Examiner Performance Assessment

Baldrige Performance Excellence Program (BPEP) Team Leader Consensus and Team Leader Site Visit Information Collections

Examiner Performance Assessment

Examiner Performance Assessment

OMB: 0693-0079

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Examiner Performance Assessment

Your assessment of the examiners on your team is very helpful to us in creating training
and development activities, as well as making future selection decisions.
Please assess the performance of all the examiners on your team, including seniors and
alums. The survey should take approximately 20 minutes to complete.
Thank you!
OMB Control #0693-0079
Expiration date: 10/31/2019
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Dawn Bailey.
_________

* 1. What is your application/team number?

New and Returning Examiner Performance Ratings

* 2. Name of NEW / RETURNING Examiner #1:

* 3. How would you rate the performance of Examiner #1 on the following competencies as demonstrated
during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

* 4. Name of NEW / RETURNING Examiner #2:

* 5. How would you rate the performance of Examiner #2 on the following competencies as demonstrated
during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

* 6. Name of NEW / RETURNING Examiner #3:

* 7. How would you rate the performance of Examiner #3 on the following competencies as demonstrated
during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

* 8. Name of NEW / RETURNING Examiner #4:

* 9. How would you rate the performance of Examiner #4 on the following competencies as demonstrated
during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

10. Name of NEW / RETURNING Examiner #5 (if applicable):

11. How would you rate the performance of Examiner #5 (if applicable) on the following competencies as
demonstrated during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

12. Name of NEW / RETURNING Examiner #6 (if applicable):

13. How would you rate the performance of Examiner #6 (if applicable) on the following competencies as
demonstrated during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

14. Name of NEW / RETURNING Examiner #7(if applicable):

15. How would you rate the performance of Examiner #7 (if applicable) on the following competencies as
demonstrated during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

16. Name of NEW / RETURNING Examiner #8 (if applicable):

17. How would you rate the performance of Examiner #8 (if applicable) on the following competencies as
demonstrated during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

New and Returning Examiner Performance Rating

18. Name of NEW / RETURNING Examiner #9 (if applicable):

19. How would you rate the performance of Examiner #9 (if applicable) on the following competencies as
demonstrated during both IR and CR?
Needs Improvement
Understanding the
Baldrige Criteria
Determining Key
Factors
Analyzing an award
application
Identifying
Strengths/OFIs
Writing FeedbackReady Comments
Determining a Scoring
Range and Score
Meeting Deadlines
Team Skills (honoring
Ground Rules during
calls, providing
feedback, overall
communication skills)
Other Comments

Basic Competence: can
work with guidance

Competent: can work
independently

Fully Competent: can
guide others

Returning Examiner Readiness to Lead a Team

* 20. Please list the names of Returning Examiners on your team and rate their readiness to lead a team as
a Senior Examiner.
Returning Examiner #1:
Returning Examiner #2:
Returning Examiner #3 (if
applicable):
Returning Examiner #4 (if
applicable):
Returning Examiner #5 (if
applicable):
Returning Examiner #6 (if
applicable):

* 21. How would you rate each Returning Examiner's readiness to be a team leader?
Not Ready
Returning Examiner #1
Returning Examiner #2
Returning Examiner #3
(if applicable)
Returning Examiner #4
(if applicable)
Returning Examiner #5
(if applicable)
Returning Examiner #6
(if applicable)

Can Lead a Team with
Assistance

High Performer - Team
Leader Next Year

N/A

Rating Your Seniors and Alums

The primary purpose of this portion of the survey is to determine the effectiveness of our most
experienced examiners in supporting the Award process through the various leadership activities
on teams. This information may be used for future assignments as team leaders, internal coaches,
and tech editors. Please rate your Seniors/Alums on the competencies listed.
* 22. Name of Senior/Alumni Examiner #1.

* 23. How would you rate the current performance of Senior/Alumni Examiner #1 in each of the
competencies below?

Needs Improvement
Mentoring/coaching less
experienced examiners
re: Criteria and
evaluation process
Project Management
Skills (meeting
deadlines, making
suggestions to improve
the team's
efficiency/effectiveness)
Writing Actionable
Feedback-Ready
Comments and/or Key
Themes
Leadership Skills
(setting clear
expectations, rolemodeling appropriate
team behavior, taking on
additional assignments
to assist the team)
Comments

Fully Competent: can
guide others effectively

Exceeds expectations - a
real strength for this
examiner

Cannot Rate

24. Name of Senior/Alumni Examiner #2.

* 25. How would you rate the current performance of Senior/Alumni Examiner #2 in each of the
competencies below?

