EVALUATION INTERVAL (CHECK ONE):
1 Month post hire
3 Months post hire
6 Months post hire
9 Months post hire
12 Months post hire
Goals of the current evaluation interval:
Outcomes of the current evaluation interval:
Goals for the next evaluation interval:
Evaluator’s Signature
Trainee’s Signature (Signature does not indicate agreement)
Date
Date
Do you recommend this person for retention?
YES
NO Include rationale identifying specific performance and behavior that support your recommendation.
5956-MFP
PS Form
, January 2018, (Page 4 of 4)
Instructions: Complete at each evaluation interval. Retain a copy for your records.