EMPLOYEE PERFORMANCE REVIEW
(Complete in duplicate.  One copy to employee, one for personnel records.)


NAME                                                                             DATE OF REVIEW                          

JOB TITLE                                                                       FULL TIME/PART TIME                  


BACKGROUND INFORMATION (from personnel records)

Length of employment                                             Date of last review                                          

Current pay rate or step-in grade                                                                                                  

Summary of attendance record                                                                                                     

                                                                                                                                            


EMPLOYEE INFORMATION (to be completed by employee)

List skills acquired or upgraded since last review                                                                              

                                                                                                                                            

Applicable continuing education                                                                                                   

                                                                                                                                            

What do you consider your contributions to this office?                                                                      

                                                                                                                                            

Comments                                                                                                                              

                                                                                                                                            


OBSERVATION OF EMPLOYEE        OBSERVATIONS MADE BY                                    

Attitude, ability to work with others                                                                                              

                                                                                                                                            

Observed employee strengths/weakness on job                                                                                

                                                                                                                                            

Comments                                                                                                                              

                                                                                                                                            

SKILLS REVIEW:Review Conducted By:                                            

(List to be taken from Job Description)CODE:NI = needs improvementA = acceptable
                                I = improved        O = outstanding






























Comments on skills review & evaluation                                                                                         

                                                                                                                                            

                                                                                                                                            

Recommended action                                                                                                                

                                                                                                                                            


Evaluation Reviewed By:

                                              
employee's signature                date

                                                       
reviewer's signature                date