

      





    
8
  

 


 
             

    


          

     
 




 
         

          
       

           

   

  
           
     


           


            
         



           
               



 
     
    

 
            

      

  


8

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
APPENDIX&FORMS
Form1:RequestforAdministrativeReviewof
PerformanceEvaluation
___________________________________________________________________
EmployeeNameEmployeeNumber
___________________________________________________________________________
SupervisorName DateofPerformanceEvaluation
In as much detail as possible, please explain why you believe that your performance
evaluationshouldbereviewedandattachanyevidencethatstatementsinyourperformance
evaluationareinaccurate.Thisformmustbetimelysubmittedtotheappropriatereviewer
undertheCollege’sattachedproceduresoryourevaluationmaynotbereviewed.Ifthisis
anappealofapreviousreview,pleaseattachallrelatedForm2s.Attachadditionalsheetsas
necessary.
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IunderstandthatanystatementImakeonthisForm1whichisfalse,misleading,ornot
madeingoodfaithmaybegroundsfordiscipline.
________________________________________________________
EmployeeSignatureDate
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signature
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Form2:AdministrativeReviewof
PerformanceEvaluation
___________________________________________________________________
EmployeeNameEmployeeNumber
_______________________________________________________________________________
NameofEmployee’sSupervisorDateofPerformanceEvaluation
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DateofReviewer’sMeetingwithEmployeeandEmployee’sSupervisor
PleaseattachtheForm1thatpromptedthisreview.Inthespaceprovided,pleaseexplain
whetheryoufindanycontestedobjectivestatementsintheperformanceevaluationtobe
probablyfalseandwhetheryoufindanycontestedsubjectivestatementsintheperformance
evaluationtobeclearlyandconvincinglyfalse.Pleaseexplain your reasoning for each
contestedstatementthatyoufindtobefalse.Attachadditionalsheetsasnecessary.
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Thisdecisionrepresentsmybestjudgmentinthismatter.
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 Reviewer’sPrintedName Reviewer’sSignatureDate
ForOfficeUseOnlyHumanResourcesDateReceived:___________________________________________
ReceivingEmployeeinHumanResources:_________________________________________________________________________
PrintedNameSignature
click to sign
signature
click to edit
click to sign
signature
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