Performance Evaluation Form Non-Exempt Staff Page 2
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PERFORMANCE EVALUATION (Employee:
DATE:
EVALUATION PERIOD:
TO
III. Performance Narrative and Comments by Immediate Supervisor (include a summary of and rationale for your overall evaluation, as well as the
status of performance objectives, strengths and developmental needs and measurable objectives for next evaluation period):
Please note:
(a) Status of performance objectives during the review period
(b) key strengths and developmental needs of employee
(c) measurable objectives for next review period
Supervisor’s Signature:
Date:
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IV. Comments by Next Level Supervisor (Comment on the employee’s performance from your perspective. Add extra sheets if necessary.)
Next Level Supervisor’s Signature:
Date:
l
V. Comments by Employee. My performance has been discussed with me as described in this evaluation, I have received a copy of this evaluation,
and my evaluator and I have reviewed my current job description. (Add any comments you have about your performance, development, or evaluation.
If you wish, you may give these comments directly to your supervisor in writing within the next three [3] working days. Add extra sheets as necessary.)
Employee’s Signature:
Date:
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