Module 9 - Brittany Bruce

To continue you to meet the goals of Benjamin’s Foundation, we will conduct a yearly employee performance
review from the employees start date.
Employee Name: Review Period:

From: To:
Job Title/Department: Supervisor: Date of Review: Date of Next Review:
Current Salary: Date Hired:
Please complete the performance self-review below:
1. How would describe your job performance over the past year?
2. What are your strengths and how do you use these strengths in your position?
3. What are some frustrations with your job that keep you from performing to
your full potential?
4. What career goals would you like to accomplish during the upcoming year and
beyond?
5. In what area(s) would you like to broaden your knowledge and skill set to better
increase job performance? ?
The next section is to be completed by the supervisor and a meeting will be scheduled to discuss each
section.
Performance Ratings: Description of Rating:
3 – Exceeds Expectations Job performance exceeds normal job
requirements as outlined in job description.
2 – Meets Expectations Consistently meeting all normal expected job

requirements as outlined in job description.
1 – Improvement Needed Performance does not meet requirement as

outlined in job description. Many deficiencies in
performance.
Performance Factors: Rating:

A. Job Knowledge: Demonstrates the understanding of the following in order
to successfully perform job duties; skills, processes, operations, procedures and
resources.
B. Productivity: Work is completed in a timely fashion; ability to prioritize

work in order to meet deadlines; efficiently and consistently completes
assignments.
C. Quality of Work: Presentation of work - well planned, attention to detail

and organized; and displays professionalism
D. Dependability and Responsibility: Takes ownership in assigned job

duties; Takes responsibility for performance; When issues arise immediately
communicates with supervisor; Willing to accept new assignments; Meets
project deadlines
E. Problem Solving Skills: Able to breakdown projects by gathering

information to identify problems and creates creative solutions; Works with
team members to diagnose a problem; Able to recognize successful solutions
F. Punctuality: Demonstrates reliability by complying with work hours,

attending work functions, arriving on time to work, and by giving the proper
amount of notice for time off.
G. Initiative: Shows interest in creating ideas and acting on those ideas to solve
problems. Knows when to act independently and when to consult supervisor;
Takes time to research and plan before presenting new idea, follows through
on ideas
H. Customer Service: Demonstrates commitment in creating a service-

oriented atmosphere for both clients and staff; maintains a respectful and
caring manner; ability to communicate effectively, listens to client concerns;
able to anticipate needs of clients.
I. Interpersonal Relations: Demonstrates respects for team members and

supervisors; maintains good working relationship with all individuals
throughout the organization.
Other: Supervisor can include any final notes in this section regarding the employee
performance. No rating is provided for this section.
Performance Highlights
Overall Rating of 3 – Exceeds Expectations

Performance:
Circle one a create goal 2 – Meets Expectations
and performance plan
1 – Improvement Needed
Strengths Areas of Improvement
Goals:
Employee Comments: Must be provided within 30 days from the date of the performance
review. Comments will be given to both supervisor and Human Resources to place in employee
file along with a copy of the performance review.
Scheduled date for in person review: ___________
*By signing, you are stating that you have discussed this performance review with your immediate
supervisor.
Employee Signature: _______________________________________ Date: ___________
Supervisor Signature: _______________________________________ Date: ___________
References
Inc. (n.d.). Employee Performance Appraisals. Retrieved from:

https://www.inc.com/encyclopedia/employee-performance-appraisals.html
Bizfluent.com (May 28, 2019). What Is a 360 Degrees Performance Appraisal? Retrieved from:
https://bizfluent.com/facts-5040181-degrees-performance-appraisal.html

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To continue you to meet the goals of Benjamin’s Foundation, we will conduct a yearly employee performance

review from the employees start date.

Employee Name: Review Period:

Current Salary: Date Hired:

Please complete the performance self-review below:

2 – Meets Expectations Consistently meeting all normal expected job

1 – Improvement Needed Performance does not meet requirement as

Performance Factors: Rating:

B. Productivity: Work is completed in a timely fashion; ability to prioritize

C. Quality of Work: Presentation of work - well planned, attention to detail

D. Dependability and Responsibility: Takes ownership in assigned job

E. Problem Solving Skills: Able to breakdown projects by gathering

F. Punctuality: Demonstrates reliability by complying with work hours,

H. Customer Service: Demonstrates commitment in creating a service-

I. Interpersonal Relations: Demonstrates respects for team members and

Overall Rating of 3 – Exceeds Expectations

Strengths Areas of Improvement

Scheduled date for in person review: ___________

Inc. (n.d.). Employee Performance Appraisals. Retrieved from:

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