(Please Type) UNIVERSITY OF KENTUCKY S.P.P.P.8.4.1 Form
END OF ORIENTATION PERFORMANCE APPRAISAL
Employee Name _________________________ Person I.D. _____________
Position ________________________ ________ ___________________
Title Grade Number
Department ________________________ ______________
Name Number
Employment Date _________________ Account No. ____________________
The orientation period of the above staff member will be completed on ____________________. If this form is not
completed within five (5) working days (excluding Saturdays, Sundays, and holidays), it will be deemed the
employee has successfully completed new employee orientation. This performance appraisal is provided in order to
evaluate the employee’s work performance and to serve as a basis in determining whether the employment should be
continued. The appraisal will be considered CONFIDENTIAL and SHOULD BE DISCUSSED IN DETAIL WITH THE
EMPLOYEE.
JOB PERFORMANCE FACTORS SATISFACTORY UNSATISFACTORY
Quality of Work
Quantity of Work
Conduct
Cooperation
Reliability
I. Employee successfully meets or exceeds orientation requirements.
II.
Employee fails to meet orientation job requirements. (EVALUATE and
EXPLAIN)
A.
Recommend extension of orientation period.
30 calendar days
60 calendar days
90 calendar days (maximum extension is 90 calendar days)
B.
Recommend employee be terminated (must be approved by HR Employee
Relations).
COMMENTS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_______________________________ ____________________
Employee’s Signature Date
___________________________________ _____________________
Supervisor’s Signature Date
7541-2640
(Rev. 10/05)
*Send copy to HR Employee Records, 21 Scovell Hall 0064.
