<p> (Insert Company Name)</p><p>PERFORMANCE EVALUATION FORM</p><p>Employee Name: Job Title: Employee ID Number: Department: Supervisor’s Name: Review Period Review Period Beginning Ending:</p><p>Job Performance Ratings</p><p>GE = Greatly Exceeds Expectations</p><p>E = Exceeds Expectations</p><p>M = Meets Expectations</p><p>P = Partially Satisfies Expectations</p><p>F = Fails to Meet Expectations</p><p>Job Factor Examples GE E M P F Quality of Work Quantity of Work Timely Performance of Work Analysis, Decisions, or Judgement Initiative Interpersonal Skills Communication – Oral Communication – Written Ability to Follow Instructions Customer Orientation Budgeting Leadership Hiring Other:</p><p>Performance Summary For This Review Cycle List the employee’s major goals or accountabilities for the just-completed work plan:</p><p>To what extent was the employee successful in meeting agreed on goals and accountabilities? Provide examples.</p><p>Performance Goals For Next Review Cycle</p><p>List the employee’s major goals or accountabilities agreed on as part of the work plan for the new work cycle:</p><p>Development Plans</p><p>Use the space below to describe training or development plans for the new work cycle.</p><p>Overall Rating</p><p>☐ Greatly Exceeds Expectations ☐ Exceeds Expectations ☐ Meets Expectations ☐ Partially Satisfies Expectations ☐ Fails To Meet Expectations</p><p>Supervisors Comments</p><p>Use the space below to record any other comments regarding the employee’s job performance.</p><p>Acknowledgement and Approvals Supervisor’s Acknowledgement I have met with the above-named employee to discuss and review this performance evaluations Supervisor’s Signature: Date:</p><p>Employee’s Acknowledgement I have had the opportunity to review this performance evaluation and to discuss it with my supervisor. Employee’s Signature: ** Note: Signing does not mean agreement to the appraisal, merely that the employee has reviewed and discussed with his or her supervisor. Date:</p><p>Employee’s Comments</p><p>Use the space below to record your comments regarding your supervisor’s evaluation of your job performance.</p><p>Department Manager’s Approval</p><p>Department Managers Signature: Date:</p>