How
to Start a Nonprofit: Templates and Samples
Sample
personnel policies
Sample
whistleblower policies
Sample
employee performance evaluation form
Sample
executive director performance evaluation form
Sample
Personnel Policies
PERSONNEL
POLICIES OF ORGANIZATION
1. INTRODUCTION
The ORGANIZATION is committed to fair,
clearly stated and supportive relationships between the organization
and its staff. The personnel policies of the ORGANIZATION have been
established in order to provide a guide to the personnel practices
of the ORGANIZATION and to ensure consistency of personnel decisions.
It is the intention of the ORGANIZATION to administer the personnel
programs in a manner which complies with the letter and spirit of
all applicable federal, state and local regulations. This document
is designed to provide guidance to staff at the ORGANIZATION. It
is not a part of any contract between the ORGANIZATION and its employees.
It is only a set of informal guidelines for personnel practices.
Notwithstanding the provisions of the personnel policies, all employees
are "at will employees" which means that they may be terminated
at any time with or without cause without subjecting the ORGANIZATION
to a claim for breach of an employment contract.
Employee Classification
All employees are classified as either
regular or temporary. Regular employees are employees hired without
a specific termination date. Temporary employees are employees whose
position at the time of hire is for a short-term period. Terms of
employment will depend on agency needs, and in no case will a temporary
position be construed as being a contract for a definite time.
Employees also are classified as either
exempt or non-exempt according to provisions of the Fair Labor Standards
Act.
Regular Full-time Employees are those
employees who work 40 hours per week and are eligible for all fringe
benefits.
Regular Part-time Employees are those
employees working at least 20 hours but less than 40 hours per week.
Part-time salaried employees are eligible for all fringe benefits
and earn sick leave and vacation at a rate proportionate to the
hours they work. Regular part-time employees that work less than
20 hours per week are not eligible for fringe benefits.
Temporary Employees are those employees
who are paid hourly under Letter of Agreement for a specified period
of time. Temporary employees are not eligible for benefits.
2. AFFIRMATIVE ACTION
The policy and intent of the ORGANIZATION
is to provide equal employment opportunity for all persons regardless
of race, color, religion, national origin, marital status, political
affiliation, affectional orientation or gender identity, status
with regard to public assistance, disability, sex, or age.
The ORGANIZATION intends to respond
affirmatively in its employment practices. Affirmative action applies
to all aspects of employment practices including, but not limited
to, recruiting, hiring, placement, promotion, demotion, transfer,
training, compensation, benefits, layoff, recall, and termination.
The ORGANIZATION seeks to do business with organizations that encourage
equal employment opportunity.
3. RECRUITMENT PROCEDURES
The ORGANIZATION intends to recruit,
hire, and place applicants on the basis of the applicant's relative
knowledge, skills, and abilities. The decision to employ an applicant
will be based solely on the individual's qualification for the particular
position along with other requisite job skills. Minimum qualifications
shall be specified in the job description.
When a new position is established,
the Executive Director will prepare a job announcement identifying
the position's responsibilities and overall relationship to the
ORGANIZATION for posting or circulation within the ORGANIZATION
and for public notification. Posted positions will be open for a
minimum application period of 15 days.
4. COMPENSATION
Persons employed by the ORGANIZATION
in a part-time or full-time capacity except those persons in non-exempt
positions will receive a salary negotiated at the time of recruitment
that will not be based upon an hourly wage. At the time of hire,
new employees will receive a letter of hire, a job description,
salary and benefits detail and a copy of the personnel policies.
The magnitude of the work assignments and the full scope of responsibility
for the position will be fully discussed at time of hire. In setting
compensation, the ORGANIZATION may consider, among other things,
external labor market rates, equitable relationship with other jobs
within the organization and the organization's ability to pay. Each
employee may be eligible for a salary review at the beginning of
each fiscal year. The Board of Directors will determine the Executive
Director's salary.
5. WORK SCHEDULE
The ORGANIZATION will establish a 40
hour weekly work schedule, and whenever possible will accommodate
each individual's personal commitments and the needs of the organization.
