Fillable Probationary-performance-evaluation-form PROBATIONARY EMPLOYEE PERFORMANCE EVALUATION

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Probationary-performance-evaluation-form PROBATIONARY EMPLOYEE PERFORMANCE EVALUATION

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1
NON-UNIFORM PROBATIONARY EMPLOYEE PERFORMANCE EVALUATION
Employee Name: _______________________ Employee ID #: ____________________________
Department: _______________________ Last Day of Probation: _______________________
Date of Hire: _______________________ Evaluation Month: ___________________________
Instructions to Evaluator/Supervisor: Evaluators should refer to the employee's job description when completing this form; the
evaluation should focus on the employee's ability to perform the job duties listed in the job description. Employees should be
evaluated monthly beginning with the anniversary of the first month of employment until the end of the six month probationary period.
Indicate the evaluation of the employee's job performance by writing a number between 1 and 4 and comments to justify the
score in the noted area. The evaluator must meet with the employee and review the supervisor’s comments. Comments must be
provided for each attribute. The Supervisor comments should include a determination of whether the employee should stay
employed or whether the employee should be terminated as applicable. Please keep the original for your files.
Use the following scale:
4 = Exceeds Expectation; 3 = Meets Expectation; 2 = Below Expectation; 1= Unacceptable
COMPETENCIES
QUANTITY AND QUALITY OF WORK
The extent to which the employee accomplishes assigned work of a specified quality within a specified time period AND the extent to
which the employee's work is well executed, thorough, effective, accurate.
Supervisor Rating and Comments:
KNOWLEDGE OF DUTIES/CAPACITY TO DEVELOP
The extent to which the employee knows and demonstrates how and why to do all phases of assigned work, given the employee's length
of time in his/her current position AND The extent to which the employee demonstrates the ability and willingness to accept new/more
complex duties/responsibilities
Supervisor Rating and Comments:
RELATIONS WITH SUPERVISOR
The manner in which the employee responds to supervisory directions and comments. The extent to which the employee seeks counsel
from supervisor on ways to improves performance and follows same
Supervisor Rating and Comments:
COOPERATION/DEALING WITH PEOPLE
The extent to which the employee gets along with other individuals. Consider the employee's tact, courtesy, and effectiveness in dealing
with co-workers, subordinates supervisors, and customers
Supervisor Rating and Comments:
2
ATTENDANCE AND RELIABILITY
The extent to which employee arrives on time and demonstrates consistent attendance; the extent to which the employee contacts
supervisor on a timely basis when employee will be late or absent
Supervisor Rating and Comments:
INITIATIVE AND CREATIVITY
The extent to which the employee is self- directed, resourceful and creative in meeting job objectives; consider how well the employee
follows through on assignments and modifies or develops new ideas, methods, or procedures to effectively meet changing circumstances
Supervisor Rating and Comments:
ATTITUDE
Does the employee have a positive attitude about his/ her job, understand our values, and is a positive representation of our
department
?
Supervisor Rating and Comments:
Employee Comments (Comments should include what is going well and what is not, is there training or tools that are needed in
order to do your job? Attach additional paper if necessary):
Overall Comments by Supervisor (clearly address any score below a 3, developmental needs, areas of concerns, what the employee
needs to correct or focus on to complete the probationary period; list specific examples/events. Also include what the employee is
doing well):
________________________________________ _____________________________________
Employee Signature Date
________________________________________ _____________________________________
Evaluator Signature Date
Note to Supervisor/Evaluator: The decision not to grant full-time non-probationary status should be communicated to the employee
as soon as the decision is made by the Department Director but no later than seven (7) days before the end of probation unless
approved by the Director of Human Resources. If needed, the Probationary Period can be extended under specific circumstances,
please contact the Director of Human Resources for approval. Counseling sessions or corrective action should occur as soon as the
infraction occurs and not held up for this monthly evaluation process.
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Probationary-performance-evaluation-form PROBATIONARY EMPLOYEE PERFORMANCE EVALUATION

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Completed 21 March 2020

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