Employee Work Profile Performance Evaluation	Parts V, VI, VII, VIII, and IX are written or reviewed by the supervisor and discussed with the employee at the end of the evaluation cycle

This page is printed separate from the remainder of the Employee Work Profile because they contain confidential employee information.

PART V – Position Identification Information
30. Position Number:	31. Agency Name & Code; Division/Department:
32. Employee Name:	33. Employee ID (Social Security) Number:

PART VI – Performance Evaluation
34. Core Responsibilities - Rating Earned	35. Core Responsibilities - Comments on Results Achieved
A. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
B. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
C. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
D. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
E. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
F. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor

36. Special Assignments - Rating Earned	37. Special Assignments - Comments on Results Achieved
A. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
B. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
C. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor

38. Agency/Department Objectives - Rating Earned	39. Agency/Department Objectives - Comments on Results Achieved
A. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor
B. Extraordinary Contributor Major Contributor Contributor Marginal Contributor Below Contributor

40. Other significant results for the performance cycle:

PART VII – Employee Development Results
41. Year-End Learning Accomplishments

Part VIII – Overall Results Assessment and Rating Earned
An employee receiving an overall rating of "Below Contributor" must have received at least one Notice of Improvement Needed/Substandard Performance form during the performance cycle. An employee who earns an overall rating of “Below Contributor” must be reviewed again within three months. An employee receiving an overall rating of "Extraordinary Contributor" must have received at least one Acknowledgment of Extraordinary Contribution form during the performance cycle. However, the receipt of an Acknowledgment of Extraordinary Contribution form does not guarantee an overall performance rating of “Extraordinary Contributor” for that performance cycle.

42. Overall Rating Earned
Extraordinary Contributor Contributor Below Contributor

Part IX - Review of Performance Evaluation
43. Supervisor's Comments:	Signature:	Date:
Print Name:
44. Reviewer's Comments:	Signature:	Date:
Print Name:
45 Employee’s Comments:	Signature:	Date:
Print Name: