3. Job Responsibility:
Comments:
Objectives:
Rating:
4. Job Responsibility:
Comments:
Objectives:
Rating:
Areas of future action:
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•
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Date of next evaluation:_________________
Supervisor Signature:___________________ Date:____________________________
Employee Signature:____________________ Date:____________________________
(Your signature indicates neither agreement nor disagreement with the evaluation, but it does indicate that you have read the evaluation, and it has been
discussed with you. If you wish, you may comment in the space below.)
Employee Comments: