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Employee Performance Evaluation Form
This Larkin University Employee Performance Evaluation form is designed to assess an employee’s performance during the specified review period. Supervisors will evaluate key areas such as job knowledge, quality of work, reliability, initiative, and overall contributions. The evaluation includes goal-setting, feedback, and recommendations for continued employment, promotion, or improvement plans.
Please enable JavaScript in your browser to complete this form.
Employee Details
Enter the details of the employee being evaluated.
Name
*
Email
*
Position
Title
Direct Supervisor
College/Department
*
College of Pharmacy
College of Biomedical Sciences
School of Physician Assistant Studies
School of Dental Medicine
Review Period
From
To
Date of Evaluation
Type of Evaluation
Initial (90 Days)
Annual
Special
Instructions
Rate the employee's performance during the review period by checking the most appropriate numerical value in each section. To determine the overall performance rating, add the numerical values together and divide by eight (or 11 if the direct supervisor section was completed). Prior to the performance discussion with the employee, a detailed plan to address areas rated "needs improvement" or "unacceptable" must be submitted to the head of department and human resources for review.
Rating Scale
5 Excellent (consistently exceeds standards)
4 Outstanding (frequently exceeds standards)
3 Satisfactory (generally meets standards)
2 Needs improvement (frequently fails to meet standards)
1 Unacceptable (fails to meet standards)
Goals and Objectives for this Evaluation Period
Goal #1
Result
Exceeded
Achieved
Not Achieved
Goal #2
Result
Exceeded
Achieved
Not Achieved
Goal #3
Result
Exceeded
Achieved
Not Achieved
Goal #4
Result
Exceeded
Achieved
Not Achieved
Goal #5
Result
Exceeded
Achieved
Not Achieved
Ratings
Job Knowledge
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Knowledge of policies and procedures; and/OR knowledge of techniques, skills, equipment, procedures, and materials.
Comment
Quality of Work
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Freedom from errors and mistakes. Accuracy and quality of work in general.
Comment
Quantity of Work
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Productivity of the employee.
Comment
Reliability
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The extent to which the employee can be depended upon to be available for work, to complete work properly, and complete work on time. The degree to which the employee is reliable, trustworthy, and persistent.
Comment
Initiative and Creativity
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The ability to plan work and to proceed with a task without being told every detail and the ability to make constructive suggestions.
Comment
Judgment
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The extent to which the employee makes decisions that are good. The ability to base decisions on fact rather than emotion.
Comment
Cooperation
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Willingness to work harmoniously with others in getting a job done. Readiness to respond positively to instructions and procedures.
Comment
Attendance
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Consistency in coming to work daily and conforming to scheduled work hours.
Comment
Complete this section for employees with supervisory responsibilities:
Planning and Organizing
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The ability to analyze work, set goals, develop plans of action, utilize time. Consider amount of supervision required and extent to which you can trust employee to carry out assignments conscientiously.
Comment
Directing and Controlling
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The ability to create a motivating climate, achieve teamwork, train and develop, measure work in progress, take corrective action.
Comment
Decision-Making
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The ability to make decisions and the quality and timeliness of those decisions.
Comment
Review Summary & Development Plan
Remarkable accomplishments during this review period:
Areas requiring improvement in job performance (attach the performance improvement plan for any areas rated needs improvement or unacceptable):
Actions taken to improve performance from the previous review:
Professional development goals:
Overall performance rating:
Add all numerical values from each category then divide by 8 (or 11 if supervisor section was completed).
Submit