Name: Signal Health Group
Address: 10475 Crosspoint Blvd, Indianapolis, IN, 46256, US
Telephone: 800-953-6183
Price range: $$

Annual Evaluation
Management Performance Evaluation
Manager Evaluated	Title
Evaluator	Title
A. Instructions: Definitions for performance level degreesM
5. Performance is exceptional. Meets definition as stated in #4 but has also demonstrated outstanding success in meeting a specific mission of the district. (Appraisal Factor #5 requires justification comments- see section C
4. Performance is above average, showing consistent and important contributions which exceed expectations in this position.
3. Performance shows satisfactory attainment of the principle objectives expected in this position.
2. Performance has not reached a satisfactory level and is below average because of a specific deficiency.
1. Performance show more than one deficiency which seriously interferes with the attainment of the expected objectives of the position. (Appraisal Factor #1 requires justification comments-see section C )
B. Performance Criteria
1. Demonstrates effective time management
2. Demonstrates decisiveness with good judgment
3. Demonstrates professional growth
4. Demonstrates effective working relationships with peers, subordinates and superiors
5. Demonstrates effective leadership qualities
6. Demonstrates ability to function as a team member
7. Takes initiative in accomplishing organizational goals
8. Demonstrates creativity in problem solving
9. Promotes effective use of fiscal resources
10. Completes administrative assignments on time
11. Demonstrates integrity
Overall Evaluation (Circle One)
* Exceptional
* Above Average
* Satisfactory
* Less than Satisfactory
* Deficient
C. PERFORMANCE LEVELS 1 AND 5 REQUIRE JUSTISFICATION COMMENTS:

D. PLEASE IDENTIFY ANY UNIQUE CONDITIONS that existed which influenced the evaluation of the management employee, such as” being a new employee “or “on an unusual assignment”.

E. PLEASE COMMENT ON THE MANAGER’S COMMUNITY INVOLVEMENT relative to district interest, if appropriate.

G. I have discussed this report with my supervisor and have received a copy of it. I understand that my signature does not necessarily indicate that I am in agreement with the rating but is merely acknowledgement that the discussion has taken place.
Employee Signiature	Date
Evaluator Signiature	Date

Annual Evaluation

Annual Evaluation

Management Performance Evaluation

B. Performance Criteria