6. HOLIDAY SCHEDULE
Official holidays are as follows:
New Year's Day - January 1
Martin Luther King Holiday - January
Memorial Day - May
Independence Day - July 4
Labor Day - First Monday in September
Thanksgiving Day - Fourth Thursday in November
Day after Thanksgiving Day - Fourth Friday in November
Christmas Eve - December 24
Christmas Day - December 25
When New Year's Day,
Independence Day, or Christmas Day falls on a Sunday, the following
day shall be considered the official holiday. When these holidays
fall on a Saturday, the preceding Friday shall be considered the
official holiday.
Floating Holiday
Each employee of the ORGANIZATION also
shall have two floating holidays to be used in each calendar year.
For regular part-time employees, holiday
time will be compensated in proportion to the usual hours worked.
Temporary employees are not compensated for holidays.
7. PARENTING LEAVE
The ORGANIZATION desires to assist
new parents in balancing the demands of working and caring for children.
The ORGANIZATION will provide up to 8 weeks of unpaid family leave
to any employee for the birth or adoption of a child. Leave must
be initiated within six weeks of the birth or adoption of the child,
unless otherwise approved by the Executive Director. The use of
the 8 weeks shall be at the discretion of the employee and shall
be discussed with the Executive Director as to its impact on ongoing
work responsibilities and other employees. Although a maximum of
8 weeks is available, an employee may utilize accumulated sick leave
as well as annual leave to enable either partial payment for or
extension of the basic 8 week period. Special circumstances shall
be reviewed by the Executive Director. Insurance benefits will continue
to be in force during this leave period but all premiums and expenses
for benefits will be paid by the employee. Accrual of leave benefits
and seniority cease during an approved leave. Upon completion of
leave, the employee will be allowed to return to the same or a substantially
similar position at the same salary as the employee earned prior
to the leave.
8. ANNUAL LEAVE (Vacation Time)
The ORGANIZATION will provide to each
full-time staff employee 120 hours or 15 working days paid annual
leave based upon one year's full time employment with the ORGANIZATION.
Accrual of annual leave will commence upon the date of employment
for each employee and will be based, on an annual basis, upon each
individual's anniversary date with the ORGANIZATION. Annual leave
will increase with the number of years employed by the ORGANIZATION
as follows:
0-3 years = 15 days
4 years = 16 days
5 years = 17 days
6 years = 18 days
7 years = 19 days
8 years = 20 days
Employees may use their annual leave
as earned if absence from assignment does not unduly provide an
impediment for completion of an assigned task or prevent other staff
from completion of their work assignments. The Executive Director
must approve scheduled absences and the employee should request
such leave as soon as possible, with a minimum of two weeks in advance.
It is the policy of the ORGANIZATION
to encourage each employee to utilize allotted annual leave during
each individual's employment year. A maximum of five days, or 40
hours, will be allowed to be carried over from one year to the next.
All other accrued annual leave will be forfeited on the employee's
anniversary date. The interchange or exchange of annual leave and
sick leave is not allowed.
Special Leave
Special leaves of absence without pay
may be granted an employee at the discretion of the Executive Director
or in the case of the Executive Director, the Board of Directors.
School Conference and Activities Leave
An employee is entitled
up to sixteen hours non-paid leave during the school year to attend
a child's school conferences or classroom activities, if these activities
cannot be scheduled during non-working hours. This time should be
scheduled in advance with the employee's supervisor. The employee
must provide "reasonable" notice when possible to the
supervisor to minimize any disruption resulting from the employee's
absence. Vacation or floating holidays may be used for this absence.
Bone Marrow Donor Leave
An employee will
be granted paid leave of up to 40 hours per year to undergo a medical
procedure to donate bone marrow. All sick leave must be used first.
This time will be charged to accrued sick leave except in cases
where the employee has no accrued sick leave, in that case, it would
simply be paid time off.
9. SICK LEAVE
The ORGANIZATION
will provide up to ten working days each employment year to each
staff person to be utilized for purposes of addressing health needs.
Compensation will be based upon the employee's salary rate at the
time sick leave is taken. Sick leave may be utilized at the discretion
of the employee and is granted for sickness of the individual employee,
his or her spouse/partner, children, or other immediate family members.
Sick leave can also be used for health needs, e.g. dental or medical
appointments.
Each staff person of the ORGANIZATION
should notify the office each day they will be absent from work
due to illness, if at all possible.
Sick leave may be accumulated up to
a maximum of 90 days and may be carried over from one employment
year to the next. At no time will compensation for any unused sick
leave be made to an employee who is leaving employment.
Sick leave will be pro-rated for regular
part-time employees. If requested by the Executive Director, the
employee will provide documentation from their treating physician
explaining their absence.
10. COMPASSIONATE LEAVE
Employees of the
ORGANIZATION shall be granted up to three working days with pay
due to a death in their immediate family (mother, father, sister,
brother, spouse/partner, children, in-laws, grandparent, and grandchildren).
The Executive Director will consider special cases on an individual
basis.
11. JURY DUTY
The ORGANIZATION
will pay an employee his or her normal pay for up to two weeks of
jury duty.
12. VOTING LEAVE
The ORGANIZATION
will grant to all employees one-hour during the working day to vote
in governmental elections when it is not possible to vote outside
the regularly scheduled work time.
13. MILITARY LEAVE
Employees absent
on their annual two-week reserve or National Guard duty shall be
considered on an excused leave of absence and may elect one of the
following options related to their pay:
- The
employee may take their vacation and retain their military pay.
- The
employee may surrender their military pay to the ORGANIZATION,
receive their regular salary and take their vacation at a later
date.
- The
employee may take unpaid leave and retain their military pay.
An employee called
up to active duty is allowed an unpaid leave of absence to meet
her/his military responsibilities.
Upon honorable discharge from active
duty, the employee will be allowed ninety days to apply for reinstatement
to her/his former job. The employee will be reinstated to the same
job formerly held, with the same duties, same level of pay, benefits
and seniority had s/he not been on active military duty. Employee
benefits will not accumulate during the leave. The employee will
be given a Consolidated Omnibus Budget Reconciliation Act notice
for election to continue insurances during the leave.
14. HARASSMENT POLICY
It is the ORGANIZATION's
belief that the employees of the ORGANIZATION are the primary means
by which the goals and objectives of the ORGANIZATION will be met.
To that end, the rights of all employees must be respected. All
employees of the ORGANIZATION must understand its position on harassment.
By definition, harassment is any unwanted attention or action prohibited
by law by someone in the workplace that creates an intimidating,
hostile, or offensive work environment, including sexual harassment.
The procedure for reporting and dealing with this very sensitive
issue is as follows:
- If
a person's behavior makes an employee uncomfortable, the employee
should feel free to immediately advise the person that, in the
employee's opinion, the behavior is inappropriate and that the
employee would like it stopped.
- If
the employee is not comfortable discussing the issue with the
person, or if the person fails to respect an employee's request,
the employee should report the incident to his or her supervisor.
If, for whatever reason, the employee does not feel that the supervisor
is a suitable person to whom to report the incident, the employee
should contact the Executive Director or, if appropriate, the
Board Chair or a member of the Personnel Committee.
In all instances,
a prompt, thorough and, fair investigation will take place, giving
careful consideration to protect the rights and dignity of all people
involved. The ORGANIZATION will take those steps it feels necessary
to resolve the problem, which may include verbal or written reprimand,
suspension or termination.
No retaliation or any kind will occur
because an employee has in good faith reported an incident of suspected
harassment. The supervisor, or other person to whom the complaint
was made, will work to establish mutually agreed upon safeguards
against retaliation while attempting to mediate any sexual harassment
complaint.
15. SUBSTANCE ABUSE
Employees needing
help with a substance abuse problem are encouraged to contact their
supervisor or a treatment facility.
Early recognition and treatment are
critical to any program to curb abuse and to enhance the employee's
ability to perform satisfactorily. The ORGANIZATION finds that both
the employee and the ORGANIZATION will benefit greatly from early
substance abuse recognition and treatment.
No person will be penalized for seeking
or accepting counseling or treatment for a substance abuse problem.
16. BENEFITS
The ORGANIZATION
is committed to providing a flexible and cost-effective medical
care, disability income, life insurance and retirement program for
all its employees. The ORGANIZATION reserves the right, in its discretion,
however, to change the nature of the benefits offered to employees,
or to change insurance carriers, deductibles, premiums, or other
features of any benefit. In addition, ORGANIZATION may decide to
discontinue one or more benefits. Covered employees will be notified
of such changes or discontinuations as soon as practicable.
17. PERFORMANCE REVIEWS
Each performance
review should be a positive and interactive process whereby both
the ORGANIZATION and the individual being reviewed receive information
about his or her success in meeting the responsibilities of the
job, and the ORGANIZATION can learn about its strengths and weaknesses
as an employer of that employee. In general, the goal of the ORGANIZATION
is to conduct a performance review of each new employee during the
sixth month of employment, after the first year of service and annually
thereafter.
