Performance Appraisal Form

Key Focal Point and Result #1

Key Focal Point and Result #2

Key Focal Point and Result #3

Key Focal Point and Result #4

Key Focal Point and Result #5

Please check the box that describes the level of performance per factor

	1	2	3	4	5
Knowledge
Work Coordination
Problem Solving/Prevention/Solution
Quality of Work
Quantity
Accountability
Communication and Service
Policies and Procedures

Please describe specific behaviors you would like this employee to continue:

Please describe specific behaviors you would like this employee to stop:

Please describe specific behaviors you would like this employee to start:

Use this section to summarize all aspects of employee performance:

Use this section to record employee and/or manager comments on the following: (1) individual development plan directions (details of which are indicated on the last page of this form) and (2) career aspirations:

Taking all aspects of performance into account including job requirements, KFPs and skills and competencies developed during the year, please rate the employee’s contribution for the period. Circle/highlight one single performance level.

5 - Consistently Exceeds Expectations

4 - Exceeds Expectations

3 - Meets Expectations

2 - Partially Meets Expectations

1 - Below Expectations

Competencies - Strengths to Leverage:

Competencies - Opportunities for Improvement:

Development Objectives & Performance Indicators

Action Steps to Address Needs

Involvement of Others

Timing

Progress to date