Performance Evaluation Form

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PERFORMANCE EVALUATION FORM
Demographic Data
Last 4
PID
SSN
Employee Name
First
Last
MI
Supervisor
Name
Department
Department Number
Position Number
Job Title
Review Period
through
Type of Evaluation (select one):
Mid-Year
Annual
Performance Data
Please complete the following information with as much detail as possible.
1. Essential Functions:
Job Standards:
PERCENT
multiplied by
RATING
equals
TOTAL RATING
0.00
Rating Scale: 1=Rarely Met Job Standards 2=Sometimes Met Job Standards 3=Met Job Standards 4=Occasionally Exceeded Job Standards
5=Consistently Exceeded Job Standards and/or Performed Significant Assignments in Addition to Regular Essential Functions
Comments (required):

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