For my graduate work I took a course on workplace competencies. I created an evaluation form for employees in my department.

1. Support Staff Evaluation Form Karen Pilarski OD-647 Final
Support Staff Name Job Title Department Date
Supervisor Name Supervisor Title Year or Period Covered Date Hired
From: / / To: / /
Purpose of Evaluation:
In addition to the annual self assessment the purpose of this evaluation is to provide feedback to the employee
about his/her level of competence in the Admissions Office. This evaluation will be completed bi-annually. The
Director of Technology and Training will use this information as a way to document strengths and areas for
improvement within the department. This evaluation is not tied to monetary gains or losses. The goal of
completing this evaluation is to open a discussion about where the employee is in terms of meeting self-
assessment goals. This evaluation is a tool used to determine progress. In addition this tool is a resource to
determine if the goals employees set are feasible or not.
Rating System
1=Unsatisfactory
2=Needs Improvement
3=Meets Expectations
4=Exceeds Expectations
5=Superior
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Definition of Rating System
Unsatisfactory: Employee’s work performance fails to meet expectations of job responsibilities. The employee did
not perform at the level needed to successfully complete job tasks. Employee needed frequent work revisions or
meeting with supervisor(s). Immediate training is necessary to sustain role in Admissions Office.
Needs Improvement: Employee’s work performance on occasion fails to meet expectations of job responsibilities.
Improvement is needed to fully meet all core competencies effort or skills. Training is required in order meet
qualifications of job role in the Admissions Office.
Meets Expectations: Employee’s work performance generally meets all job responsibilities and core competencies.
Normal amount of guidance and supervisor involvement is required.
Exceeds Expectations: Employee’s work performance occasionally surpasses expectations. Most of the core
competencies are scored at a level above the normal standard.
Superior: Performs above or beyond all expectations and is at the highest level for all core competencies.
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2. Core Competencies
Communication
Communicates and responds to both internal and external customers in a respectful and timely
manner.
Demonstrates strong writing communications skills- the ability to read, interpret, create, edit and
complete documents.
Has positive demeanor and assists colleagues, prospective students, students and visitors in a
professional manner.
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Analysis and Critical Thinking
Effectively probes and researches various data for reports
Determines potential issues and plans accordingly
Uses logic and methods to solve difficult problems with effective solutions
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Technology
Proficient in Microsoft Word, Excel and Outlook
Uses the appropriate technology methods, tools, equipment for tasks
Demonstrates the ability to use Datatel for data entry, compiling reports and various other
duties.
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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3. Team work/Collaborating work environment
The ability to have a difference of opinion and yet remain fair and open minded
The ability to solve internal or external problems without outside interference
Is cooperative and courteous
Demonstrates patience-Respectful of differences of learning styles and skills.
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Ethics
Handles sensitive information in a confidential and respectful manner
Adheres to Alverno College and Admissions Office procedures and policies
Acts fairly and with strong integrity
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Work Quality/Attitude about work
Produces high quality work
Completes work that is accurate and has minimal errors
Observes Datatel rules and procedures
Accepts constructive criticism
Adapts to changing rules and procedures
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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4. Self-Development
Recognizes strengths and areas of improvement
Understands what processes or steps are needed in order to improve skill
Committed to self improvement and takes active role in learning
Unsatisfactory……………………………………………….Superior
1 2 3 4 5
Comments____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Goals_________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Self Assessment Are goals feasible? Goals Met? Review Goals on / /
completed on / / Yes No Yes No
Total Score Proficient Training needed Recommended Actions
Needs improvement
Unsatisfactory
_________________________________________________
Director of Training and Technology Signature
_________________________________________________
Support Staff Signature
White copy-Staff file in Admissions Office Pink copy-Employee copy
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