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79 221698v1 ANNUAL PERFORMANCE EVALUATION Employee Name Position Evaluation Period Evaluator From: To: “X” Appropriate Box. Comments required for “Exceeds Expectations” and “Needs Improvement”. Please explain why in comments/examples and what actions are to be taken. Exceeds Expectations: Performance is exceptional and usually exceeds job requirements. Meets Expectations: Meets all job Requirements. Needs Improvement: Performance is below standards and requirements of the job. 1. Values: Displays the Values of Honesty, Integrity, Service, Collaboration, and Excellence 2. Punctuality and Attendance: Works required hours, and arrives punctually to work and scheduled meetings. 3. Accountability: Accepts responsibility for actions and/or accomplishments. 4. Job Knowledge: Possesses and applies the necessary knowledge and mechanical skills for the position. 5. Professional Development: Participates in training programs, takes advantage of educational opportunities, reads professional publications to stay current on new developments and methods related to position. 6. Time Management: Organizes work to use time effectively and efficiently. Works effectively under heavy workload and meets agreed-upon stated deadlines. 7. Initiative: Willing to accept new and/or additional responsibilities. Completes tasks with little supervision, Suggests improvements to existing procedures. 8. Decision Making: Demonstrates effective decision making skills. Regularly exercises sound judgement. Thinks quickly and logically. Demonstrates ability to evaluate problems and situations calmly and identify problem areas which need to be addressed. 9. Quality: Follows directions and asks questions as necessary to meet desired results. Work accurate and thorough. Suggests ways to improve quality. Checks work to ensure good quality? 10. Safety: Follows safety rules and demonstrates safe work practices. Provide comment on any accidents, equipment damage incurred over the past rating period. 11. Communication: Demonstrates effective oral communication skills and conveys information in a clear and concise manner. Demonstrates effective written communication skills and conveys ideas and information in written format. 12. Cooperation: Cooperates with peers and immediate supervisor to accomplish work effectively and efficiently; helps create and maintain good working relationships, and provides effective assistance. 13. Customer Service: When dealing with residents, customers, or the general public is courteous, polite, patient, positive and helpful. Listens, displays empathy and responds in a timely manner. Keeps customers informed 14. Leads: Creates a positive work environment focusing on teamwork, mutual respect and trust. Gains commitments from organization members by setting the example, effective communication, and maintaining discipline. Creates a culture which fosters individual motivation. Ensures teams is properly trained and performs task in a safe manner.