Employee Evaluation& Salary Adjustment

1 Position:_____Requirements/attributes:__ ___Primary responsibilities:_____Secondary responsibilities:_____Career path:_____Position-SpecificCriteriaProfi ciency:Understands craft, systems and management:Organizes tasks and to detail:Attentive to all aspects of interaction:Relates to client needs, both spoken and :Seeks innovative skills:Understands and works to increase have been shown this evaluation. My signature below doesnot necessarily imply agreement:_____( Employee s signature/date.)Scheduled date of next evaluation:_____(Supervisor s signature/date.) Employee :_____Review period:_____1) Evaluate performance by circling the appropriate response:1 = substandard, needs constant supervision2 = below average, needs improvement3 = average, satisfactorily meets criteria4 = above average, exceeds criteria5 = exemplary, deserving of unusual recognition2) Enter comments as ) Set goals for the next review ) Complete the back side (supervisor only).

2 GeneralCriteriaPersonality/demeanor:Flex ible and easy to get along with, an adaptable team skills:Listens, understands and expresses him/herself and promptness:Observes assigned working hours, is :Works without close supervison, initiates independent and time-awareness:Sets and observes own priorities for the best use of his/her :Maintains composure and performs well under s major strength:_____Area needing most improvement:_____Other comments:_____EmployeePerformanceEvaluat ionConfidential Copyright 1994/2010 Creative granted only for individual use. 1994/2010 Creative BusinessSalaryAdjustmentCompilationConfi dential SupervisorEyesOnlyEmploymentHistoryDate hired:_____Previous promotions:From: _____ to:_____ on: _____From: _____ to:_____ on: _____From: _____ to:_____ on: _____From: _____ to:_____ on: _____Previous Salary adjustments:From $_____ to $_____ (__% increase) on: _____From $_____ to $_____ (__% increase) on: _____From $_____ to $_____ (__% increase) on: _____From $_____ to $_____ (__% increase) on: _____From $_____ to $_____ (__% increase) on: _____Comments:_____SummarySupervisor s comments :_____Employee s reaction:_____(Attach additional sheets if necessary.)

3 SalaryReviewSalary range for position:$_____ to $_____Current Salary :$_____Current place in Salary range:[ ] low [ ] low-mid [ ] mid [ ] high-mid [ ] highPoints from general criteria:_____Points from position-specific criteria:_____multiply x 2 =_____Place in grade Adjustment :Add 10 points for low, 5 points for low-mid, 0 for mid; subtract 5 points for high-mid, 10 points for high. _____Subjective factor ( points):_____Total points:_____Salary Adjustment guidelines:*85 + pts: inflation 3% + performance 7% = 10% pts: inflation 3% + performance 5% = 8% pts: inflation 3% + performance 3% = 6% pts: inflation 3% + performance 2% = 5% pts: inflation 3% + performance 1% = 4% pts: inflation 3% + performance 0% = 3% pts: inflation 2% + performance 0% = 2% increase.

4 <25 points: no increaseCurrent Salary :$_____x ___% increase =$_____Billable hourly pay: (annual $ 1920)$_____Can Employee s time be billed out at 3+ times this rate?[ ] Yes [ ] No**Date to take effect:_____*Based on 3% inflation rate. Adjust as economic conditions require.**Recompute raise until possible, or raise hourly fee charged for Employee s time. Copyright 1994/2010 Creative granted only for individual use. 1994/2010 Creative Business