Short Form - Sample (1)
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7/21/2019 Short Form - Sample (1)
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RCUH Form D-1, Revised March 2006
The Research Corporation of the University of Haaii
EMPLOYEE: MICKEY SMITH
TITLE: PROJECT COORDINATOR
PROJECT NAME/LOCATION: RCUH HR - OAHU
This report covers the period from 7/1/200 to !/"0/200!
COMPETENCY: RANKIN#
$ e % g & ' % ( g ) T o ' a * 1 0 0 +
E , - e e . / E , e - ' a ' % o ( / ) +
M e e ' / E , e - ' a ' % o ( / ) " +
R e 3 % 4 e / I 5 4 o 6 e 5 e ( ' ) 2 +
U ( / a ' % / f a - ' o 4 7 ) 1 +
Co55e('
10 ! "0
10 ! "010 ! "0
10 ! "0
# ! 20
10 ! "0
20 ! 60
# ! 20
10 ! "0
10 ! 20
100 TOTAL SCORE "00
To'a* So4e - S355a4 Ra'%(g:
E,ee. E,e'a'%o( "0 - 00
! Mee' E,e'a'%o( )8+ "00 - "9
Mee' E,e'a'%o( 20 - 299
ANNUAL PERORMANCE E;ALUATION )SAMPLE+
I('43'%o(: Fi$$ in the ei%htin% of each competency accordin% to yo&r pro'ect(s or%ani)ationa$ needs and importance *m&st tota$ 100 points+Comp$ete yo&r ranin% for the individ&a$ emp$oyee M&$tip$y the ei%htin% points .y the ranin% and p$ace score in the (s&.tota$( co$&mn Fi$$ in anycomments as necessary /dd to%ether a$$ va$&es in the (s&.tota$( co$&mn to determine (tota$ score( Chec the s&mmary ratin% that corresponds to the(Tota$ core(
So4%(g Ke: 34ceeds 34pectations" Meets 34pectations2 5eeds mprovement
1 Unsatisfactory
S3<
To'a* *7ei%htin%4 Ranin%+
A''e(.a(e *p&nct&a$, reports to or+
Co553(%a'%o( *speas and rites effective$y+
A<%*%' 'o Pe4fo45 Jo< *technica$ a.i$ity+
Deg4ee of S3o4' P4o6%.e. 'o P4o=e'/PI *provides directs&pport, contri.&tes to mission and %oa$s of the pro'ect+
I(%'%a'%6e *e$f starter in findin% so$&tions to pro.$ems+
T%5e*%(e of $o4> *prod&ces or on time, meetsdead$ines+
?3a('%' of $o4> *a.$e to prod&ce the 8&antities perstandard+
K(o@*e.ge of $o4> *nos technica$ parts of the 'o.+
?3a*%' of $o4> *a.$e to prod&ce the 8&a$ities per standard+
Safe' A@a4e(e *contri.&tes to 9 enco&ra%es a safe orenvironment+
For RCUH Use :n$y;Received .y HR Dept; <<<<<<<<<<<<<
Revieed .y Director; <<<<<<<
For RCUH Use :n$y;Received .y HR Dept; <<<<<<<<<<<<<
Revieed .y Director; <<<<<<<
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RCUH Form D-1, Revised March 2006
Re3%4e I54o6e5e(' 10 - 29
U(a'%fa'o4 100 - 19
EMPLOYEE: MC=3> MTH
De4%'%6e A4a%a*:
Mr mith a$ays tries his .est in a$$ sit&ations He taes initiative 9 is ea%er to $earn
*?$ease &se .ac of form if necessary+
Reo55e(.a'%o( Rega4.%(g Mo.%f%a'%o( of I54o6e5e(' of E5*oee Pe4fo45a(e:
*?$ease &se .ac of form if necessary+
Micey mith @ohn Candy
PRINT Na5e of E5*oee PRINT Na5e of Ma(age4/S3e46%o4 o5*e'%(g e6a*3a'%o(
E5*oee S%g(a'34e S%g(a'34e of Ma(age4/S3e46%o4 o5*e'%(g e6a*3a'%o(
Dr ?eter ?iper
P4%(%a* I(6e'%ga'o4 S%g(a'34e RCUH H35a( Reo34e Re4ee('a'%6e
Mr mith needs to .e aare of his or environment 7ith more trainin%, e .e$ieve hei$$ e4ce$
*This si%nat&re is mere$y an acno$ed%ment that thiseva$&ation as revieed ith me .y my s&pervisor+