FY17
P erformance
R eview
F orm - Leaders
Review Type:
Employee Name: ___________________________________________ Date: _____________
S elf-‐assessment
A nnual
Job Title: ___________________________________________________ Job Code: _________
I nterim
/
O ff-‐cycle
Division/Department: ___________________________________________________________
P robationary
T ransfer
Manager Name (Reports to): _____________________________________________________
Performance
r eviews
a re
a
k ey
c omponent
o f
e mployee
d evelopment.
T his
e valuation
i s
i ntended
t o
b e
a
f air
a nd
b alanced
assessment
o f
t he
e mployee's
p erformance
s ince
t he
l ast
r eview.
M eaningful
t wo-way
f eedback
p rovides
t he
e mployee
and
t he
manager
w ith
a n
u nderstanding
o f
h ow
p ast
p erformance
c ombined
w ith
a
r eview
o f
e xpectations
c reates
a n
e nvironment
f or
career
g rowth
a nd
c ontinuous
i mprovement.
Goals
&
K ey
R esponsibilities
This
s ection
p rovides
e mployees
a nd
m anagers
w ith
t he
a bility
t o
r ate
a nd
c omment
o n
c urrent
y ear
p erformance
g oals
a nd/or
key
j ob
r esponsibilities.
A ll five goals & key responsibilities must be rated in order for this section to provide an accurate score.
4
1
2
3
5
Not Meeting
Needs Some
Fully Meets
Fully Meets & Often
Consistently Exceeds
Expectations
Improvement
Expectations
Exceeds Expectations
Expectations
Score:
_ ______
1.
2.
Score:
_ ______
3.
Score:
_ ______
4.
Score:
_ ______
Score:
_ ______
5.
Average Score: _______
0.0
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