Employee’s Name:
Title:
Supervisor:
Review Period:
Descriptive Performance Review Form

Job Definition

Attach a current position description; if applicable, make note of any significant changes since last year’s performance review.

If performance goals were set at the last performance review, attach a copy of these goals and comment on the employee’s progress.

Performance Competencies (Depending on position, some competencies may be more relevant than others.)

Exceptional:	Performance is consistently superior and significantly exceeds position requirements.	Exceptional	Highly Effective	Proficient	Inconsistent	Unsatisfactory	New/Not Applicable
Highly Effective:	Performance frequently exceeds position requirements.
Proficient:	Performance consistently meets position requirements.
Inconsistent:	Performance meets some, but not all position requirements.
Unsatisfactory:	Performance consistently fails to meet minimum position requirements; employee lacks skills required or fails to utilize necessary skills.
New/Not Applicable:	Employee has not been in position long enough to have demonstrated the essential elements of the position and will be reviewed at a later agreed upon date.
Skill and proficiency in carrying out assignments

Brief explanation:

Possesses skills and knowledge to perform the job competently

Brief explanation:

Skill at planning, organizing and prioritizing workload (For self and direct reports, if applicable)

Brief explanation:

Holds self accountable for assigned responsibilities; sees tasks through to completion in a timely manner

Brief explanation:

Proficiency at improving work methods and procedures as a means toward greater efficiency

Brief explanation:

Communicates effectively with supervisor, peers, and customers

Brief explanation:

Ability to work independently

Brief explanation:

Ability to work cooperatively with supervision or as part of a team

Brief explanation:

Willingness to take on additional responsibilities

Brief explanation:
Reliability (attendance, punctuality, meeting deadlines)

Brief explanation:
Adeptness at analyzing facts, problem solving, decision-making, and demonstrating good judgment

Brief explanation:
Additional performance competencies for employees with supervisory responsibilities
Displays fairness towards all subordinates.

Brief explanation:
Identifies performance expectations, gives timely feedback and conducts formal performance appraisals.

Brief explanation:
Helps employees to see the potential for developing their skills; assists them in eliminating barriers to their development.

Brief explanation:
Delegates responsibility where appropriate, based on the employee’s ability and potential.

Brief explanation:
Takes timely and appropriate corrective/disciplinary action with employees.

Brief explanation:
Takes specific steps to create and develop their diverse workforce and to promote an inclusive environment.

Brief explanation:

Performance Summary (attach additional pages as necessary)

List all aspects of employee’s performance that contribute to his or her effectiveness.

List aspects of employee’s performance that require improvement for greater effectiveness.

In what way is the employee ready for increased responsibility? What additional training will he/she need to be successful?

Goal Setting and Development Planning

List the employee’s performance goals for the coming year:

How do these align with departmental goals?

List the employee’s development goals for the coming year:

In the coming year, how will you provide guidance and assistance for the employee to accomplish his/her goals?

This annual performance review will become part of your MIT personnel file. Please sign below to acknowledge that you have received this document.

Employee’s Signature:	Date:
Supervisor’s Signature:	Date:

Revised 3/7/2012 http://hrweb.mit.edu/performance/	Page 3

http://hrweb

Kimberly Nyce

2012-03-07

amstone

MIT