HUMAN RESOURCES
232 Waterman Building
(802) 656-4467
Performance Appraisal Form

Social Security No.

Name:

Job Title:

College:

Div/Dept:

The Employee Has Been In This Position: _________

Appraisal Period:  From _________  to  _________

The University Mission
Our mission is to create, interpret, and share knowledge, to prepare our students to lead productive, responsible, and creative lives, and to promote the application of relevant knowledge to benefit the State of Vermont and society as a whole.

Division/Department Mission (Complete this section with your division/department mission statement)
The performance appraisal is a communication tool designed to support each individual's contribution to the University. The appraisal provides a way to measure skills and accomplishments with reasonable accuracy and uniformity. It provides a way to help i dentify obstacles to top performance. It should help identify areas for professional growth. It should not, however, be considered the supervisor's only communication tool. Open lines of communication throughout the year help to make effective working rel ationships.

 Each employee is entitled to a thoughtful and careful appraisal. Its success depends on the supervisor's willingness to complete a constructive and objective assessment, and on the employee's willingness to respond to constructive criticism and to work wi th the supervisor to overcome performance barriers.

 If more space is needed for any section, additional pages may be attached to this form.

Part I GOALS

 Goals Specific to the Individual During the Assessment Period

 1. Goal

a. extent of accomplishments and achievements

b. areas for growth and/or improvement

2. Goal

a. extent of accomplishments and achievements

b. areas for growth and/or improvement
 

3. Goal

a. extent of accomplishments and achievements

b. areas for growth and/or improvement
 

Future Goals for the Individual

 1. Goal

a. objective of the goal

b. resources and support required (i.e., course work, other training, equipment, supervisor access or funding)
 
 

2. Goal

a. objective of the goal

b. resources and support required (i.e., course work, other training, equipment, supervisor access or funding)
 
 

3. Goal

a. objective of the goal

b. resources and support required (i.e., course work, other training, equipment, supervisor access or funding)
 
 

Part II PERFORMANCE CATEGORIES

1. WORK QUALITY
Standard: Provides accurate, thorough, professional work regularly.
 
 

2. JOB KNOWLEDGE
Standard: Well-informed and educated in performing to the level expected for the job.
 
 

3. NEW KNOWLEDGE
Standard: Seeks new knowledge, applies it to the job and shares it with others.
 
 

4. ORGANIZATION & PLANNING
Standard: Organizes, plans, and forecasts work skillfully to meet job needs.
 
 

5. ANALYSIS & JUDGMENT
Standard: Analyzes problems skillfully; uses logic and good judgment to reach solutions.
 
 

6. DEPENDABILITY & CONSISTENCY
Standard: Personally responsible, steadfast and can be called upon for difficult and pressured challenges.
 
 

7. COMMUNICATION
Standard: Communicates knowledge clearly, accurately and thoroughly.
 
 

8. LISTENING SKILLS
Standard: Listens attentively and responds thoughtfully to needs, goals and aspirations.
 
 

9. INTERPERSONAL SKILLS
Standard: Works well with others; gets things done with people, and keeps information lines open at all levels.
 
 

10. INITIATIVE
Standard: Helps to determine the needs of the work place; helps all to meet the goals.
 
 

11. TEAMWORK
Standard: Coordinates own work with others, seeks opinions, values working relationships.
 
 

12. RESOURCE USE
Standard: Effectively uses human resources and funds available to accomplish the job.
 
 

13. SERVICE-CENTERED WORK
Standard: Regularly seeks to provide quality service to achieve customer satisfaction.
 
 

14. AFFIRMATIVE ACTION & DIVERSITY SUPPORT
Standard: Demonstrates a responsible commitment to affirmative action and diversity.
 
 

15. ATTENDANCE & PUNCTUALITY
Standard: Regularly present and punctual.
 
 

16. SAFETY & HEALTH OBSERVANCE
Standard: Regularly attentive to safety and health regulations.
 
 
 

Part III  OVERALL COMMENTS
Comments (if not enough space for employee, reviewer, and/or supervisor's comments, please use additional pages and attach to this performance appraisal)

 1. Supervisor's Overall Comments:
 
 
 

Satisfactory____ Unsatisfactory_____ (required only for employees represented by collective bargaining agreement)
 

Print Supervisor's Name:    _________________________
Supervisor's Signature:       _________________________
Date:                                 ______________

 2. Reviewer's Comments:
 
 
 

Print Reviewer's Name: __________________________
Reviewer's Signature:    __________________________
Date:                            ___________

 3. Employee's Comments:
 
 
 

Print Employee's Name:  _________________________
Employee's Signature*:   _________________________
Date:                              __________
*Acknowledges only receipt of copy of performance appraisal and opportunity to respond. Does not mean agreement or disagreement.