Employee Performance Evaluation Form (Page 5 of 5) in pdf

Employee Performance Evaluation Form Page 5

OVERALL

RATING

(5)

(4)

(3)

(2)

(1)

Exceptional.

Above

Average.

Below

Unacceptable.

Average.

Requires

improvement to

retain.

ADDITIONAL COMMENTS / IMPROVEMENT OBJECTIVES

EMPLOYEE’S COMMENTS

I have discussed this evaluation with my supervisor. I agree _____ do not agree _____

with the conclusions reached.

I feel that my performance review was ____ was not _____ fair and impartial.

COMMENTS:

SIGNATURES

Employee’s performance was reviewed with the employee.

Signature of Employee

Date _______________

Signature of Reviewer

Date _______________

(06.07) This material is for informational purposes only. It is not intended to give specific legal or risk management advice, nor are

any suggested checklists or actions plans intended to include or address all possible risk management exposures or solutions. You

are encouraged to retain your own expert consultants and legal advisors in order to develop a risk management plan specific to your

own activities. For more information, contact the GuideOne Center for Risk Management at (877) 448-4331, ext. 5118 for Church

and Schools, or ext. 5175 for Senior Living Communities.

Employee Performance Evaluation Form Page 5