Town Of Duxbury Verbal Warning Form Page 9
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10Town of Duxbury
PERFORMANCE IMPROVEMENT PLAN FORM
Employee’s Name: _______________________________________________________
Position/Title: ___________________________________________________________
Manager/Supervisor: ______________________________________________________
Dates of Plan – From: _______________________ To: ___________________________
Department Goals: (Filled in by Supervisor)
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
Position Goals: (Filled in by Supervisor)
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
Individual Employee Goals: (Filled in by Employee)
Your individual goals should tie in to the above Department and Position and goals.
1. ________________________________________________________________
2. ________________________________________________________________
3. ________________________________________________________________
4. ________________________________________________________________
Page 9
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