HQ Non-Supervisory Staff Performance Evaluation

Performance Period July 1, 2021 through June 30, 2022

Date of Submission*

Please select your role*

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Employee Name*

Only enter the name that appears in ADP

Employee Job Title*

Please enter the job title as it appears in ADP

Employee ID Number *

Please enter the Employee ID Number as it appears on the Performance Review Report.

Last 4 Digits of SSN*

Hired Date*

This date can be located on the instruction report

Name of Person Completing the Evaluation*

Job Title*

Department/Site*

Instructions

Instructions: Please rate the employee’s performance in the following competency areas using the below rating key.

Rating Key:

4=Excellent Performance

3=Meets Expectation

2=Developing (PP: Performance Program Required)

1=Unacceptable Performance – (PIP; Performance Improvement Program Required)

N=Non Applicable (N/A)

Mission and Core Value

Through performance, attitude and communication supports, demonstrates and communicates a clear understanding of New York Edge mission, vision and values.*

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Conduct oneself ethically and with integrity. Is honest and demonstrates discretion in sensitive situations.*

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Manager/supervisor summary comments

General Work Habits

Arrives to work on time; reliable with attendance.*

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Performs functions of the job*

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Is aware of health and safety matters; adjusts and reports issues of concern*

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Maintains a positive outlook and attitude even in difficult situations; handles difficult situations well*

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Demonstrates ability to be flexible*

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Treat others with respect*

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Manager/supervisor summary comments

Communication

Communicates in a proactive, constructive, effective manner.*

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Utilizes positive body language, tone of voice and choice of words when communicating with others.*

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Demonstrates knowledge of subject matter and of one’s job when communicating with others.*

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Has the ability to be flexible when communicating with others and allows other’s opinions and perspectives to be considered.*

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Is an active communicator with colleagues, subordinates, and others. Communicate in a timely manner.*

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Balances general communication with confidentiality and does not share confidential information outside of those who need to know. Does not communicate negatively about others to others.*

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Handles difficult topic in a professional manner.*

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Manager/supervisor summary comments

Team Work

Is a team player, allows others to participate within the team; works well with others and contributes to the team. Considers all input from team members and welcomes input from others.*

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Considers a team to be beyond one’s own department or site and works well by supporting other departments or sites; does what is best for the team and organization.*

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Flexes one’s style in considering other’s input. Adjusts for the benefit of creating a positive work environment and balancing how best to get the job done considering people and the work.*

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Manager/supervisor summary comments

Job Knowledge/Quality/Accountability

Takes responsibility for own work and outcomes. Does not look to blame others.*

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Complies with organizational policies, procedures, funder’s requirements, and compliance and regulatory requirements.*

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Produces work free from errors and to completion.*

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Uses good judgement when prioritizing. Is successful managing multiple priorities.*

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Work output results demonstrates job knowledge.*

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Produces high-quality work results that includes professionally communicated to others with materials produced.*

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Seeks to improve one’s knowledge, skills and abilities.*

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Has the ability to adjust in a positive manner to changing situations.*

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Conducts oneself ethically with integrity; considers confidentiality. Demonstrates good judgement.*

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Embraces diversity, equality and inclusion as it relates to all individuals.*

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Knows with to seek support from supervisor.*

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Contributes to a positive, proactive and safe work environment.*

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Manager/supervisor summary comments

Instructions

Instructions: Please rate the employee’s overall performance for the performance period. (This is the employee’s overall, annual performance rating).

Manager/Supervisor Comments Required

Provide examples of items/ areas in which the employee exceeded expectations:*

Provide examples of items/ areas in which the employee did not meet expectations*

Development goals/ areas to focus on in the next performance period:*

Please indicate if the employee had a (non-medical) break in service during the performance period.*

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Please indicate if the employee was out on a non vaccination leave of absence.*

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Employee Comments (Optional)

Employee Electronic Signatures (Required for Appraisal)*

Date of Employee Signature*

Supervisor Electronic Signature *

Date of Supervisor Signature *

IMPORTANT INFORMATION: Supervisor/Manager Only

In order to receive a copy of the staff evaluation you just completed, you must check the box "send me a copy of my response" at the bottom of the form. You will receive an email copy of the evaluation that you will forward to your staff to review. Also, in your email to your staff, please advise them to visit the portal (https://www.nyeportal.org/) to sign off on their evaluation.

Send me a copy of my responses

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