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1. Employee Information: Basic details including name, position, department, and evaluation period
2. Performance Elements: Core job responsibilities and performance criteria including critical elements and non-critical elements
3. Rating Scale: Defined performance levels (typically 1-5) with descriptions for each rating level
4. Overall Assessment: Summary evaluation and final rating with supporting narrative
5. Signatures: Space for employee and supervisor signatures, dates, and certification of review
1. Career Development Plan: Section for documenting future goals, training needs, and development opportunities
2. Performance Improvement Plan: Detailed plan outlining specific actions needed to improve performance below expectations
3. Special Achievements: Section for documenting notable accomplishments, awards, and recognition during evaluation period
1. Schedule A - Performance Standards Guide: Detailed descriptions of performance levels and benchmarks for each evaluation element
2. Schedule B - Employee Rights and Appeals: Comprehensive information about grievance procedures and appeal rights under federal regulations
3. Schedule C - Agency-Specific Metrics: Supplementary performance measures and standards specific to the agency or role
4. Schedule D - Privacy Act Statement: Required statement regarding the collection and use of personal information under the Privacy Act
Rating Period
Critical Element
Non-Critical Element
Performance Standards
Performance Plan
Rating Official
Reviewing Official
Performance Improvement Plan (PIP)
Acceptable Performance Level
Unacceptable Performance
Outstanding Performance
Fully Successful Performance
Progress Review
Rating of Record
Performance Cycle
Core Competencies
Strategic Objectives
Performance Metrics
Evaluation Criteria
Development Goals
Performance Award
Within-Grade Increase
Merit Promotion
Performance-Based Action
Rating Scale and Methodology
Review Period and Frequency
Employee Rights and Responsibilities
Supervisor Responsibilities
Appeal Procedures
Documentation Requirements
Confidentiality
Performance Improvement Procedures
Awards and Recognition
Career Development
Grievance Procedures
Non-Discrimination
Records Retention
Signature Requirements
Modification and Amendment
Professional Development Goals
Performance Metrics
Evaluation Criteria
Review and Approval Process
Corrective Action
Merit-Based Assessment
Performance-Based Actions
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