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Free Evaluation Template • Public Service Performance

CIVIC Employee Performance Evaluation Template

A values-based performance evaluation built on the CIVIC model — core functions, integrated metrics, value alignment, stakeholder impact, and collaborative growth.

Most performance evaluations measure activity and call it contribution. Public-service organizations need something harder: a review that connects an employee’s work to the mission — residents served, stakeholders affected, values upheld — without losing the objectivity that makes a rating defensible.

The CIVIC model structures the evaluation across five dimensions: Core functions (are the fundamental duties met), Integrated metrics (measured objectively over time), Value alignment with civic goals, Impact on stakeholders from internal teams to residents and businesses, and Collaborative growth — the forward-looking development plan. The fillable form includes scoring interpretation from Distinguished Contributor down, and instructions that keep supervisors on facts rather than impressions.

Who should use this template

  • City and county supervisors conducting annual or introductory reviews
  • Nonprofit leaders who want mission alignment in evaluations
  • HR directors replacing generic rating forms with a structured model
  • Public-sector managers preparing evaluations that may face appeal

What it helps prevent

  • Evaluations built on isolated incidents instead of sustained performance
  • Ratings with no defined meaning behind the numbers
  • Reviews that ignore mission and stakeholder impact entirely
  • Evaluation meetings that are formalities instead of conversations
  • Signature disputes — the form clarifies signing confirms discussion, not agreement

What’s inside

  • General information and evaluation-type block (introductory, annual, other)
  • CIVIC model instructions for evaluators and employees
  • Core functions and integrated metrics scoring sections
  • Value alignment and stakeholder impact assessment
  • Collaborative growth and SMART goal planning
  • Scoring interpretation guide with defined rating tiers

Before you process payroll, terminate, classify, deduct, or respond to a claim, get the decision reviewed.

Faulkner HR Solutions helps Texas employers, nonprofits, municipalities, and growing businesses fix the people systems behind recurring workplace problems. If this resource raised a risk flag, do not guess your way through the next step.

Frequently asked questions

What does CIVIC stand for?
Core functions, Integrated metrics, Value alignment with civic goals, Impact measurement on stakeholders, and Collaborative growth. Together they cover what the employee does, how well it is measured, why it matters, who it affects, and where the employee grows next.
How is the scoring scale defined?
The form defines each tier — for example, 5.0 is a Distinguished Contributor who consistently exceeds expectations and models public-service values, with defined bands below. Defined anchors are what let two supervisors rate the same performance the same way.
What if the employee disagrees with the evaluation?
The form is explicit that signatures confirm the discussion took place, not agreement with every conclusion. Employees should be invited to add written comments — a documented disagreement handled respectfully is far better evidence of a fair process than a contested signature.
Can private businesses use this template?
Yes — replace civic goals with your organization’s mission and the model works unchanged. It fits any employer that wants evaluations to measure values and stakeholder impact alongside task performance.
Disclaimer. This resource is provided for general employer education and planning purposes. It is not legal advice and does not create an attorney-client relationship. Employment laws, agency guidance, and local requirements may change. Employers should review the facts of each situation before acting and consult appropriate HR or legal counsel when needed.