Human Resources
Memo of Transmittal Certifying
Performance Evaluation Conference
The supervisor must complete this form, attach the performance evaluation and send to the managing Dean for review.
SUPERVISOR STATEMENT OF CERTIFICATION
Supervisor
First Name MI Last Name
This is to certify that I held a conference with the faculty/staff member named below, at the date and time indicated, for the purpose of discussing the attached
evaluation of their performance.
Supervisor Signature
Date of Performance Evaluation Meeting Time of Performance Evaluation Meeting
Faculty/Staff
First Name MI Last Name
This is to certify that I met with the supervisor named above, at the date and time indicated, and that I had the opportunity of discussing the attached evaluation of my
performance.
Faculty/Staff Signature
The managing Dean must complete the information below and send to the Chief Executive Officer, MS #1, SSC L201.
REQUIRED BY DEAN
TO:
Dr. Tanya Millner, Interim Chief Executive Officer
FROM:
Dean
RE: EVALUATION
This is to verify that I have reviewed the attached performance evaluation and recommend that it be placed in the Professional File.
Dean Signature
Date
January 2020/PR
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