18. EMPLOYMENT REFERENCES
When the ORGANIZATION
receives a request for information from another person or entity
about an employee, either during employment or after the employee's
employment has ended, it is the ORGANIZATION' policy to provide
only the following:
a. dates of employment
b. last job title
In general, ORGANIZATION policy is
not to furnish any other information about work performance or employment,
unless the employee specifically directs it to do so and signs a
release prepared by the ORGANIZATION which authorizes it to do so.
If an employee does not authorize the ORGANIZATION to furnish any
additional information, it will advise the requesting person or
entity that, absent a release, ORGANIZATION's policy is to provide
only the information set out in a-b above.
19. TERMINATION
Resignation
Any employee of the
ORGANIZATION may resign by submitting a letter of resignation to
the Executive Director or in the case of the Executive Director,
the Board of Directors at least ten working days prior to the effective
date of the resignation.
At the time of the effective date of
the resignation, the employee shall be able to use any accrued annual
leave or the employee shall be paid for all unused accrued annual
leave. If the employee has used all annual leave due prior to resignation,
all hours used in excess of those earned shall be deducted from
the employee's final paycheck at the rate of salary paid at the
time of resignation. No employee shall be compensated for any unused
sick leave at the time of resignation.
Other Discharges
Discipline and/or
discharge may result for many reasons including, but not limited
to, inappropriate behavior and/or unsatisfactory performance.
Inappropriate behavior is defined as
including, but not limited to, misbehavior on the job, refusal to
do work reasonably expected, wrongful use of or taking of agency
property, conviction of a felony, violation of any policies or practices
of the ORGANIZATION.
Unsatisfactory performance means failure
of an employee to meet performance standards, to complete tasks
in a timely, competent way, or to maintain an adequate attendance
record. Uncooperative behavior or negative attitudes that affect
the work or morale of others may result in termination. At the discretion
of the Executive Director, any staff member facing termination for
unsatisfactory performance may be given the option to resign as
described in the above section under "Resignation."
Layoffs
The ORGANIZATION
attempts to hire highly qualified staff with broad capabilities.
There may be occasions, however (due to program changes, loss of
contract support, etc), when it may be necessary to initiate lay-offs.
In such cases, it is the intent of the ORGANIZATION to attempt to
avoid abrupt, arbitrary, and unfair actions whenever possible.
20. EMPLOYEE APPEALS (Grievance Procedures)
The purpose of the
employee appeal procedure is to provide a means for employees to
resolve their work place concerns with management. All regular and
temporary employees of the ORGANIZATION may file a grievance under
this section.
Definition of an Appeal
A grievance shall
be determined as an alleged misapplication of ORGANIZATION personnel
policies. This procedure represents an intent to offer a dispute
resolution mechanism to the employees of the ORGANIZATION. Failure
by the ORGANIZATION to exactly follow this procedure shall not subject
the ORGANIZATION to a breach of contract claim.
Timing for Appeals
In order to qualify
for processing under this section, an appeal must be filed no later
than thirty (30) calendar days after the date on which the aggrieved
condition commenced.
Step One:
Any employee who is eligible may present
an appeal to his/her immediate supervisor for discussion. The supervisor
shall have five (5) regular working days in which to respond to
the relief requested. Should the supervisor fail to respond within
this time limit or if the employee finds the response unsatisfactory,
the appeal may be reduced to writing, clearly specifying the policy
allegedly misapplied, and the relief requested. The appeal should
be submitted to the Executive Director within five (5) regular working
days from the time the first step answer was due or was given. The
Executive Director should respond in writing within five (5) days
of receipt and if the Executive Director fails to respond within
this time, or if the employee finds the response unsatisfactory,
or in cases where the Executive Director is the immediate supervisor,
the employee may proceed to Step Two.
Step Two:
The employee may submit an appeal to
the Personnel Committee if Step One has not resolved the issue.
Upon receipt of a written appeal, the Personnel Committee will inform
the Executive Committee and the Board Chair of the appeal. The Personnel
Committee shall also convene a meeting wherein statements shall
be taken from the appealing employee and the employee's immediate
supervisor, as applicable, either separately or jointly at the discretion
of the Personnel Committee Chair. The Personnel Committee may also
request statements from other employees. The Committee may refuse
to grant the employee's request for appeal when the issues involved
are minor in nature, or involve evaluations or judgments by management
unless they appear to be contrary to policy, malicious or vindictive.
