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Performance Appraisal for Program Assistant (Sample)

Provided here is an example of a form used to gather feedback from peers or clients on the performance of a program assistant.

Prepared by Carolyn Manning, Story County Extension Education Director

Confidential: Your identity will not be revealed except to supervising staff. You may be contacted for additional information.

Iowa State University - Story County
Youth and 4-H Coordinator Performance Appraisal
 

_______________________________ Date: _______
Name of Staff Member
Being Evaluated

Levels of Success:

7=Far above Successful level
6=Moderately above Successful level
5=Slightly above Successful level
4=At Successful Successful level
3=Slightly below Successful level
2=Moderately below Successful level
1=Far Below Successful level
0=Did not observe

Appraisal Factors

Level of success (circle number)

Clientele are satisfied with assistance provided

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Prompt and courteous service to clientele

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Uses good judgment in determining best way to assist client

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Works as a team member with other extension staff and volunteers

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Enthusiastic about the job

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Markets and promotes ISU Extension as a credible source of unbiased, research based information and education

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Businesslike and professional appearance and attitude

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Programming reflects the use of creative and innovative ideas to solve problems

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Utilizes volunteers effectively

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Is effective in youth recruitment

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

Ability to organize work and program

7 - 6 - 5 - 4 - 3 - 2 - 1 - 0

 

Person Completing Form: _________________________ Position : ____________________

Areas of Greatest Strength:

 

Areas Needing Improvement:

 

Suggestions:

 

Other Comments: