EXEMPT PERFORMANCE APPRAISAL

Namå _________________________________________________________________

Pay Grade _____________________________ Job Title ____________________

Revie÷ Perioä _________________________“ Tï ___________________________

Description of Job Assignment:


Accomplishments During This Review Period:


Evaluation: (areas of strength, areas for improvement)


Matrix Manager's Evaluation:


Rating:

[ ] DOES NOT    [ ] MARGINALLY  [ ] MEETS       [ ] EXCEEDS     [ ] SUPERIOR
    MEET            MEETS           REQUIREMENTS    REQUIREMENTS
    REQUIREMENTS    REQUIREMENTS


Salary From _________________ to _________________ % Increase _____________

Effectivå Datå ____________________________________________________________


IMMEDIATE SUPERVISOR: __________________________________ DATE: ____________

APPROVING SUPERVISOR: __________________________________ DATE: ____________

MATRIX MANAGER: ________________________________________ DATE: ____________

PERSONNEL ADMINISTRATOR: _______________________________ DATE: ____________

EMPLOYEE: ______________________________________________ DATE: ____________