The Personnel Committee shall have twenty (20) regular working days
in which to respond to the employee in writing concerning the relief
requested. If the Personnel Committee fails to respond within this
time limit, the employee may petition the Chair of the Board of
Directors. Failure on the part of the employee to petition the Chair
of the Board of Directors within thirty (30) days of the result
of Step Two shall result in the appeal being waived.
Step Three:
The Chair of the Board shall convene
a meeting with the aggrieved employee, the Personnel Committee Chair,
the Executive Director and the Immediate Supervisor, as applicable,
either separately or jointly at the discretion of the Chair. The
Chair may convene an executive committee meeting and within ten
(10) working days shall respond to the grievant in writing with
the final decision. In all instances, a thorough and fair investigation
will take place, giving careful consideration to the rights and
dignity of the people involved. The Chair will report the grievance
and the result at the next regularly scheduled Board meeting.
21. WORK PRODUCTS AND FILES
All supplies, materials,
and work products of an employee if purchased by ORGANIZATION shall
remain the property of the ORGANIZATION after resignation, discharge,
or layoff of that employee. The employee may retain any personal
files, but work files and other papers shall remain with the ORGANIZATION.
22. CONSULTANT FEES, HONORARIA, GIFTS
All employees are
encouraged to participate in a variety of community and professional
activities. In those instances where an employee's activities are
part of their regular duties and responsibilities, any payment will
be turned over to the ORGANIZATION. All fees derived from ORGANIZATION
reports, activities, events, or speaking engagements while employed
by the ORGANIZATION shall also be turned over to the ORGANIZATION.
In some instances, an individual may
do work that is based on activities or experiences prior to or separate
from their regular duties and responsibilities at the ORGANIZATION.
To avoid actual or appearance of conflict of interest, any employee
who engages in any remuneration activity in any field directly related
to ORGANIZATION programs must have prior approval by the Executive
Director. The Board of Directors will review these issues for the
Executive Director. No employee may formally represent himself/herself
as a spokesperson for ORGANIZATION without prior approval of his/her
supervisor.
Employee Acknowledgement
I acknowledge that
I have read and understood the policies outlined in this copy of
ORGANIZATION'S Personnel Policy Guidelines. I understand that these
policies provide only a general reference and are not a full statement
of ORGANIZATION's procedure nor are they a contract. I will update
these policies as I am provided with new materials, and I will return
my copy of the Personnel Policies to ORGANIZATION upon termination
of my employment.
Employee signature
____________________________ Date ____________

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Sample
Employee Evaluation Form
WHISTLEBLOWER
POLICY
In the aftermath
of the Enron and Worldcomm debacles, the federal government enacted
measures to protect individuals who come forward with information
about financial mismanagement and corporate cover-ups through the
2002 Sarbanes-Oxley Act (SOX). While most of SOX applies only to
publicly traded companies, a few provisions, including whistleblower
protection, apply to nonprofit organizations filing a 990. Whistle-blower
policies set out procedures for addressing complaints from employees
regarding financial improprieties or misuse of organizational resources
and to help foster an ethical and more transparent workplace.
Legal
Authority
SOX prohibits
employment related retaliation against whistleblowers that provide
information on specific financial crimes under federal law by all
entities, including nonprofit organizations.
In Minnesota,
state
law also prohibits employment related retaliation against whistleblowers
that in good faith report violations of state or federal law to
an employer or government body. The statute also prohibits retaliation
against an employee that does not conform to an employer’s
order that the employee has an objective basis to believe is illegal
and the employee has so explained his refusal.
While the above
legal requirements may be fulfilled without a written whistleblower
policy, the IRS “encourages the board of directors to adopt
an effective policy for handling employee complaints and to establish
procedures for employees to report in confidence any suspected financial
impropriety or misuse of the charity’s resources.”
990
Disclosure
The 990 inquires
in Part VI, Section B, Question 13
“Does the organization have a written whistleblower policy?”
