Performance Evaluation Form Page 2
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3Overall Evaluation
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Comments by Immediate Supervisor.
(Please include (a) rationale for your overall evaluation, (b) key strengths of the employee, (c) any ways in
which the employee needs to improve, and (d) what the employee has accomplished during this review period to prepare for greater effectiveness in the
present position and/or prepare for more responsibility. Add extra sheets if necessary.)
In the upcoming review period, what should this employee do to develop greater effectiveness in the current position and/or prepare for greater
responsibilities? (Consider coursework, self study, reading materials, etc.)
Name____________________________________________
Signature______________________________________
Title______________________________________________
Date:_________________________________________
Comments by Dean, Director, Department Head, or Manager.
(Please comment on the employees performance from your
Perspective. Add extra sheets is necessary.)
Name____________________________________________
Signature______________________________________
Title______________________________________________
Date:_________________________________________
Comments by Appraised Employee.
My performance has been discussed with me as described in this appraisal. (Please feel free to add any
comments you have concerning your performance, your development, or your review. If you wish, you may give these comments directly to your supervisor,
in writing, within the next five (5) working days. Add extra sheets as necessary.)
Name____________________________________________
Signature______________________________________
Title______________________________________________
Date:_________________________________________
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