Title Page
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Department
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Employee Name
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Date and Time of Review
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Manager / Supervisor
Details of Need
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Current Performance: • What is currently happening with performance? What is the employee doing or not doing? [include specific behaviors, results, etc.])
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Expected Performance: • What should be happening with performance to meet standards/expectations?
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Gap: • Identify the difference between current performance & expected performance
Additional Information
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Is the employee aware of what is expected?
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What are the goals and expectations (standards)?
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Is the employee aware of their own performance?
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Provide feedback
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Is the employee being held accountable for performing to these expectations?
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Indicate the consequences of not meeting the standards.
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Is the employee knowledgable, skilled and has the abilities to perform as expected?
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What specific skills and competencies will be developed to close the performance gap?
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Is the employee motivated?
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Identify how the employee can be motivated
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List uncontrollable internal or external environmental factors influencing the employee’s performance
Completion
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Recommendations
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Employee (Full Name and Signature)
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Manager (Full Name and Signature)