Employee Name:

Position Title:

Department:

Reporting Period:

Contributions to department or college and university mission during this period

• How were responsibilities managed?
• Objectives met this period
• Examples of managing the unexpected

Employee Management Effectiveness (for supervisors)

• Examples of leadership and effective role modeling
• Understanding and following the collective bargaining agreement
• Recognition, development, and overall support of employees supervised, including timely completion of performance appraisals.

Compliance

• Diversity initiatives, AA/EEO objectives
• Employee safety
• Departmental or university policies

Officer of Administration Signature: _________________________________________

Date___________________


Supervisor Signature: __________________________________________

Date___________________