GovernanceTrainingandFacilitation
CEOPERFORMANCEEVALUATION
Thisperformanceevaluationisconfidentialandthepropertyof_____________BoardofDirectors.Anyreproductionofthisdocumentinwholeorinpart,orthedisclosureofanyofitscontentswithoutthepriorwrittenconsentofthe_________________BoardofDirectorsisstrictlyprohibited.PleaseidentifyyourrelationshiptotheCEO:☐BoardMember☐DirectReport☐CEOIunderstandandagreetoaboveprivacystatement☐Date:__________________
EVALUATIONRATINGSCALE
Ranking Category Description
5 Outstanding
Performanceconsistentlyandsignificantlyexceedsexpectationsinthisarea.
4 ExceedsExpectations
Performancefrequentlyexceedsandsurpassesrequirementsorstandardsforeffectivenessinthisarea.
3 Successful
TheCEOconsistentlymeetstherequirementsorthestandardsinthisarea.Resultsarewhatareexpectedofafullyqualifiedandexperiencedindividualinthisarea.
2 RequiresImprovement
Meetssomebutnotallrequirementsorstandardsforeffectivenessinthisarea.
1 Unsatisfactory
TheCEOdoesnotmeettheminimumrequirementsorstandardsforeffectivenessinthisarea.Furtherdevelopmentinthisareaisneeded
GovernanceTrainingandFacilitation
EvaluationCategory
5 4 3 2 1 N/
A
1. Leadership
1.1.TheCEOhasclearlyanticipatedrisksandchangesinmarketconditionsandotherfactorsaffectingtheOrganization’ssustainabilityandfulfillmentofitsmission
1.2InconjunctionwiththeBoard’sstrategicplanning,theCEOhasarticulatedaclearvisionandmissionfortheorganizationandthestrategicprioritiestobeaddressedoverthenext3–5years
1.3.TheCEOhasdevelopedpracticaloperationalplansconsistentwithachievingthemission,visionandstrategicprioritiesoftheorganization
1.4.ConsistentwiththeBoard’sstrategicplan,theCEOhascommunicatedclearstrategicandoperationalprioritiestotheBoard,employeesandotherrelevantstakeholdersintheorganization
1.5.TheCEOhascreatedahighperformingcultureintheorganizationincludingstrongemployeemorale,accountabilityandcohesiveness
1.6.TheCEOhasperformedastheleadingrolemodelintheorganizationsettinghighprofessionalworkstandardsandpursuinggoalswithhonesty,respect,determinationandenergy
2.StrategyFormulation
2.1.TheCEOhasplayedaleadershiproledevelopingstrategywiththeBoard,includinginsightandrecommendationsleadingtoclearmission,visionandstrategicpriorities
2.2.TheCEOhasaccuratelyidentifiedandanalyzedrisksandopportunitiesconfrontingtheorganizationandidentifiedstrategiesformitigatingriskandbuildingonopportunitiestoachievetheorganization’smission
GovernanceTrainingandFacilitation
EvaluationCategory
5 4 3 2 1 N/
A
2.3.TheCEOhasaccuratelydeterminedkeycriteriabywhichsuccessofthestrategicdirectionoftheorganizationwillbemeasured
2.4.TheCEOhasensuredBoardandorganizationownershipofthestrategicplanbyinvolvingDirectors,seniormanagement,employeesandotherstakeholdersinitsformulation
2.5.TheCEOhasalignedtheorganization’soperatingpriorities,resourcesandbudgetstotheimplementationofthestrategicplan
3.StrategyExecution
3.1.TheCEOhasestablishedaneffectiveorganizationstructure,ensuringthatthereismanagementfocusonkeyfunctionsnecessaryfortheAssociationtoexecuteitsmission
3.2.TheCEOhasorganizedanddelegatedworkeffectively,andhasperformedhisorherfunctionswithinhis/herscopeofresponsibilityandreferredotherfunctionstoothersinaprofessionalmanner
3.3.TheCEOhasimplementedstandardizedperformancemanagementprocessestomeasureoperatingprogressagainstcommittedplansandpriorities
3.4.TheCEOhasconsistentlymadesounddecisionsaboutexecutionprogressandmadetimelyadjustmentsinstrategiesandtacticswhenrequired
3.5.TheCEOhassuccessfullyexecutedstrategicprioritiesandachievedgoalsestablishedbytheBoard
3.6.TheCEOhaseffectivelyprovidedoversightonprioritiesandensuredaccountabilityatalllevelsoftheorganization
3.7.TheCEOhasensuredthattheorganization’soperationscompliedwithalllegalrequirements
GovernanceTrainingandFacilitation
EvaluationCategory
5 4 3 2 1 N/
A
4.Financialplanning/Performance
4.1.TheCEOhasdemonstratedadetailedunderstandingoftheorganization’sfinancialsituation
4.2.TheCEOhasexercisedgoodjudgmentinoverseeingthefinancialhealthoftheorganization
4.3.TheCEOhasadoptedandimplementedsoundaccountingpracticestoprovidetimely,accuratefinancialdataforoversightandplanning
4.4.TheCEOhasreportedfinancialresultstotheBoardinatimely,accuratefashion
4.5.TheCEOhasachievedthefinancialgoalsestablishedbytheBoardofDirectors
