CLASSIFIED AND CONFIDENTIAL/SUPERVISORY PERSONNEL
PERFORMANCE APPRAISAL

Employee Date

Job Title Dept.  

Supervisor  

TYPE OF APPRAISAL: Probationary 6-month 3-month Annual Unscheduled

Report Period Reason for Unscheduled Appraisal

SECTION I: MAJOR JOB DUTIES AND RESPONSIBILITIES

INSTRUCTIONS: Appraise the employee on the job now being performed. Consider each job duty separately regardless of the rating for any job duty. 

MAJOR JOB DUTIES: Select essential functions for the position as listed in the current position description

SECTION II: NARRATIVE
Attach additional sheets as necessary
Comments concerning job strengths, superior performance qualities, and areas where the employee has shown development and growth.


In what specific areas(s) could the employee improve and gain additional career growth?


Identify and record specific goals to be undertaken during the next evaluation period.
(This may include employee development as well as specific job goals.)

EMPLOYEE'S COMMENTS ON THIS EVALUATION


OVERALL SUMMARY APPRAISAL
Acceptable Unacceptable

SUPERVISOR'S RECOMMENDATION:
This employee is recommended for:
1. The contracted salary increase. Yes No
2. Continuation of employment at COCC after 
satisfactory completion of the six-month probationary period. Yes No 
3. Three-month probationary period extension. Yes No

SIGNATURES:
The signatures indicate that the supervisor and the employee have reviewed the evaluation together and that the evaluation was based on the employee's job description. The employee's signature does not necessarily indicate agreement.

Employee's Signature_____________________________________________ Date Signed________________ 

Supervisor's Signature_____________________________________________ Date Signed________________ 

Appropriate Vice President's Signature_____________________________________ Date Signed___________

AUTHORIZATION OF SALARY INCREASE AND/OR STATUS:


A. Employee approved for a salary increase. Yes No
B. Employee approved to be continued in employment and placed on regular status. Yes No
C. Three-month probationary period extension. Yes* No
*If yes, specify in writing the areas in which improvement is needed in the employee's job performance. (Attach a separate sheet.)

Approved by

Printed Name:___________________________________________________ Date Signed ________________ 

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