Unlike the Conflict
of Interest inquiry, question 13 on the adoption of a whistleblower
policy does not suggest content or procedures to follow for the
policy. Nonetheless the intent of this question is to encourage
compliance with law and to protect employees who in good faith report
a violation of state or federal law and to provide some internal
procedures to the organization to address concerns, in an attempt
to prevent fiscal impropriety or misuse of organizational resources.
Thinking
through tailoring a policy for your Organization
In drafting
a whistleblower policy, tailor the policy to fit your organization’s
needs, structures and culture. Keep in mind decision points included
below. The following highlight the substance of generally included
sections that comply with SOX and Minnesota Statutes.
- Section 1:
Purpose
- This
section generally outlines the standard of conduct expected
of people subject to the policy in business and personal ethics.
It requires compliance with applicable laws and regulatory
standards.
- People
covered include employees, board members, committee members
and officers.
- Section 2:
Reporting Responsibility
- Most
sample policies include an “open door policy”
clause. An open door policy generally sets out the organization’s
internal procedure to encourage an employee or board member
to express concerns about the organization’s operations
with someone who can properly address those concerns. These
procedures are not overly rigid, but rather allow a board
member or employee multiple options to state concerns.
- Sample
reporting patterns:
- Employee
with concern could take it to the Executive Director. If
the employee is not comfortable with the Executive Director
or is unsatisfied with the response, then the employee may
take the concern to the Board Chair. If not comfortable
with the Board Chair, then the employee may seek answers
from any other member of the Board of Directors.
- Decision
point for organizations:
- Think
about your organizational structure, which roles would be
better able to address concerns? Does the organization desire
greater flexibility in reporting responsibility or desire
a “chain of command” type reporting?
- Section 3:
No Retaliation
- This
section generally has three parts.
- First,
it states that an employee or board member that in good
faith reports a violation of law or regulation shall not
suffer harassment, retaliation or adverse employment consequence.
- Second,
it states that an employee that does retaliate will be
subject to discipline.
- Third,
it reiterates the intent of the policy is to encourage
and allow people to raise concerns within the organization
prior to seeking resolution outside of it.
- Section 4:
Compliance Officer or Investigation
- This
section generally outlines the procedure for investigating
and resolving employee complaints through a Compliance Officer,
usually the Executive Director, but can also be the board
chair, another board member, or outside counsel.
- Some
sample policies require complaint reporting to the full board
or audit committee of the board.
- Section 5:
Accounting and Auditing Matters
- This section
requires the Compliance Officer to work with the Finance Committee
of the Board to address the complaints raised regarding:
- Corporate
accounting practices
- Internal
controls
- Auditing
- Section 6:
Acting in Good Faith
- This
section generally requires that concerns or complaints are
brought forward in good faith with good cause for belief that
there has been a legal or regulatory infraction.
- This
section also sets out that concerns or complaints raised in
bad faith or unreasonably substantiated allegations made maliciously
may lead to disciplinary action.
- Section 7:
Confidentiality
- This
section allows for complaints or concerns to be submitted
on a confidential basis or anonymously.
- Confidentiality
is generally maintained, consistent with the need to conduct
an adequate investigation.
- Section 8:
Handling of Reported Violations
- This
section provides a timeline for acknowledgement of the complaint
or concern to the complainant in writing and requires prompt
attention and investigation of the complaint by the Compliance
officer.
Other
Considerations
Some policies
also indicate that an “employee is protected from retaliation
only if the employee brings the alleged unlawful activity, policy,
or practice to the attention of the organization and provides the
organization with a reasonable opportunity to investigate and correct
the alleged unlawful activity.” Employee
Protection (Whistleblower) Policy, Nonprofit Risk Management Center.
Sample
Policies
Additional Resources
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SAMPLE
EMPLOYEE PERFORMANCE EVALUATION FORM
Employee name:_________________________________
Employee title: __________________________________
Period covered: __________________________________
Date
of evaluation: ________________________________
| |
Excellent |
Very
good |
Good |
Fair |
Unsatisfactory |
Comments |
| Work
quality |
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| Dependability |
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| Initiative |
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| Flexibility |
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| Skill
building |
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| Job
knowledge |
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| Punctuality |
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| Supervisory
ability |
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General comments on employee's performance:
Employee's goals for the coming
year:
Reviewed
by: ______________________ Signature: _____________________

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Sample
Executive Director Evaluation Form
SAMPLE
EXECUTIVE DIRECTOR PERFORMANCE EVALUATION FORM
PERFORMANCE DEFINITIONS
OUTSTANDING -
Performance at this level is clearly unique and far in excess of
established expectations. The employee consistently exceeds expectations
in the outcomes achieved in work quality, quantity and timeliness.
