SUNSHINE INC. OF NW OHIO

EMPLOYEE PERFORMANCE EVALUATION

NAME DATE

JOB TITLE DATE OF HIRE

REVIEW PERIOD: FROM TO

DEFINITION OF PERFORMANCE RATINGS

5 = Exceptional – Employee consistently exceeds performance objectives with virtually no detected preventable/controllable errors. Makes significant contributions well beyond normal job responsibilities. Individual requires little direction or supervision.

4 = Exceeds Objectives – Employee exceeds performance objectives on a regular basis. Employee is making a valuable contribution to the agency. Errors are infrequent and are typically detected and corrected by the employee.

3 = Expected Performance – Employee consistently meets but does not exceed performance objectives. Employee is fully competent and is satisfactorily performing the job.

2 = Marginal/Needs Improvement – Employee does not adequately accomplish objectives nor fulfill all responsibilities; must improve performance within a designated time period. Or, the employee is new to the position and tasks presently assigned are adequately performed as expected.

1 = Unsatisfactory – Unacceptable performance; below expectations. Employee does not accomplish most or all position objectives.

Not Applicable/NA – Category does not apply.

Job Skills & Knowledge and Quality of Work Demonstrates knowledge & understanding of job duties, equipment and work methods. Performs responsibilities as specified in the job description. Applies knowledge and skills to produce quality work. Completes assignments on time in a thorough and accurate manner. Uses sound judgment when necessary to reassess projects/or situations. Able to perform a wide variety of job-related tasks. (Should use employee’s job description for reference.)	Performance Rating Comments:
Problem Solving Demonstrates ability to clearly isolate and define problem areas. Formulates realistic solutions in a timely manner. Participates constructively in group problem solving. Considers alternatives & consequences when making decisions. Presents problems, but offers solutions. Employee finds innovative and improved ways of doing things and/or generates new ideas. Employee utilizes job knowledge and sound reasoning to analyze situations, resolve problems, and reach decisions.	Performance Rating Comments:
Initiative and Time Management Adheres to priorities and deadlines. Completes work within scheduled time frames. Follows through on assignments despite setbacks. Plans and schedules work day to be sure job is done and follows established schedules. Willing to assume new tasks and shows interest in improving knowledge and skills.	Performance Rating Comments:

Attendance Reports to work as scheduled and is on time for work. Follows call-in & approval procedures for time off. Requests and uses leave appropriately.	Performance Rating Comments:
Interaction With Others Expresses ideas and information accurately and understandably in both oral and written form. Listens effectively and maintains courtesy and diplomacy. Interacts positively and cooperates with others to ensure the agency’s objectives and goals are met. Resolves conflict effectively. Shows interest in the job and in the agency. Promotes departmental teamwork and interdepartmental teamwork. Has a positive attitude towards his or her work.	Performance Rating Comments:
Interaction with Supervisor Accepts supervision with a positive and appropriate attitude. Receives constructive criticism well and works to correct issues. Communicates effectively with supervisor. If confused, clarifies policies and work assignments. Executes direction and plans from supervisor.	Performance Rating Comments:
Adheres to and Embraces the Sunshine’s Mission and Values Ethical practices – honesty, integrity, and meeting commitments. Adaptable – flexibility in responding to residents’ needs, work conditions, and agency issues. Fulfillment – striving to meet a worthy mission through innovation, teamwork, and a sense of family.	Performance Rating Comments:
Stewardship Helps to control costs by effectively utilizing time, materials, and equipment. Carefully monitors expenditures for agency and clients. Looks for ways to cut expenses; recycles when appropriate. Makes suggestions	Performance Rating Comments:

List employee’s strengths:

List areas in which employee could improve:

Employee: You must sign this form, thus acknowledging that you and your supervisor have discussed the results. Your signature, however, does not necessarily constitute agreement with the rating.

Employee Signature: ____________________________ Date:

Supervisor Signature: ____________________________ Date:

Notes and/or comments by the employee and/or supervisor: