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Kentucky State University
Administrative Performance Evaluation
| Section I: Employee Information | Check One | ☐ Full-Time ☐ Part-Time | Check One | ☐ Probationary Review ☐ Annual Review | |
|---|---|---|---|---|---|
| Employee Name | Department | Probationary 90-180 Day Review | ☐ 90 ☐ 180 ☐ Other: ______ | ||
| Employee ID # | Job Title | Evaluation Period | |||
| Section II: Employee Self-Assessment (To be completed by employee before meeting with supervisor) | |||||
| Please complete the Employee Self-Assessment to evaluate your performance, accomplishments, and goals for the specified period by filling out the sections below. | |||||
| 1. How would you assess your effectiveness in leading your team or meeting departmental objectives? Provide examples of significant decisions you made and their outcomes. | |||||
| 2. Evaluate your communication skills and ability to foster collaboration within your team and across departments. What strategies have you used to improve teamwork and resolve conflicts? | |||||
| 3. What steps have you taken to enhance your skills and professional development? Are there specific areas where you feel additional training or resources would benefit your role? | |||||
| 4. What topics would you like to discuss with your supervisor during your evaluation? | |||||
| 5. Identify areas where you believe you could improve your performance or contribute more effectively. What support or resources would help you address these areas? | |||||
Full-Time
Probationary Review
Part-Time
Annual Review
Full-Time Part-Time_Department
Employee Name
180
90
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Other
Full-Time Part-Time_Job Title
90 180 Other:_Evaluation Period
Employee ID #
1. How would you assess your effectiveness in leading your team or meeting departmental objectives? Provide examples of significant decisions you made and their outcomes._Row_1
2. Evaluate your communication skills and ability to foster collaboration within your team and across departments. What strategies have you used to improve teamwork and resolve conflicts?_Row_1
3. What steps have you taken to enhance your skills and professional development? Are there specific areas where you feel additional training or resources would benefit your role?_Row_1
4. What topics would you like discuss with your supervisor during your evaluation?_Row_1
5. Identify areas where you believe you could improve your performance or contribute more effectively. What support or resources would help you address these areas?_Row_1
Page 2
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Kentucky State University
Administrative Performance Evaluation
Section III: Supervisor's Performance Review
Please rate the KSU Employee on each performance factor based on performance of the employee for the evaluation period indicated in Section I. (Employee performance evaluations will not be used to determine merit pay increases) Ratings of excellent and needs improvement require a statement in the comment section explaining the rating.
Employee and supervisor have reviewed and discussed the employee's current assigned job description. ☐ Yes ☐ No
Employee and supervisor have reviewed and discussed the employee’s current assigned job description
Employee and supervisor have reviewed and discussed the employee’s current assigned job description
Excellent:Employee performs job duties above and beyond work expectations, consistently exceeded performance goals and supervisor's expectations; anticipated and took additional duties beyond major responsibilities. Successful:Employee consistently performed job duties; work and behavior expectations consistently met; met performance goals and supervisor's expectations; completed and verified own work in a timely, accurate and thorough manner. Needs Improvement:Employee did not consistently and/or accurately perform job duties; work and/or behavior expectations were not met; did not meet performance goals and/or supervisor's expectations; not consistently reliable in handling daily duties; requires more supervision than expected.
CORE EXPECTATIONS
The evaluating supervisor will assess the employee according to their meeting the core expectations listed below. The evaluating supervisor must rate according to the evaluation rating provided above and provide comments where required.
