<p> Community Partners in Action 2016/2017 Performance Evaluation</p><p>Employee Name: Review Period: Title: Program: Date Reviewed: Supervisor’s Name:</p><p>PART I Definition of the Four Performance Levels</p><p>1 2 3 4 Does Not Meet Partially Meets Meets Expectations Exceeds Expectations Expectations Expectations Did not meet key Did not consistently meet Consistently achieved key Consistently exceeded key objectives/indicators and key objectives/indicators and objectives/indicators and objectives/indicators and established performance established performance established performance established performance standards. standards. standards. standards. </p><p>Performance Results Performance Objective/Indicator Expected/ Progress on Achievement Level</p><p>Identify the key objectives/indicators that relate to the major job responsibilities and key results expected of the position. (Add additional objectives/indicators if needed) 1)</p><p>2)</p><p>3)</p><p>4)</p><p>5)</p><p>6)</p><p>6/2017 Community Partners in Action 2016/2017 Performance Evaluation PART II Competencies Supporting Key Objectives Competencies are the skills and knowledge that provide behavioral information on how objectives/indicators need to be achieved. 1) Based on the Competency Definitions, describe the employees’ demonstration of each competency during the review period. Support your description with reference to specific examples of the demonstrated behavior. The details of the examples should be discussed with the employee during the review and do not need to be documented below. 2) Rate the employee’s demonstration of each competency during the appraisal period using the following scale. Rating 1 Does not currently demonstrate the knowledge or skills 2 Exhibits a basic understanding of the knowledge and skills, requires coaching and guidance 3 Possesses the knowledge and skills to perform in routine situations and some complex situations 4 Exemplary knowledge and skills, serves as a role mode and resource for others Rating 1. Vision & Mission: </p><p>2. Commitment to Client Service:</p><p>3. Ethics & Integrity: </p><p>4. Self Awareness & Professional Development: </p><p>5. Teamwork: </p><p>6. Communication: </p><p>7. Decision Making: </p><p>8. Reliability & Flexibility: </p><p>9. Support of Diversity</p><p>6/2017 Community Partners in Action 2016/2017 Performance Evaluation</p><p>10. Commitment to Safety</p><p>11. Leadership:</p><p>PART III Areas for Development Identify the knowledge, skills or abilities that need to be developed in the coming year. These areas will form the basis for future development planning discussion where actions steps, support strategies and timeframes will be defined. 1)</p><p>2)</p><p>3)</p><p>PART IV Comments (to be completed by the Supervisor/Manager) Employee:</p><p>Supervisor/Manager:</p><p>Employee Signature: ______Date: ______</p><p>Supervisor Signature: ______Date: ______</p><p>Manager Signature: ______Date: ______</p><p>6/2017</p>