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University of California, Davis EMPLOYEE PERFORMANCE APPRAISAL REPORT This form is used to evaluate the performance of staff employees.

Examples of well-written evaluations and summaries of accomplishments are on the Web at http://www.hr.ucdavis.edu/Forms/All/Perf_Eval.

Period covered (month/day/year): from

to _________

Employee Name

Employee Number

Title code and payroll title Personnel program or bargaining unit

Percent appointment Department

Working title (optional)

Length of time in this position Yes No (months: Supervised for entire review period? )

Supervisor name

JOB-RELATED PERFORMANCE: Describe performance during the review period. The evaluation must be based on clearly-defined job functions or performance expectations. The rating in the Supervisor's Recommendation must be supported by the narrative. Use additional sheets if needed.

SUPERVISOR'S RECOMMENDATION: I rate 's performance for this review period as:

Meets or Exceeds Expectations Does Not Meet Expectations (clarify in the narrative)

University of California, Davis EMPLOYEE PERFORMANCE APPRAISAL REPORT

Employee Name

Page

SUPERVISORS AND MANAGERS: Each supervisor and manager must be evaluated on supervisory performance, support of the Principles of Community (including equal employment opportunity and affirmative action performance), and the safety record of the unit supervised.

FUTURE GOALS OR PERFORMANCE EXPECTATIONS:

SIGNATURES Employee: I have read and received a copy of this evaluation. Supervisor: This is my evaluation of the employee's performance during the review period. Department Head: I concur with this evaluation. Date Date Date

DEPARTMENT HEAD COMMENTS: (optional)

EMPLOYEE COMMENTS: (optional)

University of California, Davis EMPLOYEE PERFORMANCE APPRAISAL REPORT

EMPLOYEE SUMMARY OF ACCOMPLISHMENTS


Period covered (month/day/year): from to

Employee Name

Department

This provides an opportunity to reflect upon actual work and ensure good communication between employee and supervisor. Use of this form is optional, but may be required by a dean, vice chancellor, or department. Examples of well-written summaries of accomplishments are on the Web at http://www.hr.ucdavis.edu/Forms/All/Perf_Eval.Use this form (with additional sheets if needed) to describe: 1. accomplishments related to each job function 2. accomplishments related to established goals and/or performance expectations 3. future goals and/or performance expectations 4. training and development needs, if any 5. support of the Principles of Community (including equal employment opportunity and affirmative action performance and job-related commitment to good interpersonal relations).

Employee Signature

Date

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