Title Page
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Date and Time of Review
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Department
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Employee (Full Name)
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Employee Number
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Job Title
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Supervisor (Full Name)
Assessment Ratings
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Job Knowledge
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Work Quality
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Attendance/Punctuality
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Initiative
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Communication/Listening Skills
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Dependability
Goals
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Significant work-related accomplishments (Include projects, assignments, new skills or knowledge gained.)
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Target goals
Performance Summary
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What are the employee's strongest points?
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What are the employee's weakest points?
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What can the employee do to be more effective or make improvements?
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What additional training would benefit the employee?
Completion
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Other comments
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Overall Rating
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By signing this form, you confirm that you have discussed this review in detail with your supervisor.
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Employee (Full Name and Signature)
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Supervisor (Full Name and Signature)