Employee Performance Evaluation Page 3

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Confidential
Supervisors Comments:
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Employee Comments:
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Employee Goals for the next Evaluation (use separate sheet if necessary)
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
_______________________________ ___________
Employee’s Signature
Date
_______________________________
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Supervisor’s Signature
Date
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Manager’s Signature
Date
For Human Resources Use Only
Evaluation received on: ______________________
Follow-up action form received: ________________
Action approved by: _________________________

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