Performance Evaluation Job Aid Employee Name:

_____________
Self-Evaluation Manager’s Evaluation Second-Level Manager’s Evaluation
Employees and Managers may use the template below to track comments for ratings above or
below Consistently Meets (a rating of 1, 2, 4 or 5). Second-level Managers may use the template
to note discrepancies for each performance descriptor or comments.

N/A Does Not This measure does not apply to this individual.
Apply
1 Does Not Work output is consistently low, regularly fails to meet required outcomes, and error
Meet rate is high requiring repetition of duty completion by others. The employee may
require constant supervision, and show an indifference to job responsibilities.

2 Sometim Employee displays inconsistency in the performance of the job factor under review
es Meets and output frequency falls below acceptable levels. Tasks may be significantly late
at times or incomplete, with serious or potentially serious consequences.

3 Consisten Employee displays and maintains an effective and consistent level of performance of
tly Meets the job factor under review. Work output regularly achieves desired or required
outcomes or expectations. Problems or errors are reported and corrected quickly.

4 Sometim Employee displays a high level of factor related skills, abilities, initiative, and
es productivity, exceeding requirements in some areas, but not consistently or not
Exceeds without exception.

5 Exceeds Employee displays at all times, without exception, a consistently high level of factor
related skills, abilities, initiative, and productivity. All assignments / responsibilities
are completed beyond the level of expectation. Initiative and self-direction are
characteristic.

Enables the Best Culture

Gold Performance Descriptor Rati
Key ng
Element
s

 Acts in accordance with our mission, vision and values.

Organizatio
nal  Demonstrates a strong sense of responsibility and commitment to the public
perception of LifeNet Health.
Ethically conducts business according to our values and attributes.

Demonstrates a thorough understanding of our business, the donation process,

Commitmen
and the external community and factors that impact the organization.
t
Dedicatio
 Pursues goals with tenacity; behavior reflects a desire to excel on the job.
n and  Recovers quickly from setbacks and persists through obstacles and adversity
Passion while remaining optimistic.
 Maintains regular attendance and communicates schedule changes promptly to
supervisor so as not to adversely impact business operations when possible.
 Willingness to put forth extra time and effort to meet established deadlines.

 Knows and complies with established control systems and standard operating
procedures. Demonstrates accuracy, thoroughness, and reliability in performing
Commitmework.
nt toAnalyzes problems/procedures/situations, evaluates alternatives, and selects the
Qualitybest course of action.
 Identifies potential/existing risks, takes swift action to resolve problems, and
communicates to appropriate parties timely.
 Thoroughly checks work to ensure a quality final product or outcome.

 Behaves in an honest and fair manner by showing consistency in word and

Integrit actions.
 Demonstrates deep commitment to doing the right thing for the right reasons,
y
regardless of the circumstances.
 Anticipates and prevents breaches in confidentiality and/or security.
 Identifies ethical dilemmas and conflict of interest situations and takes action to
avoid and prevent them.
 Executes to Achieve Results
Gold Key Elements Performance Descriptor Rati
ng

Accountabil  Holds themselves responsible for providing measurable, timely, cost-

effective, high-quality results and intuitively communicates the need
ity
to revise deadlines/priorities where required.
 Takes full responsibility and ownership for all work activities and
personal actions.
 Willingness to take on more responsibility, assist co-workers, and
continuously learn.
 Acknowledges and learns from mistakes without blaming others.
Service
 Builds trusting relationships and consistently meets customers’
expectations, needs, and concerns.
 Genuinely cares whether or not the customer is satisfied and truly
wants to create the best possible experience for them.
 Actively seeks feedback on quality of service and follows through on
actions required to enhance the customer experience.
 Maintains a sense of urgency by acting decisively to implement
solutions and resolve problems.

Innovation
 Embraces LEAN concepts, practices, and tools.
& Creativity  Continuously seeks to improve current processes, questions
conventional approaches, and encourages new ideas and
innovations.
 When conditions change or obstacles emerge, demonstrates agility
by quickly generating and evaluating new solutions.
 Actively listens to and supports the ideas of others in driving long-
term solutions/efficiencies.