Needs Improvement
Mentoring/coaching less
experienced examiners
re: Criteria and
evaluation process
Project Management
Skills (meeting
deadlines, making
suggestions to improve
the team's
efficiency/effectiveness)
Writing Actionable
Feedback-Ready
Comments and/or Key
Themes
Leadership Skills
(setting clear
expectations, rolemodeling appropriate
team behavior, taking on
additional assignments
to assist the team)
Comments

Fully Competent: can
guide others effectively

Exceeds expectations - a
real strength for this
examiner

Cannot Rate

26. Name of Senior/Alumni Examiner #3 (if applicable).

27. How would you rate the current performance of Senior/Alumni Examiner #3 (if applicable) in each of the
competencies below?

Needs Improvement
Mentoring/coaching less
experienced examiners
re: Criteria and
evaluation process
Project Management
Skills (meeting
deadlines, making
suggestions to improve
the team's
efficiency/effectiveness)
Writing Actionable
Feedback-Ready
Comments and/or Key
Themes
Leadership Skills
(setting clear
expectations, rolemodeling appropriate
team behavior, taking on
additional assignments
to assist the team)
Comments

Fully Competent: can
guide others effectively

Exceeds expectations - a
real strength for this
examiner

Cannot Rate

28. Name of Senior/Alumni Examiner #4 (if applicable).

29. How would you rate the current performance of Senior/Alumni Examiner #4 (if applicable) in each of the
competencies below?

Needs Improvement
Mentoring/coaching less
experienced examiners
re: Criteria and
evaluation process
Project Management
Skills (meeting
deadlines, making
suggestions to improve
the team's
efficiency/effectiveness)
Writing Actionable
Feedback-Ready
Comments and/or Key
Themes
Leadership Skills
(setting clear
expectations, rolemodeling appropriate
team behavior, taking on
additional assignments
to assist the team)
Comments

Fully Competent: can
guide others effectively

Exceeds expectations - a
real strength for this
examiner

Cannot Rate

30. Name of Senior/Alumni Examiner #5 (if applicable).

31. How would you rate the current performance of Senior/Alumni Examiner #5 (if applicable) in each of the
competencies below?

Needs Improvement
Mentoring/coaching less
experienced examiners
re: Criteria and
evaluation process
Project Management
Skills (meeting
deadlines, making
suggestions to improve
the team's
efficiency/effectiveness)
Writing Actionable
Feedback-Ready
Comments and/or Key
Themes
Leadership Skills
(setting clear
expectations, rolemodeling appropriate
team behavior, taking on
additional assignments
to assist the team)
Comments

Fully Competent: can
guide others effectively

Exceeds expectations - a
real strength for this
examiner

Cannot Rate

Enhanced Tech Editing Process

The enhanced tech editing process is intended to provide the team feedback on the scorebook
before it is finalized. This page asks how well that was accomplished.
* 32. Did you find the tech editor's input on the team's R-3 scorebook beneficial?
Yes
No

Comments (Strengths and/or OFIs)

Suggestions for Improvements to Independent Review and Consensus Review

Please provide feedback on how the Award process could be improved.
33. Please share your thoughts on your experience as a team leader and recommendations for improving
the IR and CR phases of the Award process.

Privacy Act Statement
Authority: The National Institute of Standards and Technology Act, as amended, 15 U.S.C. 271 et seq. (which includes Title 15
U.S.C. 272) and section 12 of the Stevenson-Wydler Technology Innovation Act of 1980, as amended, 15 U.S.C. 3710a.The
Baldrige Awards Program was created under public law 100-107 The Malcolm Baldrige National Quality Improvement Act of
1987. 5 U.S.C. App.-Inspector General Act of 1978, § 2; 5 U.S.C. App.-Reorganization Plan of 1970, § 2; 13 U.S.C. § 2; 13 U.S.C. §
131; 15 U.S.C. § 272; 15 U.S.C. § 1151; 15 U.S.C. § 1501; 15 U.S.C. § 1512; 15 U.S.C. § 1516; 15 U.S.C. § 3704b; 16 U.S.C. § 1431;
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