Sample performance agreement template

The sample template below has been formatted to letter size for viewing and when downloaded, it should be reformatted to fit on legal size (landscape view) in order to allow more space for commitments, measures and results.

Department or Agency

• Between:
• And:
• Signature:
• Date:

Performance Agreement (year – year):

Reviews of this agreement were conducted on the following dates:

• Mid-term:
• Change of Supervisor:
• Change of Assignment:

Priorities of the Clerk of the Privy Council (checklist):

Corporate Priorities (checklist):

Ongoing Commitment (4 to 7 commitments)

• Human Resources Management:
  • Performance Measures (1 to 3 per commitment)
  • Results Achieved (for each commitment)
• Financial Management:
  • Performance Measures (1 to 3 per commitment)
  • Results Achieved (for each commitment)
• Business accountabilities of the position:
  • Performance Measures (1 to 3 per commitment)
  • Results Achieved (for each commitment)
• Business accountabilities of the position:
  • Performance Measures (1 to 3 per commitment)
  • Results Achieved (for each commitment)
• Key Commitments (1 to 3)
  • Performance Measures (1 to 3 per commitment)
  • Results Achieved (for each commitment)

Evaluation

Narrative Assessment:

Ongoing Commitments Rating:

Key Commitments Rating:

I have read this assessment:

Signatures:

Executive:

Date:

Supervisor:

Date:

Personal information will be protected under the provisions of the Privacy Act and will be stored in Standard Bank, Performance Reviews and Employee Appraisals PSE 912. This document may be used by the Office of the Chief Human Resources Officer for audit or program evaluation purposes.