UC MERCED PERFORMANCE APPRAISAL AND DEVELOPMENT PLAN

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Employee Name: Employee ID:

Payroll Title: Review Period:

Bargaining Unit: Department:

Percent Appointment: Length of time in this position:

Supervisor’s Name: Supervised for entire review period? If not describe

duration:

Part I – Last Period’s Achievement, Goals, Key Responsibilities and Supporting Comments

This section is used to capture all performance related information. Performance elements include the performance goals carried over from the last evaluation period and/or made since the last evaluation period (speak to the progress made on each goal); specific achievements and or deliverables (which may or may not be related to a goal); and/or performance related to specific key responsibilities as listed on the job description.

Type: (Select One) Key Responsibility Goal Accomplishment Description: Demonstrated Competencies:

(Check all that apply) 1. Communication _{3. Employee Engagement} _{4. Innovation & Change Management} 2. Diversity & Inclusion

5. Job Mastery & Continuous Learning 6. Resource Management Focus

7. Results Orientation & Execution 8. Service Focus

9. Teamwork & Collaboration 10. Sustainability

11. People Management (For Managers/Supervisors) Rating:

(Choose one) Exceptional Improvement Needed

Exceeds Expectations Unsatisfactory

Meets Expectations Supporting Comments:

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Exceptional Improvement Needed

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Part II – Future Performance and/or Development Goals

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Part III – Supervisor’s Recommendation and Overall Rating

In addition to checking a box, supervisors must provide written narration that justified the rating overall, the performance rating for the review period is:

Exceptional Exceeds Expectations Meets Expectations Improvement Needed Unsatisfactory Rating Justification: Employee Comments: Signatures:

(All signatures as appropriate)

Immediate Supervisor Date

Next Level of Supervision Date

Department Head/Unit Manager (whichever is applicable) Date

My signature indicates neither agreement nor disagreement with the appraisal, but it does indicate that I have reviewed the appraisal, and have discussed it with my supervisor. I understand that I may complete the Employee Comments sheet as a part of this appraisal.

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