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Performance Planning, Evaluation and Rating Form

University Staff/PRA

Evaluation Period: 01/21 - 12/21


Part I

Employee Name*
Supervisor*
If the employee has multiple positions, does this performance rating apply to all positions?*
*

Part II: Evaluation Goals/Key Responsibilities

These include key responsibilities and basic competencies. Rate each factor based on performance during the period identified above.

Rating
Rating
Rating
Rating
Rating