The employee exhibits leadership among peers in all dimensions of
the field of work performed.
SIGNIFICANTLY EXCEEDS EXPECTATIONS
- Performance at this level often exceeds established
expectations and standards for work quality, quantity and timeliness.
The employee exhibits mastery of most dimensions of the field of
work performed.
FULLY CAPABLE
- Performance at this level is satisfactory on the established expectations
and standards for work quality, quantity and timeliness. The employee
competently achieves the requirements of the position.
NEEDS IMPROVEMENT
- Performance at this level is minimally
capable and below the level expected employee. Improvement is required
in significant dimensions of the job in order to meet the expectations
and standards for work quality, quantity and timeliness. The employee
performing at this level may be denied merit increases until fully
capable performance is demonstrated.
UNSATISFACTORY
- Performance at this level is unacceptable.
The employee often fails to achieve basic requirements of the position
and has exhibited little or no improvement in job performance. The
employee performing at this level should not be continued in this
position; or where extenuating circumstances exist, should be retained
only upon significant improvements within a fixed period of time
to be defined by the Employer.
PERFORMANCE
FACTORS
1. ADMINISTRATION
1a. PLANNING: Develops short
and long range plans and goals to meet department objectives consistent
with established priorities; sets appropriate priorities of needs
and resulting services to be provided; anticipates and prepares
for future requirements and devises contingencies; devises realistic
plans
1b. BUDGETING AND ECONOMIC MANAGEMENT:
Prepares an appropriate budget and subsequently adheres to it; utilizes
finances, budgets, facilities, equipment, materials and products
to minimize costs; actively practices cost containment.
1c. ORGANIZATION OF WORK: Structures
work in order to avoid crisis, promotes productivity, attains cost
effectiveness, and delivers work on time. Involved in this process
are the tasks of allocating work, delineating responsibilities,
scheduling activities, and adequately preparing for meetings and
presentations.
1d. COMPLIANCE: Complies with
established policies, procedures and directives; conducts department
functions in accordance with applicable laws, statutes, and regulations.
1e. PROBLEM SOLVING AND DECISION-MAKING:
Identifies problem and acts to rectify them by employing analytical
thinking and sound judgment.
1f. EVALUATION AND CONTROL: Practices
regular and systematic review of department operations to evaluate
progress towards established goals; evaluates strategies employed
in seeking those goals; implements remedial measures when necessary.
1g. RISK (LIABILITY) MANAGEMENT:
Ensures that liability risk exposures are identified and treated
when proposing new programs and services; evaluates and monitors
established programs and services to identify areas which need revision
due to changes in operation, legislation, policies and procedures;
implements changes where needed to facilitate favorable loss experience;
manages employee safety program, including appropriate training
and corrective action when necessary.
2. INTERPERSONAL
2a. ORAL COMMUNICATION: Effectively
communicates orally with individuals and groups, including public
presentations; presents ideas in an organized, clear and concise
manner, employs tact and discretion; listens well; offers appropriate
feedback.
2b. WRITTEN COMMUNICATION: Prepares
organized, clear, concise, accurate and informative letters, memos,
reports and other documents which effectively fulfill content and
timeliness requirements.
2c. COORDINATION/COLLABORATION:
Works well with others at various levels; keeps information flowing
to the appropriate parties vertically (down as well as up) and horizontally;
facilitates communication and problems solving among parties when
necessary.
2d. SUPERVISORY CONTROL: Effectively
hires, assigns, directs, controls, evaluates performance, counsels
and disciplines all other functions necessary or incidental to supervision;
practices compliance with employment law guidelines and mandates.
2e. LEADERSHIP: Promotes cooperation
and team work among employees; establishes high standards of conduct
and job performance for subordinates; maintains open communication
channels; delegates work; leads by example.
2f. STAFF APPRAISAL AND DEVELOPMENT:
Provides good record of subordinate performance; reviews appraisal
information with subordinates; aides subordinates in improving performance
on current job; helps subordinates in setting up and implementing
development plans and objectives; cross-trains employees; encourages
subordinates to participate in training.