 Effectively prioritizes work based on business and client needs and

Urgenc timelines.
 Displays a quick pace and high level of energy in carrying out work
y
activities, as well as, instills a sense of urgency in others.
 Handles competing priorities, stays on task in spite of distractions
and interruptions, and meets established deadlines.
 Willingly volunteers to assist others with projects or tasks to meet
established timelines.
 Plans for the Future

Gold Key Elements Performance Descriptor Rati

ng

 Exhibits acceptable, job-relevant knowledge and skills needed to

Knowled effectively perform job duties.
ge  Understands and appropriately applies principles, procedures,
requirements, regulations, and policies related to their specialized
area of expertise.
 Demonstrates creativity in the performance of job duties and in
solving problems.
 Demonstrates a thorough understanding of the purpose of their
position and how it interacts with other positions.

Communicati  Demonstrates the capacity to effectively speak while maintaining

on awareness of and expressing emotions appropriately.
 Demonstrates ability to communicate information and ideas – in
writing and verbally - in a clear, effective, and convincing manner in
formal and informal situations.
 Listens effectively and clarifies information as needed.
 Demonstrates the ability to filter information throughout the
organization effectively.

Collaboratio  Effectively interacts and exchanges ideas with others; especially

n those whose ideas are different than their own.
 Observes and capitalizes on the abilities and ideas of fellow team
members and seeks input to achieve team goals.
 Willingly undertakes assigned projects /assignments and attempts to
share an equal workload with others.
 Identifies obstacles and builds consensus through give and take
while seeking a win-win solution.

 Seeks out opportunities to improve existing skills by regularly

Continuo soliciting feedback from others.
us  Demonstrates self-direction in applying new knowledge to problems
and opportunities.
Learning
 Effectively gathers and utilizes information to make decisions and
take appropriate actions.
 Continually strives to stay current on and upgrade the depth and
breadth of technical and professional skills to meet job performance
and challenges.
 Leadership - Focuses on a Common
Goal
Gold Key Elements Performance Descriptor Rati
ng

 Fully understands and contributes to the organization’s vision, goals,

Strategic and priorities.
Orientati  Sets priorities, goals and strategies consistent with the long-term
on vision of LifeNet Health to move it forward.
 Focuses on our mission and strategy before one's own preferences or
professional priorities.
 Makes sure that own activities and those of others are aligned with
the priorities and goals of the organization.

 Focuses on the organizational goals and ensures that they are

Drives translated into appropriate action for their team.
Results  Moves with purpose and speed when it’s time for setting a priority,
choosing a direction, or delegating a task.
 Pushes self and others to reach objectives and achieve desired
outcomes.
 Demonstrates agility to change direction and/or to generate and
evaluate new solutions when conditions change or obstacles emerge.
 Identifies and analyzes problems, weighs the relevance and accuracy
of information, and generates and evaluates alternative solutions.

Builds  Leverages key relationships inside/outside the organization that will

Relationsh help advance team and organization objectives.
 Helps team members identify and build key relationships and
ips
networks inside/outside the organization.
 Frequently provides opportunities for two-way communication
between key stakeholders and team.
 Demonstrates the ability to influence others in an honest, respectful,
and sensitive manner by asking relevant questions, actively listening,
and sharing relevant information.

 Ensures employees are appropriately recruited, selected, evaluated,

Manages and rewarded in support of organizational goals, budget
Talent considerations, and long-term strategic needs.
 Fosters an inclusive workplace where diversity and individual
differences are valued and leveraged to achieve the vision and
mission of LifeNet Health.
 Frequently mentors and coaches others; takes corrective action when
necessary and timely.
 Holds employees accountable for job responsibilities and achieving
goals.
 Facilitates the resolution of conflict and disagreements in a
constructive manner.
  Fosters the long-term growth of others by providing timely, constructive feedback.
Develo
 Creates environment for team effectiveness, where strengths are known and built
ps upon and learning is shared to build capacity.
 Seeks and creates learning opportunities for individuals and teams.
 Provides mentoring and coaching for career development purposes and supports
formal professional development planning.

 Builds a case for and effectively communicates the purpose for change by
Manag connecting it to the department/organization goals and objectives.
 Elicits employee feedback and participation where feasible and encourages open
es expression of differing ideas and opinions.
Change Distils complex issues related to change and ensures that solutions which are
generated, considered and applied align with organizational direction.
 Brings key stakeholders together to plan and execute change.
 Demonstrates a commitment to change and innovation by proactively addressing
behaviors and barriers that threaten change initiatives.

Use the section below to document progress toward goals and objectives (explanation if not met,
met ahead of schedule, etc.)

Goals & Objectives

Use the section below to summarize employee’s overall performance with ratings of 4 or 5
(required).

Summary of Overall Performance