Annual Review & Renew
ADDENDUM D: ANNUAL REVIEW AND RENEWAL FORM
Voice Up Publishing Incorporated
Employee Name: _________________
Position: _________________
Review Period: _________________ to _________________
Review Date: _________________
1. CORE PRINCIPLES ASSESSMENT
### A. Collaboration
Performance Metrics:
- Team Project Participation Rate: ___/5
- Cross-functional Initiative Involvement: ___/5
- Stakeholder Feedback Score: ___/5
Notable Achievements:
_________________
_________________
Areas for Development:
_________________
_________________
B. Humility
Performance Metrics:
- Response to Feedback: ___/5
- Personal Development Progress: ___/5
- Peer Review Assessment: ___/5
Notable Achievements:
_________________
_________________
Areas for Development:
_________________
_________________
C. Precision
Performance Metrics:
- Task Completion Accuracy: ___/5
- Documentation Quality: ___/5
- Error Rate Metrics: ___/5
Notable Achievements:
_________________
_________________
Areas for Development:
_________________
_________________
D. Patience
Performance Metrics:
- Project Management Effectiveness: ___/5
- Stakeholder Satisfaction: ___/5
- Crisis Handling Assessment: ___/5
Notable Achievements:
_________________
_________________
Areas for Development:
_________________
_________________
E. Empathy
Performance Metrics:
- Communication Effectiveness: ___/5
- Relationship Management: ___/5
- Conflict Resolution Outcomes: ___/5
Notable Achievements:
_________________
_________________
Areas for Development:
_________________
_________________
2. DUTIES AND RESPONSIBILITIES REVIEW
A. Job Description Alignment
- Review of duties as outlined in Addendum A
- Assessment of performance against key responsibilities
Current Performance Status:
_________________
_________________
Achievements Beyond Scope:
_________________
_________________
B. Goals Achievement
Previous Period Goals:
1. _________________
Status: □ Achieved □ Partially Achieved □ Not Achieved
2. _________________
Status: □ Achieved □ Partially Achieved □ Not Achieved
3. _________________
Status: □ Achieved □ Partially Achieved □ Not Achieved
3. UPCOMING TERM PLANNING
A. New Goals and Objectives
1. _________________
Timeline: _________________
Success Metrics: _________________
2. _________________
Timeline: _________________
Success Metrics: _________________
3. _________________
Timeline: _________________
Success Metrics: _________________
B. Development Plans
Skills to Develop:
1. _________________
Action Plan: _________________
2. _________________
Action Plan: _________________
C. Core Principles Growth Areas
Specific areas for growth in each principle:
1. Collaboration: _________________
2. Humility: _________________
3. Precision: _________________
4. Patience: _________________
5. Empathy: _________________
4. COMPENSATION AND EQUITY REVIEW
Current Equity Status:
- Vested Shares: _________________
- Unvested Shares: _________________
- Vesting Schedule Status: _________________
Annual Equity Grant Consideration:
□ Recommended □ Not Recommended
Amount (if recommended): _________________
5. RENEWAL DECISION
Based on the review above:
□ Agreement Renewed for Additional One-Year Term
□ Agreement Modified (attach modifications)
□ Agreement Not Renewed
Effective Date of Renewal/Modification: _________________
6. SIGNATURES AND ACKNOWLEDGMENTS
Employee Comments:
_________________
_________________
Employee Signature: ________________________
Date: _________________
Reviewer Name: ________________________
Title: _________________
Signature: ________________________
Date: _________________
Executive Approval:
Name: ________________________
Title: _________________
Signature: ________________________
Date: _________________
7. ADMINISTRATIVE USE ONLY
□ Personnel File Updated
□ Equity Updates Processed
□ System Access Reviewed
□ Development Plan Registered
Processed by: ________________________
Date: _________________
Distribution:
- Original to HR
- Copy to Employee
- Copy to Manager
- Copy to Executive Team
Mental & Behavioral Health Careers
$6.5 Billion
in Private Funding.
$1.7 Billion
in Federal Funding
The Wellness Mindset
Careers in Behavioral Health by J Ellington
We are forming a national community of emerging students and leaders in the field of mental and behavioral health.
Here's our selection criteria.
1. Committed to our mission. We are building caring families.
2. Passionate about the potential of our service. Our goal is to serve families, especially communities of color and faith-based leaders.
3. Excited about servant leadership and the opportunity to influence many different types of communities. We use simple stories and pictures to inspire healthy habits.
4. Able to devote up to 5 hours per week (16 to 20 hours per month) supporting community, social, and faith-based outreach focused on careers in mental and behavioral health.
5. Able to provide three personal written references from people that have known you for more than 2 years. This is a part-time social venture.
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Apply Today!
Inspire Your Inner Voice
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Art Fuller is a graduate student at the University of Indianapolis focused on transforming how families support positive mental health for the ones you love. He founded J Ellington Publishing LLC, providing free digital children's books to kids spanning 12 countries. Request your free book today!
In 2025 he will complete a dual degree, Master of Public Health / Doctor of Health Sciences, focused on raising awareness about careers in behavioral health, specifically in the most underserved communities.
Art enjoys speaking to audiences of all ages (kindergarten to adult). He has been a guest panelist for the National Council for Mental Wellbeing.
He enjoys speaking at schools, churches, non-profits, corporations, HBCUs, and higher education institutions, prioritizing supporting first-generation college learners.
Art is a healthcare executive and Hamilton Award Winner for outstanding contributions to the cause of behavioral health and service to those with disabilities. He welcomes the opportunity to visit and present the abundance of career opportunities available in mental and behavioral health (online or in person).
Click here to Request a Presentation.
Art will design a personalized presentation based on the needs of your community and welcomes the opportunity to support grant writing and community development efforts of any size or scale.
Art specializes in Workforce Innovations and has secured over $30 million in funds supporting education reform in underserved communities, spanning ten major metropolitan cities. He has personally written grants funded by the MacArthur Foundation, Bill & Melinda Gates Foundation, Walton Family Foundation, U.S. Department of Education (U.S.DOE), and the Substance Abuse and Mental Health Services Administration (SAMHSA).
Art has also helped secure over $10 million in funds supporting Certified Community Behavioral Health Clinics (CCBHCs) and initiatives focused on Crisis Stabilization. Learn more.
He is a nationally recognized classroom teacher and has earned a B.A. in Neuroscience and Behavior; an M.Ed. in Middle School Mathematics; 24 graduate credits in School Administration (including licensure); and 45 earned doctoral credits in Educational Leadership and Policy.
Art is forming a new community of emerging students and leaders committed to mental and behavioral health. Learn more!