University of Pittsburgh

STAFF PERFORMANCE APPRAISAL FORM (NON-SUPERVISORY ROLE)

Employee Name (Last, First, Middle Initial) Employee Title Employee Department Supervisor Name Supervisor Title Review Date

PURPOSE OF CURRENT APPRAISAL Annual Appraisal rovisional eriod Mid! oint Review STATEMENT OF PHILOSOPHY
T#is per$orman"e appraisal pro"ess is desi%ned to evaluate an employee&s per$orman"e over a spe"i$ied period o$ time' (#en t#e pro"ess wor)s well, t#e employee and #is*#er supervisor plan to%et#er to +uild on stren%t#s and develop t#ose areas needin% improvement' Durin% t#e per$orman"e appraisal session, time is set aside to, -) Restate e.pe"tations a+out /o+ responsi+ilities and per$orman"e standards 0) Evaluate /o+ per$orman"e a%ainst previous e.pe"tations 1) Dis"uss $uture development opportunities and relate t#em to or%ani2ational needs Supervisors: In evaluatin% an employee&s per$orman"e, you are to identi$y stren%t#s and areas o$ per$orman"e w#i"# re3uire improvement' 4ou are as)ed to provide e.amples o$ t#e employee&s per$orman"e to illustrate t#e ratin%s you %ive' E.amples +ased on your own o+servations wor) +est' 5owever, se"ond #and o+servations are permissi+le i$ you #ave veri$ied t#e in$ormation' Su"# e.amples "lari$y your messa%e' A$ter t#e meetin%, $ollow up on t#e development plans mutually esta+lis#ed +y you and t#e employee' Emp o!ees: T#e more involved you are in t#e per$orman"e appraisal session, t#e more e$$e"tive t#e pro"ess is li)ely to +e' 6e prepared +y "ompletin% t#e sel$!appraisal $orm'

Spe"ial

Form #0040 Non-Supervisory - Revised April 1, 2012

a%e Num+er " o$ #

University of Pittsburgh
STAFF PERFORMANCE APPRAISAL FORM INSTRUCTIONS
T#e per$orman"e appraisal pro"ess s#ould in"lude t#e $ollowin% steps, 7+tain and review sel$!appraisal $rom employee 8omplete Sta$$ er$orman"e Appraisal $orm $or employee9 S"#edule meetin% to dis"uss t#e appraisal 8ondu"t per$orman"e appraisal meetin% rovide "opy o$ si%ned Sta$$ er$orman"e Appraisal to employee la"e si%ned Sta$$ er$orman"e Appraisal in t#e employee&s Departmental personnel $ile S"#edule meetin% to dis"uss per$orman"e e.pe"tations wit# employee $or up"omin% year 8omplete ea"# appli"a+le se"tion o$ t#e $orm +elow' For additional in$ormation, see t#e instru"tion do"ument $%ui&e i'es (or Supervisors: Comp e)i'* + S)+(( Appr+is+ Form, on t#e 5uman Resour"es we+site at www'#r'pitt'edu*mana%ers*::;:'

APPRAISAL RATIN%S AN- CRITERIA:

U's+)is(+/)or! Employee must demonstrate improved wor) per$orman"e wit#in immediate period o$ time (e'%', 1 mont#s)

-eve opme') Nee&e& er$orman"e standards are not $ully a"#ieved< employee needs to improve per$orman"e durin% t#e ne.t appraisal period (e'%', -0 mont#s)

Su//ess(u (or) is $ully satis$a"tory< employee "onsistently meets and o""asionally may e."eed per$orman"e standards' This represents the expected level of performance as established by the supervisor.

A0ove E1pe/)+)io's (or) is $ully satis$a"tory and o$ten e."eeds per$orman"e standards'

E1/ep)io'+ (or) per$orman"e "onsistently e."eeds per$orman"e standards'

