ࡱ> ikha bjbjjj .d?b?b  RRRRRffffLfe#t0" """""""$%( #R #RR#"RR"":!,"` ! "5#0e#!.-)+6-)""-)R$" # #aTe#-) B : NSU CLASSIFIED EMPLOYEE PERFORMANCE EVALUATION The following pages are to be printed separately from the remainder of the EWP because they contain confidential employee information. PART I Position Identification Information1. Position Number: 2. Agency Name & Code; Division/Department: ɫֱ / 2133. Employee Name: 4. Employee ID Number:  PART II Performance Evaluation Core Responsibilities - Rating EarnedCore Responsibilities Comments on Results Achieved (from Section II: #20 & #21 of EWP)A.  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below ContributorB.  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below ContributorC.  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below ContributorD.  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below ContributorE.  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below Contributor  Special Assignments - Rating EarnedSpecial Assignments Comments on Results AchievedF.  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below Contributor  Other significant results for the performance cycle: Part III - Employee Development ResultsYear-end Learning Accomplishments:  Part IV - Overall Results Assessment and Rating EarnedAn employee must receive at least one Performance Management Need Improvement/Substandard Performance form during the performance cycle in order to be eligible for an overall Below Contributor rating during the same performance cycle. An employee who earns an overall rating of Below Contributor must be reviewed again within three months. An employee must receive at least one Acknowledgment of Extraordinary Contribution form during the performance cycle in order to be eligible for an overall Extraordinary Contributor rating during the same performance cycle. However, the receipt of an Acknowledgment of Extraordinary Contribution form does not guarantee an overall performance rating of Extraordinary Contributor for that performance cycle. Overall Rating Earned  FORMCHECKBOX  Contributor  FORMCHECKBOX  Extraordinary Contributor  FORMCHECKBOX  Below Contributor  Part V Review of Performance Evaluation  Supervisors SignaturePrint NameEmployee ID#DateThis employee was  FORMCHECKBOX  was not  FORMCHECKBOX  given an opportunity to share information on his/her performance during this evaluation period prior to my completion of Sections VI. through VIII.Supervisors Comments:   Reviewers SignaturePrint NameEmployee ID#DateReviewers CommentsEmployees Comments: I was  FORMCHECKBOX  was not  FORMCHECKBOX  given an opportunity to share information with my supervisor on my performance during this evaluation period prior to the evaluation interview.   Employees SignaturePrint NameEmployee ID#DateI have reviewed this document, discussed the contents with my supervisor, and acknowledge this with my signature. My signature does not necessarily mean that I agree with my supervisors assessment of my performance. 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