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Performance Evaluation Form Template

This document is a performance evaluation tool to be filled out by an applicant's supervisor. It collects information about the applicant's position, duration of employment, duties and responsibilities, and ratings on various performance indicators and behaviors. The supervisor is asked to provide an overall numerical rating from 1 to 5, with descriptions for each rating level. Space is also provided for comments, recommendations, and descriptions of the applicant's contributions to the organization. The supervisor must sign and provide contact information to certify the accuracy of the evaluation.

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Mykee Alonzo
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494 views3 pages

Performance Evaluation Form Template

This document is a performance evaluation tool to be filled out by an applicant's supervisor. It collects information about the applicant's position, duration of employment, duties and responsibilities, and ratings on various performance indicators and behaviors. The supervisor is asked to provide an overall numerical rating from 1 to 5, with descriptions for each rating level. Space is also provided for comments, recommendations, and descriptions of the applicant's contributions to the organization. The supervisor must sign and provide contact information to certify the accuracy of the evaluation.

Uploaded by

Mykee Alonzo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Performance Evaluation Tool
  • Rating Factors

PERFORMANCE EVALUATION TOOL

(to be filled out by the immediate supervisor or head of office)


Name of Applicant: Position Applied for:

How long have you known the applicant? (no. of years) ____________

In what capacity? (please check) ❒ subordinate ❒ student trainee


❒ volunteer ❒ others ______

What was his/her position? ________________________ Unit/Office: __________________


Please indicate the period of his/her engagement with your organization: ___________
to____ _________ (mm/dd/yyyy)
(mm/dd/yyyy)

Reason for leaving the organization: ❒ resignation ❒ end of contract


❒ dismissal ❒ others _____________

What were the applicant’s major duties and responsibilities?

Please rate the applicant’s performance as employee in your office:


(1) (2) (3) (4) (5)
No
INDICATOR Poor Unsatisfactory Satisfactory Very Outstanding
Basis
Satisfactory
Ability to meet work
objectives and targets
Receptivity to new ideas
Ability to adhere to work-
related policies and
procedures
Ability to communicate tasks
and responsibilities
Effective interpersonal
relationship with team
members
Management of time,
personal conflicts, and work
pressures
Ability to respond to
emergency situations
Ability to solve problems

How would you rate his/her overall behavior at work?

(1) (2) (3) (4) (5)


FACTORS Poor Unsatisfactory Satisfactory Very Outstanding No Basis
Satisfactory
Punctuality
Attendance
Leadership
Judgment
Job Knowledge
Cooperativeness
Dependability
Empathy
Public Relations
AVERAGE POINT SCORE:
EQUIVALENT NUMERICAL
RATING:
Comments and Recommendations:

Rating Description
Numerical Adjectival
5 Outstanding ▪ Extraordinary level of achievement
▪ Exceptional job mastery in all major areas of responsibility have
demonstrated
▪ Marked excellence of achievement and contributions to the
organization
4 – 4.99 Very Satisfactory ▪ Exceeded expectations
▪ All goals, objectives and targets were achieved above standards

3 – 3.99 Satisfactory ▪ Met expectations


▪ Most critical annual goals are met
2 – 2.99 Unsatisfactory ▪ Failed to meet expectations
▪ One or more of the most critical goals were not met
1 – 1.99 Poor ▪ Consistently below expectations
▪ Reasonable progress toward critical goals was not made
What are the significant contribution/s of the applicant in your organization?

___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

I hereby certify that the above statements are true and correct to the best of my
knowledge.

Signature over Printed name of Supervisor

Email Address
Contact Number
Date Accomplished

PERFORMANCE EVALUATION TOOL (to be filled out by the immediate supervisor or head of office) Name of Applicant: Pos
Ability to solve problems How would you rate his/her overall behavior at work? FACTORS (1) Poor (2) Unsatisfactory (3) Satisf
What are the significant contribution/s of the applicant in your organization? ____________________________________________

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