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&d escrip tion,&it&has&been&determined&that&the&
probationary&period&is:&&
Complete&
The&employee&is&demonstrating& the &capacity&to&perform &the&job&at&satisfactory&level&of&
performance&and&has&successfully&completed&the&probationary&pe rio d .&
Extended&
The& employee& is& making& progress& and& will& require& more& time& to& determine& if& a&
satisfactory&level&of&performance&can&be&achieved&and&maintained.&&The&p robation ary&
period&will&be&extended&by&&&&&days.&
Terminated&
The& em ployee&is&not&making&progress&and& does&not&demonstrate&a& satisfactory& level& of&
performance.&&Employment&will&not&be&continued&in&this&position.&
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:&