| CORE EXPECTATIONS | RATING | EVALUATING SUPERVISOR'S COMMENTS |
|---|---|---|
| Leadership and Decision-Making: Demonstrates strong leadership by setting clear goals, making informed decisions, and fostering a positive and productive work environment. Leads by example and inspires accountability within their teams. | ☐ Excellent ☐ Successful ☐ Needs Improvement | |
| Strategic Planning and Execution: Develops, implements, and evaluates strategies and processes that align with the KSU's mission and objectives. Effectively manages resources to meet deadlines and deliver results. | ☐ Excellent ☐ Successful ☐ Needs Improvement | |
| Communication and Collaboration: Exhibits excellent communication skills, ensuring clear, professional, and timely interactions with university faculty, staff, students, and community members. Encourages collaboration and works effectively across departments to achieve KSU goals. | ☐ Excellent ☐ Successful ☐ Needs Improvement | |
| Ethical and Professional Conduct: Upholds the highest standards of integrity, confidentiality, and professionalism. Ensures compliance with institutional policies and regulations while fostering an inclusive and respectful workplace. | ☐ Excellent ☐ Successful ☐ Needs Improvement | |
| Adaptability and Flexibility: Responds positively to changing circumstances, priorities, and needs within the university environment. | ☐ Excellent ☐ Successful ☐ Needs Improvement |
EVALUATING SUPERVISOR’S COMMENTS_Excellent Successful Needs Improvement
Excellent
Successful
Needs Improvement
EVALUATING SUPERVISOR’S COMMENTS_Excellent Successful Needs Improvement
Excellent
Successful
Needs Improvement
EVALUATING SUPERVISOR’S COMMENTS_Excellent Successful Needs Improvement
Excellent
Successful
Needs Improvement
EVALUATING SUPERVISOR’S COMMENTS_Excellent Successful Needs Improvement
Excellent
Successful
Needs Improvement
EVALUATING SUPERVISOR’S COMMENTS_Excellent Successful Needs Improvement
Excellent
Successful
Needs Improvement
Page 3
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Kentucky State University
Administrative Performance Evaluation
| Overall Evaluation Rating | |||
| ☐ Excellent | ☐ Successful | ☐ Needs Improvement | |
|---|---|---|---|
| PERFORMANCE EVALUATION SUMMARY The evaluating supervisor will determine an overall evaluation rating and provide a brief narrative that summarizes the employee's work performance, accomplishments or areas needing improvement during this evaluation period. If a rating of excellent or needs improvement is chosen, the evaluating supervisor must provide justification for the rating. | |||
| Overall Evaluation Signatures | |||
| OVERALL EVALUATION SIGNATURES The evaluating supervisor should review the evaluation with the employee and discuss the evaluation ratings. Any ratings of needs improvement, the supervisor will provide the employee an improvement plan. | |||
| Employee | Print Name | Signature | Date |
| Evaluating Supervisor | |||
| Office of Human Resources | |||
| If the employee chooses not to sign the performance evaluation, they should use the employee's comments section or attach additional documentation to explain the reason they do not wish to sign the evaluation. | |||
| EMPLOYEE COMMENTS The employee will use the comment section below to make any comments specific professional about their evaluation and supervisor. This area can also be used to explain if the employee does not wish to sign the evaluation. | |||
| GOALS The following goals have been agreed to by the employee and supervisor for the next performance evaluation period. There must be at least three goals listed. | |||
| 1. | |||
| 2. | |||
| 3. | |||
| 4. | |||
| 5. | |||
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PERFORMANCE EVALUATION SUMMARY The evaluating supervisor will determine an overall evaluation rating and provide a brief narrative that summarizes the employee’s work performance, accomplishments or areas needing improvement during this evaluation period. If a rating of excellent or needs improvement is chosen, the evaluating supervisor must provide justification for the rating._Row_1
Print Name_Employee
Signature_Employee
Date_Employee
Print Name_Evaluating Supervisor
Signature_Evaluating Supervisor
Date_Evaluating Supervisor
Print Name_Office of Human Resources
Signature_Office of Human Resources
Date_Office of Human Resources
EMPLOYEE COMMENTS The employee will use the comment section below to make any comments specific professional about their evaluation and supervisor. This area can also be used to explain if the employee does not wish to sign the evaluation._Row_1