Form #0040 Non-Supervisory - Revised April 1, 2012

a%e Num+er . o$ #

University of Pittsburgh
SUPERVISOR2S APPRAISAL OF EMPLOYEE2S PERFORMANCE STAN-AR-S Per(orm+'/e S)+'&+r&
3o0 4'o5 e&*e6Fu'/)io'+ +'& Te/7'i/+ S8i s 5as a"#ieved re3uired level o$ )nowled%e and s)ills in position!related areas Applies )nowled%e and s)ills to meet /o+ re3uirements =eeps up to date in all relevant )nowled%e and s)ills areas to meet /o+ re3uirements E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Per(orm+'/e S)+'&+r&
Servi/e Orie')+)io' A"tively see)s in$ormation to understand "ustomers& "ir"umstan"es, pro+lems, needs, and e.pe"tations S#ares in$ormation wit# "ustomers to +uild t#eir understandin% o$ issues and "apa+ilities Responds 3ui")ly to meet "ustomer needs and resolve pro+lems See)s opportunities to improve t#e produ"ts and*or servi"es to meet "ustomer needs E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Per(orm+'/e S)+'&+r&
I')erperso'+ Commu'i/+)io' Relates well to all people ! up, down, and a"ross ! internally and e.ternally to t#e S"#ool*Department Esta+lis#es rapport< +uilds and maintains e$$e"tive wor)in% relations#ips ra"ti"es attentive and a"tive listenin% >ses diploma"y and ta"t< "an di$$use #i%#!tension situations "om$orta+ly E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Form #0040 Non-Supervisory - Revised April 1, 2012

a%e Num+er 9 o$ #

University of Pittsburgh

Per(orm+'/e S)+'&+r&
I'i)i+)i'* A/)io' Readily ta)es a"tion "onsistent wit# department o+/e"tives Loo)s $or and ta)es advanta%e o$ opportunities to a"t +eyond w#at is re3uired Ta)es independent a"tions w#en appropriate ?olunteers readily Su%%ests met#ods and pro"edures to improve departmental operation E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Per(orm+'/e S)+'&+r&
Or*+'i:i'* +'& P +''i'* rioriti2es multiple a"tivities and assi%nments e$$e"tively and ad/usts as appropriate Determines tas)s and se"ures appropriate resour"es to %et t#in%s done >ses time e$$e"tively and stays $o"used to ensure wor) is "ompleted Meets "ommitments and deadlines "onsistently E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Per(orm+'/e S)+'&+r&
;u+ i)! o( <or8 A""urately and "are$ully $ollows pro"ess*pro"edures $or "ompletin% wor) Ensures a #i%#!3uality output o$ wor) (resultin% in minimal a""epta+le*2ero errors) Attentive to all details and aspe"ts o$ a /o+ or pro"ess to ensure a "omplete, #i%# 3uality output

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Form #0040 Non-Supervisory - Revised April 1, 2012

a%e Num+er = o$ #

University of Pittsburgh
E1+mp es )7+) Suppor) R+)i'*

Per(orm+'/e S)+'&+r&
<or8 H+0i)s 8ondu"ts wor) wit#in t#e esta+lis#ed (and a""epted) department pra"ti"es 8ondu"ts wor) a""ordin% to t#e esta+lis#ed and approved wor) s"#edule Demonstrates pro$essionalism and wor)pla"e eti3uette E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Per(orm+'/e S)+'&+r&
-e/isio' M+8i'* Identi$ies issues, pro+lems and opportunities and determines t#at a"tion is needed ro+es all relevant sour"es to +etter understand pro+lem, issue or opportunities Analy2es in$ormation and %enerates options $or addressin% issue, pro+lem or opportunity 8#ooses appropriate a"tion +y evaluatin% options and "onsiderin% impli"ations in a timely manner Involves ot#ers as needed to ensure 3uality and "ommitment o$ de"ision E1+mp es )7+) Suppor) R+)i'*

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

Per(orm+'/e S)+'&+r&
Composure Maintains e$$e"tive per$orman"e under pressure 8opes e$$e"tively and develops e$$e"tive approa"#es to deal wit# pressure or stress resents a positive disposition and maintains "onstru"tive interpersonal relations#ips w#en under stress E1+mp es )7+) Suppor) R+)i'*
Form #0040 Non-Supervisory - Revised April 1, 2012

R+)i'*
! Sele"t Ratin% ! ! Sele"t Ratin% ! ! Sele"t Ratin% !

a%e Num+er > o$ #

University of Pittsburgh

SUMMARY OF CURRENT YEAR O?3ECTIVES

I-ENTIFY -EVELOPMENT OPPORTUNITIES

SUPERVISOR2S OVERALL SUMMARY AN- RATIN%

Summ+r!, ! Sele"t Ratin% !

EMPLOYEE COMMENTS (Op)io'+ )

Emp o!ee Si*'+)ure6-+)e rint Name,

Supervisor Si*'+)ure6-+)e rint Name,

Form #0040 Non-Supervisory - Revised April 1, 2012

a%e Num+er # o$ #