Staff%Probationary%Evaluation%
Employee:%
%
Date%of%Hire:%
%
Job%Title:%
%
Supervisor:%
%
Department:%
%
."
Based&on&the&immediate&supervisor’s&observation&and&knowledge&of&this&employe e’s&performance&of&the&
essential&duties&as&listed&on&the&attached&po sition&de scrip tion,&it&has&been&determined&that&the&
probationary&period&is:&&
&
Complete&
&
Extended&
&
Terminated&
Supervisor&comments&and&required&actions&(if&necessary):&&
&
&
&
&
&
&
Employee&Comments:&&
&
&
&
&
Employee&Signature:&& & & & & & & Date:& & & & &
(By&signing,&you&are&confirming&that&your&position&description&and&performance&of&the&essential&functions&of&the&position&
were&reviewed&and&discussed&with&you.)&
Supervisor:& & & & & & & & Date:& & & & &
Next&Level&Mgr:&& & & & & & & & Date:& & & & &
Human&Resources:&& & & & & & & Date:& & & & &
&