12-Month Probationary Employee Performance Evaluation Form Page 2

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Comments to Evaluator and Employee. Evaluators should discuss the evaluation results with the employee. At a minimum,
employees must be given a copy of the evaluation for their own records. Both the evaluator and the employee should sign the
evaluation form. The employee signature indicates only that the employee received a copy of the evaluation. It does not necessarily
signify employee concurrence. Both employees and evaluators are strongly encouraged to include written comments. At the final
evaluation only, after the employee signs the form, the evaluator should give one copy to the employee, retain one copy for department
files and forward one copy to: Office of Human Resources, HRB 30; One University Plaza, Springfield, IL.
6 Month
(Evaluator Signature and Date)
(Employee Signature and Date)
EVALUATION
Optional (8M)
EVALUATION
(Evaluator Signature and Date)
(Employee Signature and Date)
FINAL
EVALUATION
(Evaluator Signature and Date)
(Employee Signature and Date)
Employee Comments (please include date; attach additional paper if necessary):
Evaluator Comments (please include date; attach additional paper if necessary):
TO BE COMPLETED ONLY AT LAST EVALUATION BEFORE END OF PROBATIONARY PERIOD:

I recommend this probationary employee become permanent and continuous.

I recommend this probationary employee be dismissed before the end of the probationary period and will submit
the appropriate forms.

Employee resigned before completion of probationary period. (It is important that HR receive this form even if
employee has resigned.)
Evaluator Signature
date
2/04/2011
2

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