4.6.TheCEOhasensuredthattheorganization’saccountingmeetsprofessionalstandardsofapprovalsettheauditors
5.RelationshipswiththeBoard
5.1.TheCEOhasestablishedastrongworkingrelationshipwiththeBoard
5.2.TheCEOhasdemonstratedarespectfulunderstandingoftheBoard’sgovernanceroleandhassupportedtheBoardinitsoversightoftheorganization
5.3.TheCEOhascontributedsignificantinformationandimportantagendatopicsfordiscussionatBoardlevel
5.4.TheCEOhaspresentedinformationandrecommendationstotheBoardinaprofessionalmanner,thoroughmanner
5.5.TheCEOhasbeenconsistentlyavailabletoindividualBoardmemberswhenevernecessary
5.6.TheCEOhassupportedandcontributedtoBoardtraininganddevelopmentontheirgovernancerole
GovernanceTrainingandFacilitation
EvaluationCategory
5 4 3 2 1 N/
A
6.MemberandExternalRelations
6.1.TheCEOhasconsistentlycommunicatedeffectivelyonplansandperformancewithallstakeholdersincludingtheBoard,employees,customers,suppliersandotherstakeholders
6.2.TheCEOhasensuredthatpublicrelationsissuesarehandledinaprofessionalmannerthatbuildstrustandalleviatesconcerns
6.3.TheCEOhasencouragedcorporatesocialresponsibilityandcommunityinvolvement
6.4.TheCEOhasledtheorganization’seffortstodeveloppositiverelationshipsintheindustryandthecommunity
7.HumanResourcesManagement/Relations 7.1.TheCEOhascreatedanorganizational
culturethatmotivatesemployeestocarryoutandachievetheorganization’smissionandstrategicandoperatinggoals
7.2.TheCEOhasprovidedfreedomandauthorityforemployeestocreativelyexecutetheirrolesandachievehighstandards
7.3.TheCEOhasimplementedsoundperformancemanagementprocessesthatensureeveryoneintheorganizationisaccountableandsupportedintheexecutionoftheirroles
7.4.TheCEOhasoverseentheimplementationofstrongpersonaldevelopmentandeducationprogramsfortheorganizationandencouragedeveryoneintheorganizationtoparticipate
7.5.TheCEOhasrecruited,developedandretainedahighlycompetentmanagementteamwiththeskills,energyandpassiontoturntheorganization’smissionandvisionintoareality
GovernanceTrainingandFacilitation
EvaluationCategory
5 4 3 2 1 N/
A
7.6.TheCEOhastreatedeveryoneintheorganizationfairlywithoutsexism,discriminationorfavoritism
8.Succession
8.1.TheCEOhasmaintainedaneffectivesuccessionplanfordirectreportsthataccountsforplannedandsuddenchangesintheorganization,itsenvironmentandperformance
8.2.TheCEOhasestablishedeffectiverecruiting,educationandworkexperienceprogramstocreateapipelineoffuturehighpotentialleaders
8.3.TheCEOhasensuredthathighpotentialcandidatesforseniormanagementpositionsreceiveconsistentexposuretotheBoardandgovernanceoperations
9.Product/ServiceKnowledge 9.1.TheCEOhasdemonstratedathorough
knowledgeandunderstandingoftheorganizationsproductsandservices
9.2.TheCEOhasdemonstratedathoroughknowledgeandunderstandingoftheorganizationsmanagementandoperationsprocesses
9.3.TheCEOhasdemonstratedathoroughunderstandingoftheorganization’sbusinessmodelandrequirementsforfinancialsuccess
9.4.TheCEOhasconsistentlydemonstratedforesight,innovationanddeterminationinadvancingnewproducts,servicesandothernewinitiativesresultingintheon-goingsuccessoftheorganization
10.PersonalQualities
10.1.TheCEOmaintainsaprofessionalimagethatreflectspositivelyontheorganizationandbuildstrustandsupportfromallstakeholders
GovernanceTrainingandFacilitation
EvaluationCategory
5 4 3 2 1 N/
A
10.2.TheCEOhasdemonstratedempathyregardingothersandexhibitsconcernforeveryoneasindividuals
10.3.TheCEOhasexercisedgoodjudgmentindealingwithsensitiveissuesbetweenindividualsandbetweengroups
10.4.TheCEOhasskillfullyanalyzedandaddressedproblems,challengesandconflictswhilecomfortablynavigatingambiguityandcomplexity
10.5.TheCEOhasperformedataveryhighstandardofethicsandintegritybothprofessionallyandpersonally
10.6.TheCEOhasconsistentlypursuedprofessionaldevelopmentresultinginincreasedcapabilitiesandpotential
11.AchievementofGoalsandBusinessPlan
11.1.Overall,andkeepingunanticipatedchallengesandtimeframesinmind,theCEOhasachievedthegoalsandBusinessPlanactionsoutlinedinthisperformanceappraisalperiod.
SpecificStrengthsoftheCEOKeyCEOAccomplishmentsThisEvaluationPeriodAreasRequiringFurtherDevelopment
GovernanceTrainingandFacilitation
AdditionalComments
DateofPerformanceEvaluationCompletion:___________________