Performance Review Individual Contributor

Employee Name Position Title Department Review Period Evaluated By Supervisor Name

INSTRUCTIONS: Review of employee performance should be objective and fact-based, incorporating the views of the employee, the manager and, when appropriate, several of the employees customers and colleagues. This form is designed to be a flexible tool. Managers can customize the tool to meet the needs of their business line This form can be used for both employee self-evaluation and manager evaluation. Be sure to include specific examples of demonstrated performance in each of the comments sections that the support the assigned rating. The final rating should be a fair reflection of the employees overall performance for the specified period.

Rating Scale

Exceptional Highly Effective Solid Performance Needs Improvement Not Effective

Exceeds expectations of the job in all areas Exceeds expectations in most areas Meets expectations Meets some expectations Does not meet expectations

(1) (2) (3) (4) (5)

Section I: S.M.A.R.T. Performance Goals

Clear performance objectives provide the foundation for job success. Managers, together with employees, jointly, establish specific, measurable, agreed upon, realistic, and time bound goals. As you prepare the goals, remember that, by accomplishing each, you will have added value to our/your customers, external and internal.

Performance Goals / Performance Results

List major goals for this position. / Describe results achieved during this review period.

Rating

Goal: Semi-annual Results: Annual Results:

Goal: Semi-annual Results: Annual Results:

138813538.doc

Rev. Date: 10/31/11

Performance Review Individual Contributor

Goal:
Semi-annual Results: Annual Results

Goal:
Semi-annual Results: Annual Results:

Goal:
Semi-annual Results: Annual Results:

Goal
Semi-annual Results: Annual Results:

Section II: Apex Values and Behaviors

Rating

People-Driven Organization Passionate about our employees and families, communities, and customers, recognizing that relationships and people are our greatest 3 asset.
Actively promote Apex through our value based behaviors Make every customer interaction count Share knowledge with others to better the organization Participate in activities that foster a sense of community Care about others and embrace diversity

Comments:
Participate in activities that foster a sense of community Actively participated in cultural activities organized during festive periods.

Take the Lead Lead by example by taking responsibility for all of our actions, including 3 personal, work-related, community based and customer focused, by contributing our time, expertise and resources to make a positive difference in the lives of others.
138813538.doc 2 Rev. Date: 10/31/11

Performance Review Individual Contributor

Design and deliver the best solutions for our customers Accountable for individuals and teams actions and own results Foster cross functional interaction and partnering Honest, open and transparent communications Meet challenges with a positive can do attitude

Comments: Act with Integrity Make decisions and act in an ethical manner that treats all people with respect. 3
Loyal to the absent Assume positive intent in interactions with others Always do the right thing even when others are not looking Demonstrate courage and honesty when faced with adversity Responsible by following through on commitments Always orient towards the truth

Comments: Focus on Innovation Drive to continually improve to exceed the expectations of all our stakeholders our employees, owners, customers and the end-users. 2
Driven to deliver best in class service and product Work across the organization to ensure customer solutions are understood and met Achieve business results through resourcefulness and creativity Actively focus on improving self Work as one team with a common strategic SMART goal

Comments: Ready for Change Respectful of the past yet flexible, willing, and ready to accept new opportunities in a positive and future-focused manner. 3
Open and positive attitude toward new ideas Encourage others to be open to possibilities Develop skills needed for success Actively participate in finding solutions Impatient with being stagnant and patient with game-changing strategies

Comments: Commitment to Excellence Determined to deliver excellence in all aspects of our work and the business. 3

138813538.doc

Work to simplify process for better quality and faster delivery

3 Rev. Date: 10/31/11

Performance Review Individual Contributor

Seek to understand situation and prioritize what is most critical Work with customers to solve both immediate and long-term issues in a timely fashion Drive for flawless execution of responsibilities Provide uncompromised quality of deliverables

Comments: Job Specific Competencies (Optional)

(List additional technical knowledge or skills necessary for this position.)

Rating

Competency: Competency:

Competency:

Comments:

Overall Performance Summary

(Note strengths and development opportunities.)

Strengths: Development Opportunities:

Overall Rating 3

Section III: Development Discussion

Development Planning
(Describe identified areas for development that will support the employee in his/her current or desired future roles.)

138813538.doc

Rev. Date: 10/31/11

Performance Review Individual Contributor

Employee Comments

Manager Comments 1 Signatures Employee Signature Manager Signature

Performance Goals for Next Review Period

(List major goals/accountabilities/responsibilities for the next review period.)

Please begin a new Performance Review Form and complete Section I: S.M.A.R.T. Performance Goals for the next review period.

138813538.doc

Rev. Date: 10/31/11