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Where goals, objectives, projects, special assignments, etc. have been clearly established, progress of these tasks should be evaluated.  In cases where special goals or objectives are not provided, the supervisor should identify the major duties and/or responsibilities of the job and evaluate the employee accordingly. 

EMPLOYEE EVALUATION FORM                                           DATE: _____________________

EMPLOYEE NAME:                                                                           EMPLOYEE SS# ____-___-_____

DEPARTMENT:                                                                                   DEPARTMENT CODE: ________

JOB TITLE:                                                                                          PERIOD OF EVALUATION: _______

 

Excellent

Good

Satisfactory

Fair

Poor

Attitude

 

 

 

 

 

Attendance

 

 

 

 

 

Skills

 

 

 

 

 

Organization

 

 

 

 

 

Motivation

 

 

 

 

 

Quality of Work

 

 

 

 

 

Quantity of Work

 

 

 

 

 

Professionalism

 

 

 

 

 

Communication

 

 

 

 

 

Work Habits

 

 

 

 

 

Punctuality

 

 

 

 

 

Dependability

 

 

 

 

 

Cooperation

 

 

 

 

 

Judgment

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMENTS: Please use this space to describe the overall job performance and record any other necessary notes.

 

 

 

 

 

 

 

 

 

EMPLOYEE SECTION: I have been advised of my performance ratings.  I have discussed the contents of this review with my supervisor.  My signature does not necessarily imply agreement.  My comments are as follows (optional):                                                                                                                                                                                                    

EMPLOYEE’S SIGNATURE:                                                                                                                                       DATE:

SUPERVISOR’S SIGNATURE:                                                                                                                                   DATE: