Person Being Reviewed

Name

Employee ID

Employee ID

Title of Person Being Reviewed

Job Title

Department

Department

Reviewing Supervisor

Review Period

How long have you been supervising this person:

Time in Position

Test Period

PART ONE: REVIEW OF PERFORMANCE ELEMENTS

PART TWO: SUMMARY REVIEW OF EMPLOYEE PERFORMANCE

Supervisor describes employee’s major assignments and accomplishments, key strengths, any performance shortfalls, and other performance elements that characterize the employee’s performance during the review period. Please include examples or supporting information below.

PART THREE: OVERALL PERFORMANCE RATING

Signature:

Date:

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