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Employee Evaluation Form 1. EMPLOYEE INFORMATION Employee..Name Job Title Supervisor/Reviewer Review period From: / / To: 11. CORE VALUES AND OBJECTIVES PERFORMANCE. CATEGORY RATING COMMENTS AND` EXAM PCE5 Quality of Work: ❑ Exceeds expectations Work is completed. accurately (few U Meets expectations orna errors), effrclently and within El Needs improvement deadlines with minimal supervisian ❑Unacceptable Attendance.& Punctuality:: ❑ Exceeds. expectations Reports for work on time, provides ❑ Meets expectations advance notice of need for absence ❑ Needs improvement ❑ Unacceptable Reliability/Dependability: El Exceeds expectations Consistently performs at a. high. © Meets expectations level; manages time and workload 0 Needs improvement effectively to meet responsibilities E3 Unacceptable Communication Skills:. © Exceeds expectations Written: and oral communications. ❑ Meets.. expectations are clear, organized and effective; ❑ Needs improvement listens and comprehends well. ❑ Unacceptable Judgment &.Decision -Making: 0 Exceeds expectations Makes thoughtful, well -reasoned 0 Meets expectations decisions; exercises: good ❑Needs improvement judgment, resourcefulness and ❑ Unacceptable' creativity in problem -solving Initiative & Flexibility: 0 Exceeds expectations Demonstrates initiative, often ❑ Meets expectations seeking out additional responsibility; E3 Needs improvement identifies problems and solutions; O Unacceptable. thrives on new challenges and adjusts to unexpected changes Cooperation & Teamwork: ❑ Exceeds expectations Respectful of colleagues when Q Meets expectations working with others and makes ❑ Needs improvement valuable. contributions to help the ❑ Unacceptable group achieve its goals 9)2012--2014 HR 360, Inc.. 11