervisor Signature: Date:
Rating Definitions:Exceeds Expectations (EE) – Performance exceeds expectations. Individual has extensive knowledge of the position and is able to initiate and perform most work with minimal direction.Meets Expectations (ME) – Performance meets expectations. Individual demonstrates ability to meet overall requirements on a consistent basis; overall composite is solid performance.
Needs Improvement (NI) – Performance does not meet minimum expectations and needs immediate improvement, although certain components of performance may be acceptable or improving. Individual demonstrates inability to meet overall requirements on a consistent basis. May require constant direction and regular follow-up.
Objectives and Success MeasuresEnter objective and success measure(s) - 1 Select rating
Enter objective and success measure(s) - 2 Select rating
Enter objective and success measure(s) - 3 Select rating
Enter objective and success measure(s) - 4 Select rating
Enter objective and success measure(s) - 5 Select rating
Enter objective and success measure(s) - 6 Select rating
Competencies and Related NotesSelect competency – 1 Enter related notes Select rating
Select competency – 2 Enter related notes Select rating
Select competency – 3 Enter related notes Select rating
Select competency – 4 Enter related notes Select rating
Supervisor’s Overall Comments:
*Performance Management Program and associated forms are designed for Staff Compensation System (SCS) employees. Use for other employee groups is not to be construed as membership in the SCS employee group.
HR-101 (08/11) Page 1 of 2
Employee nameEmployee ID no.
Review period
Enter supervisor’s overall comments
HR-101 (08/11) Page 2 of 2
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