<p> 2017 STAFF PERFORMANCE EVALUATION 2nd Reporting Period (May-August 2017)</p><p>Forward this completed document to Personnel Administration no later than September 29, 2017.</p><p>Employee </p><p>Job Title</p><p>Supervisor</p><p>Division/Office</p><p>Date</p><p>JOB COMPETENCIES</p><p>(Click once on appropriate box to check.)</p><p>Acceptable Unacceptable Not applicable</p><p>☐ ☐ Knowledge of work</p><p>☐ ☐ Quality of work</p><p>☐ ☐ Quantity of work</p><p>☐ ☐ Quality of interpersonal relationships with all constituents</p><p>Friendliness, helpfulness and responsiveness with all ☐ ☐ constituents</p><p>☐ ☐ Attendance / Punctuality / Dependability</p><p>☐ ☐ Initiative and creativity</p><p>☐ ☐ Critical thinking and problem-solving</p><p>☐ ☐ Responsibility and accountability</p><p>☐ ☐ Accomplishment of goals/objectives</p><p>☐ ☐ ☐ Decision making</p><p>☐ ☐ ☐ Influencing and leading</p><p>☐ ☐ ☐ Supervisory skills</p><p>EMPLOYEE COMMENTS – GOAL ATTAINMENT FOR MAY-AUGUST 2017 – REQUIRED </p><p> Did you meet your goals for this review period?  Did you face any obstacles? Did concerns about your job or other workplace issues surface during this period that need to be discussed with your supervisor? Do you have a new need for training or development?  Do you have an idea that could either improve your own working efficiencies or the efficiencies of the campus to make it more successful? EMPLOYEE GOALS FOR SEPTEMBER-DECEMBER 2017 – REQUIRED </p><p>List your goals and/or objectives for September-December 2017. </p><p>SUPERVISOR ENDORSEMENT OF EMPLOYEE GOALS FOR SEPTEMBER-DECEMBER 2017 – REQUIRED </p><p>Supervisor should endorse goals for the next reporting period or indicate revised goals, if appropriate.</p><p>OVERALL PERFORMANCE / SUPERVISOR COMMENTS </p><p>Supervisor’s comments: Comments can be general but should pertain to specific things that occurred in the current reporting period. Specific accolades or opportunities for improvement that occurred during this period can also be noted. If there is nothing to report, enter “None”. </p><p>Employee’s signature Date Note: Signing this form confirms you have discussed this review with your supervisor; it does not necessarily indicate you agree with the performance evaluation.</p><p>Supervisor’s signature Date</p><p>Division Head or Director Date</p><p>Academic Units: Associate Dean for Academic Affairs Date Administrative Units: Executive Director, Administration and Finance </p>