I. The purpose of this report is to
provide the basis for evaluating the performance and total contribution to the
firm by each Shareholder. Please complete Pages 2, 3 and 4 and submit the
original to the Managing Shareholder. For ease of legibility and reproduction,
your answers should preferably be produced on the computer or as attachments.
You may wish to retain a copy for your files.
II. Items 1 and 2 represent input factors
for evaluation purposes. Please describe your major strengths, performance and
accomplishments in such detail as you deem necessary for proper evaluation.
III. Item 3 represents an overall performance
rating of the discriminating Shareholder profile factors. Place an
"X" in the appropriate column which, in your opinion, best answers
the individual criteria. The Managing Shareholder should place an "a" in the appropriate column
in which the Managing Shareholder's opinion best answers the individual
criteria. The ratings are defined as follows:
A. "Exceeds Requirements" is
characterized by consistently outstanding and exceptional performance. This
rating requires an explanatory comment by the Shareholder.
B. "Meets Requirements" means
that the individual meets his/her obligations and performs his/her
responsibilities at a level expected of a Shareholder in the Firm.
C. "Needs Improvement" indicates
that the performance is below that which is normally expected from a
Shareholder of the Firm.
D.The space for comments may be used by
the Shareholder or the Managing Shareholder to comment on those items which
he/she feels are significant or require elaboration or clarification. Space is
provided at Item 4 for any general comments.
IV. Each
Shareholder should feel free to add such other data as he/she feels would be
appropriate.
V. Page 4 is to
be completed by each Shareholder in accordance with the definitions on Page 5.
VI. Page 6 is to be completed by the Managing
Shareholder. Items 1 and 2 are to be reviewed with the Managing
Shareholder.The Recommendation section
is to be completed after the entire evaluation report has been reviewed with
the Shareholder and he/she has had an opportunity to insert any post-evaluation
comments on Page 6 if he/she desires.
VII.After this report has been reviewed with
the Shareholder, the original is placed in his/her personnel file, one copy is
maintained by the Managing Shareholder, and one copy is given to the
Shareholder.
VIII.The Shareholder and the Managing
Shareholder are required to sign and date this report on Page 6 after the
evaluation conference has been completed.
NAME:
TO BE
COMPLETED BY SHAREHOLDERComments
by Managing Shareholder
1. List major
accomplishments during the past
period that you have considered in your
evaluation
2. What do
you see as your major strengths to the firm?
NAME:
TO
BE COMPLETED BY BOTH THE SHAREHOLDER AND THE Comments for Managing
MANAGING
SHAREHOLDER*Shareholder
NeedsMeetsExceeds
Improve-Requir-Require-
mentmentsments
Comments
3. OVERALL PERFORMANCE
Client Relations
Development & motivation
of others
Practice development
Practice management
Self-development
Support of firm
Technical effectiveness
4. GENERAL COMMENTS
* In assessing overall performance, the Managing
Shareholder should consider the goals at the beginning of the fiscal year and
the achieved results achieved.
Addendum to
Shareholder Evaluation Form
Practice
Development Results
NAME:
(See
guideline definition on Page 5 which should be followed in completing this
form)
Type of
Client or Family NameEngagementFee
New Engagement Arising from Contacts
Recurring
Engagements
Nonrecurring
Engagements
I.New
Engagement Arising Through Your Participation (not your own contacts)
Recurring
Engagements
Nonrecurring
Engagements
Addendum
to Shareholder Evaluation Form
Practice
Development Results
DEFINITIONS
I. New Engagements Arising From Your
Contacts
A. Recurring Engagements
New audit, accounting, and/or tax clients referred
to [Firm
Name] because of your personal relationship with lawyers, bankers,
existing clients and other social and business contacts (referral sources).
B. Nonrecurring Engagements
1.Tax and other special
engagements obtained because of your personal relationship with referral
sources and performed for
someone we have never
performed services for previously.
2.Special attestation
engagements or investigatory engagements obtained because of your personal
relationship with referral sources.
II.
New Extensions of Services Arising
From Your Contacts
A. Additional services sold to existing audit,
accounting and tax clients because you recognized the client's need and
convinced him/her to retain us.
B. Tax and other engagements obtained in subsequent
years from "nonrecurring clients" after the first year they became
sources of business.
III.
New Engagements Arising Through Your
Participation (not your own contacts)
A. Recurring Engagements
1.Institutional engagements closed by responding to telephone or
similar request.
2. Government
engagements obtained by responding to RFP's except where we have initiated the
contact to create the RFP .
3.Additional business
performed by us for an existing client because we are his/her accountants, such
as
tax examinations, acquisitions of new business, SEC
registration work because the client decides to go public, or issue additional
securities.
4.Engagements resulting from AGI referral leads.
5.Engagements participated in as presenter or closer.
B. Nonrecurring Engagements (See descriptions in
IIIA)
NAME
TO BE COMPLETED BY MANAGING SHAREHOLDERPOST-EVALUATION COMMENTS
(For
use of Shareholder/Managing Shareholder)
How can this individual
make the greatest long-term contribution to the firm?
(check one or more)
By managing others As
a practice Shareholder
As a specialist (specify)
Other (specify)
Does the individual’s
current assignment (check one)
Utilize his/her abilities and indicate room for
growth in his/his current
assignment?
Indicate ability to assume more responsibility in
another assignment?
SIGNATURES
Shareholder
Date
Managing
Shareholder Date
RECOMMENDATION
To be
completed after review with Shareholder
(A detailed
explanation should be furnished by the Managing Shareholder as to why a
recommendation is being made for
additional bonus.Indicate what changes in level of performance
have occurred.Add additional sheet if
necessary.)
