Sample Performance Appraisal

Name: _____________________________
Date: ______________________________
Department: ________________________
Job Title: ___________________________
Annual Review Date: _________________
Date of Last Review: _________________
Reviewer: __________________________
Instructions
Please check the box that best describes the employee’s performance in the following areas:
Definitions:
Exceptional/Consistently Exceeds Requirements: Employee regularly made exceptional contributions that had a significant and positive impact on the performance of the department. Employee has mastered all job related skills and possesses a broad range of capabilities. Employee provides a model for excellence and helps others to do their jobs better.
Frequently Exceeds Requirements: Employee frequently exceeded all performance expectations/objectives. Employee is highly skilled in all aspects of the job.
Consistently Meets Requirements: Employee consistently met all expectations/objectives and occasionally exceeded some. Is fully qualified in all aspects of the job.
Sometimes Fails to Meet Requirements: Employee has not consistently met all of the job requirements and/or expectations and occasionally demonstrated unsatisfactory behaviors/results. May have the ability to perform most aspects of the job but may lack some knowledge/skills to perform others.
Needs Immediate Improvement: Employee frequently performs in an unsatisfactory manner and requires a performance improvement plan.
Attitude (In general, towards coworkers, towards job)
_____ Exceptional/Consistently Exceeds Requirements
_____ Frequently Exceeds Requirements
_____ Consistently Meets Requirements
_____ Sometimes Fails to Meet Requirements
_____ Needs Immediate Improvement
Attendance (Unplanned absences/tardiness: Exceptional = 0 times, Frequently Exceeds = 1-3 times, Meets = 4-6 times, Needs Improvement = >6 times)
_____ Exceptional/Consistently Exceeds Requirements
_____ Frequently Exceeds Requirements