Performance Improvement Plan Page 4

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Please include specific examples of your observations of the employee's performance towards the
overall goal during the first 30 days of this Plan (i.e. 50% improvement of task, Zero errors, Increased
documentation of work completed, etc.).
Observed Performance at 30 Day Follow Up
30 Day Follow Up Comments
Supervisor Signature _____________________________________
Date ______________
Employee Signature ______________________________________
Date ______________
Observed Performance at 60 Day Follow Up
60 Day Follow Up Comments
Supervisor Signature _____________________________________
Date ______________
Employee Signature ______________________________________
Date ______________
Observed Performance at 90 Day Follow Up
90 Day Follow Up Comments
Supervisor Signature _____________________________________
Date ______________
Employee Signature ______________________________________
Date ______________
TASK, SKILL OR BEHAVIOR AREA 3
TASK, SKILL OR BEHAVIOR
Describe the specific task, skill, or behavior that does not yet meet expectations
4

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