FORM 6.

1 - ANNUAL PERFORMANCE REVIEW FORM

FORM 6.1 - ANNUAL PERFORMANCE REVIEW FORM

Employee name:

Position title:

Position number:

Employment commencement date: Years with the organization:

Previous performance review date:

Current performance review date:

Manager’s name:

Manager’s position title:

KEY FOR RATING SCALE

0 Does not meet expectations. Performance unacceptable
1 Rarely meets expectations. Well below required standard of performance
2 Inconsistent in meeting expectations. Below required standard of
performance
3 Meets requirements most of the time. Acceptable but could improve
4 Consistently performs at the required level and makes a significant
contribution to organizational outcomes
5 Leads by example and consistently performs at a high standard.
Contributions effect measurable and lasting improvements on
organizational performance.
PART A: ANNUAL EMPLOYEE WORK PLAN
Activities and Key Performance Indicators to be taken from the employee’s agreed work plan
for this review period.

ACTIVITY KEY PERFORMANCE INDICATORS Score

out of 5

AVERAGE SCORE FOR ANNUAL EMPLOYEE WORK PLAN:

Comments:
PART B: GENERAL WORK STANDARDS

Score
PERSONAL WORK RELATED CHARACTERISTICS out of
5
Communication

Co-operation with team members

Quality of work

Reliable in achieving results within expected time frames

Attendance at work and punctuality

Demonstrates a commitment to customer service

AVERAGE SCORE FOR GENERAL WORK STANDARDS:

Comments:

PART C: CALCULATION OF OVERALL PERFORMANCE RATING

Average
SCORE FOR PARTS A AND B
rating

PART A

PART B

OVERALL PERFORMANCE RATING

PART D: TRAINING AND DEVELOPMENT REQUIREMENTS

Training or Development Reason for the training or Outcomes Required

activity Development activity

PART E: CAREER PLANNING

Employee’s comments on desired career path:

Manager’s comments on employee’s career path and potential for promotion:

PART F: AGREEMENT
Manager:
I certify that I have assessed and interviewed the employee in a fair and impartial manner in
accordance with this Regulation.

______________________

Signature Date

Employee:
I agree that I have been/have assessed in a fair and impartial manner.

______________________

Signature Date

PART G: ENDORSEMENT AND SALARY INCREMENT

Human Resource Manager:

I have checked the Performance Review Form and verify compliance with the Regulation.
Based on the average performance rating the employee:

Is entitled to the salary increment as specified in Regulation 11: Civil Service Salaries

Is not entitled to the salary increment as specified in Regulation 11: Civil Service Salaries

______________________

Signature Date

PART B: GENERAL WORK STANDARDS

Score
PERSONAL WORK RELATED CHARACTERISTICS out of
5
Communication GOOD

Co-operation with team members GOOD

Quality of work NORMAL

Reliable in achieving results within expected time frames YES

Attendance at work and punctuality THEY ARE THEIR AT TIME

Demonstrates a commitment to customer service GOOD

AVERAGE SCORE FOR GENERAL WORK STANDARDS:

Comments:
1.OFFICE AND HIS TOOLS E.G TABLES COMPUTERS CHAIRS
2 VECHLE FOR TRANSPORTATION
3 TRAINING FOR TEACHERS AND HEADMASTERS CEC
4CAPACITY BUILDING. EDUCATIONAL KIT
5 CHILD RIHGTS/
6 SUPPLEMENTARY FEEDING + HYGENE

PART C: CALCULATION OF OVERALL PERFORMANCE RATING

Average
SCORE FOR PARTS A AND B
rating

PART A

PART B

OVERALL PERFORMANCE RATING

PART D: TRAINING AND DEVELOPMENT REQUIREMENTS

Training or Development Reason for the training or Outcomes Required

activity Development activity

CONSTUTION WITH NO CONSTITUTION TO BE SUCCESSFULREADI

THERS NO REEL WORK

LEARNING PROCESS ACCORDING TO QUALITY

EDUCATION

QUALITY ASSURANCE MONITERING AND

EVALUATION

EDUCATIONAL THE SCHOOL IT’S NOT AN

DEVELOPMENT. LEARNING ILAND THAT’S WHY WE
AND TEACHINGAND NEED DEVELOPMENT
LEARNING TOOLS EDUCATION

PART E: CAREER PLANNING

Employee’s comments on desired career path:

READING AND WRITING
GOOD LISTENER
FAIR IN JUSTICE
KINDLY TO CHILDREN
AND CHILD PROTECTION
AND CHILD RIGHTS
GIRL RIGHT
TO CARE WHO IS NEEDY

Manager’s comments on employee’s career path and potential for promotion:

ACTIVE MAN
PART F: AGREEMENT
Manager:
I certify that I have assessed and interviewed the employee in a fair and impartial manner in
accordance with this Regulation.

______________________

Signature Date

Employee:
I agree that I have been/have assessed in a fair and impartial manner.

26/02/2023

ADEN HIRSI ADEN ______________________

Signature Date

PART G: ENDORSEMENT AND SALARY INCREMENT

Human Resource Manager:

I have checked the Performance Review Form and verify compliance with the Regulation.
Based on the average performance rating the employee:

Is entitled to the salary increment as specified in Regulation 11: Civil Service Salaries
YES

SIs not entitled to the salary increment as specified in Regulation 11: Civil Service Salaries

______________________

Signature Date

FORM 6.1 - ANNUAL PERFORMANCE REVIEW FORM

Employee name:

Position title:

Position number:
Employment commencement date: Years with the organization:

Previous performance review date:

Current performance review date:

Manager’s name:

Manager’s position title:

KEY FOR RATING SCALE

0 Does not meet expectations. Performance unacceptable
1 Rarely meets expectations. Well below required standard of performance
2 Inconsistent in meeting expectations. Below required standard of
performance
3 Meets requirements most of the time. Acceptable but could improve
4 Consistently performs at the required level and makes a significant
contribution to organizational outcomes
5 Leads by example and consistently performs at a high standard.
Contributions effect measurable and lasting improvements on
organizational performance.
PART A: ANNUAL EMPLOYEE WORK PLAN
Activities and Key Performance Indicators to be taken from the employee’s agreed work plan
for this review period.

ACTIVITY KEY PERFORMANCE INDICATORS Score

out of 5

AVERAGE SCORE FOR ANNUAL EMPLOYEE WORK PLAN:

Comments:
PART B: GENERAL WORK STANDARDS

Score
PERSONAL WORK RELATED CHARACTERISTICS out of
5
Communication

Co-operation with team members

Quality of work

Reliable in achieving results within expected time frames

Attendance at work and punctuality

Demonstrates a commitment to customer service

AVERAGE SCORE FOR GENERAL WORK STANDARDS:

Comments:

PART C: CALCULATION OF OVERALL PERFORMANCE RATING

Average
SCORE FOR PARTS A AND B
rating

PART A

PART B

OVERALL PERFORMANCE RATING

PART D: TRAINING AND DEVELOPMENT REQUIREMENTS

Training or Development Reason for the training or Outcomes Required

activity Development activity

PART E: CAREER PLANNING

Employee’s comments on desired career path:

Manager’s comments on employee’s career path and potential for promotion:

PART F: AGREEMENT
Manager:
I certify that I have assessed and interviewed the employee in a fair and impartial manner in
accordance with this Regulation.

______________________

Signature Date

Employee:
I agree that I have been/have assessed in a fair and impartial manner.

______________________

Signature Date

PART G: ENDORSEMENT AND SALARY INCREMENT

Human Resource Manager:

I have checked the Performance Review Form and verify compliance with the Regulation.
Based on the average performance rating the employee:

Is entitled to the salary increment as specified in Regulation 11: Civil Service Salaries

Is not entitled to the salary increment as specified in Regulation 11: Civil Service Salaries

______________________

Signature Date