Dental Health Services Portal

Performance Appraisal BII

Performance Appraisal

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Last Name *

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A. Professional Skills B. Interactive Skills c. Administrative Skills D. Performance Expectations Supervisor Remarks and Recommendations Score

Employee Name

Job Title

Time in current position

Hire Date

Type of Review

1. Introductory Period Review

2. Annual Review

Scoring:
3 - Exceeds Expectations
2 - Meets Expectations
1 - Improvement Needed

A. Professional Skills

1. Job Knowledge

Possesses, applies and demonstrates proficiency in the skills and information taught in the company training.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

2. Decision Making

Demonstrates effective decision making skills and follows the students treatment plan.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

B. Interactive Skills

1a. Cooperation

Ability and willingness to work with school personnel to achieve common goals.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

1b. Cooperation

Ability and willingness to work with supervisors to achieve common goals.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

1c. Cooperation

Ability and willingness to work with administration to achieve common goals.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

2. Communication with Administration

Communicates with Administration when student is absent and if there is a change in schedule. Returns calls/text/emails promptly.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

c. Administrative Skills

1. Policy and Procedures

Follows company policy and procedures. Employee signs in/out of school office, uses student binder, request time off in advance and wears company badge.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

2. Quality of Work

Produces neat, thorough and accurate work. Takes accurate data.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

3. Safety Practices

Follows safety rules and demonstrates safe working practices. Seeks advice from supervisor as needed.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

4. Appearance of Work Property

General appearance of work property is kept neat and orderly. Employee maintains student binder and lockbox.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

D. Performance Expectations

1. Accountability

Accepts responsibility for actions and accomplishments.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

2a. Punctuality and Attendance

Rarely absent and follows attendance policy.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

2b. Punctuality and Attendance

Works required hours and documents assigned breaks and lunch.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

3. Data Entry

Completed and submits data daily.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

4. Welligent Entries

Completes welligent entries daily by end of shift and enters time correctly. Enters SA when student is absent.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

5. Timesheet Entries

Enters time daily and correctly on employee timesheet portal and with minimal errors.

3. Exceeds Expectations

2. Meets Expectations

1. Improvement Needed

Comments:

Supervisor Remarks and Recommendations

Supervisor Remarks and Recommendations

Comments:

Specific Development Plan and Goals

Comments:

Score

Total Score

Score Standards

Exceeds - 51
Meets - 34 to 50
Below - Below 33

Total Score will determine the overall work performance

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