Performance Improvement Plan
Name of Employee:
Name of Supervisor:
The purpose of this performance improvement plan is to guide the employee in taking
constructive action to correct a work performance deficiency. It is the employee’s
responsibility to take corrective action as directed. Lack of satisfactory improvement
according to this performance improvement plan may be cause for further disciplinary
action up to and including termination.
What areas of performance require improvement? Please give specific incidents. Please
indicate results that must change.
Define action necessary in order for employee to meet the requirements of his or her
position. Indicate the date action must be complete.
Indicate the date that the employee and the supervisor will meet to review results.
____________________________________________
I certify that this performance improvement plan has been discussed with me.
Employee Signature Date
Supervisor Signature Date
Reset Form
Please fill out the information in the spaces provided.
Requires signatures. Deliver
completed form to Human
Resource Services.
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