Probationary Period Review Form

Date: ____/____/______

Name: ___________________________________

Department / Title: _________________________

Employee Number: _________________________ Job Title: ____________________________

Supervisor’s Name: _________________________ Supervisor’s ID No. ____________________

Summary of Performance

Satisfactory

Unsatisfactory

1. Job Performance

_____

2. Job Knowledge

_____

3. Compliance with policies and rules

_____

Supervisor Comments:

Employee is recommended for regular employment:

Yes: _____

No: _____

Employee’s probationary period extended to ____/____/______ (not to exceed three calendar

months).

Employee is dismissed from employment effective ____/____/______

Supervisor’s Signature _______________________________________ Date ___/____/______

Employee’s Signature ________________________________________ Date ___/____/______

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Parent category: Business