3. INDIVIDUAL
3a. EFFORT AND INITIATIVE: Requires
little work direction; exhibits persistence an initiative; puts
forth a consistent, energetic effort; assumes full and complete
responsibility for accomplishment of department functions.
3b. PROFESSIONAL/TECHNICAL COMPETENCE:
Realistic knowledge and competence of the field and applies up-to-date
technical/professional principles, practices, and standards appropriate
to the functions of the department; acts as a resource person upon
whom others can draw; professional demeanor maintained on a consistent
basis.
3c. INNOVATION: Displays original
and novel thought in creative efforts to improve on the status quo.
3d. OBJECTIVITY: Assesses issues,
problems and decision situations based on the merits of the case
presented; personal loyalties, biases, etc., does not influence
department decisions; personnel decisions made on the basis of equal
opportunity and objective job-related criteria.
3e. CREDIBILITY: Through successful
performance, instills the feeling of trust and dependability.
3f. FLEXIBILITY: Adapts well
to change, both internally and externally.
4. LEADERSHIP
4a. COACHING: Communicates a
positive attitude; serves as a catalyst for action and encourages
employees to try new things and to take calculated risks; provides
honest feedback; minimizes tension and defensiveness; creates an
environment for success; teaches and guides employees rather than
controls.
4b. EMPOWERING: Creates an awareness
in others of their powers and self worth; involves others and shares
powers in planning and decision-making; fosters leadership in others;
challenges others to assume leadership roles and provides support
by allowing them to risk, fail and learn; creates an environment
in which others feel ownership for results and feel comfortable
to take action to achieve desired results.
4c. MODELING: Believes in public
service; treats all with respect and dignity and creates an atmosphere
of mutual respect and trust. Serves as a catalyst for action and
is a team player, believes in oneself and looks at problem as opportunities;
uses powers in a positive way; keeps one's work: accepts responsibility
for mistakes; insists on excellence (not perfection); communicates
and reinforces by what they do - not what they say; adapts to changes
as conditions and situations warrant.
4d. TEAM BUILDING: Builds group
cohesiveness and pride; encourages cooperation; fosters and practices
good communication, recognizes and rewards individuals and team
accomplishments and contributions; shares success and rewards; manages
conflict, which is inevitable.
4e. VISIONING: Establishes and
articulates a vision of what could be; looks to and plans for the
future; accepts new challenges, keeps an open mind.
4f. SELF-DEVELOPMENT: Is not
static; prepares for the future; has the courage to identify and
address shortcomings; is committed to self-improvement manages personal
stress in positive ways.
Rank the executive
director on the performance factors using the performance definitions
(5=outstanding, 4=significantly exceeds expectations, 3=fully capable,
2=needs improvement, 1=unsatisfactory)
1. ADMINISTRATION
| Performance Factor |
Performance (From
5 to 1) |
Comments |
| Planning |
|
|
| Budgeting and Economic
Management |
|
|
| Organization of Work |
|
|
| Compliance |
|
|
| Problem Solving and
Decision Making |
|
|
| Evaluation and Control |
|
|
| Risk (Liability) Management |
|
|
2. INTERPERSONAL
| Performance Factor |
Performance (From
5 to 1) |
Comments |
| Oral Communication |
|
|
| Written Communication |
|
|
| Coordination/Collaboration |
|
|
| Supervisory Control |
|
|
| Leadership |
|
|
| Staff Appraisal and
Development |
|
|
3. INDIVIDUAL
| Performance
Factor |
Performance
(From 5 to 1) |
Comments |
| Effort
and Initiative |
|
|
| Professional
and Technical Competence |
|
|
| Innovation |
|
|
| Objectivity |
|
|
| Credibility |
|
|
| Flexibility |
|
|
4. LEADERSHIP
| Performance Factor |
Performance (From
5 to 1) |
Comments |
| Coaching |
|
|
| Empowering |
|
|
| Modeling |
|
|
| Team Building |
|
|
| Visioning |
|
|
| Self-development |
|
|
OVERALL
EVALUATION (Please check one.)
_____
Outstanding
_____
Significantly exceeds expectations
_____
Fully capable
_____
Needs improvement
_____
Unsatisfactory
What were
the executive director's performance highlights in the past year?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
What could
have been most improved regarding the executive director's performance
in the past year?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
What
should be the executive director's performance goals for the next
year?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Evaluator's Signature ____________________________
Date _______________

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