| Name: | ____________________ | | | |
| Title: | ____________________ | Department/Location: | ____________________ |
| Date: | ____________________ | Supervisor's Name: | ____________________ |
| Please type or print your responses. If necessary, attach additional pages. |
Use the following scale to reply to each question:
A = Consistently Fulfills and Exceeds Duties
B = Fulfills and Frequently Exceeds Duties
C = Fulfills Duties
D = Sometimes Fulfills Duties
F = Rarely Fulfills Duties
For any mark of "D" or "F" given, a written explanation must accompany it. |
|
I. PERFORMANCE QUALITY:
_______ Regarding Volume Produced
_______ Regarding Job Accuracy
COMMENTS: |
|
II. INTERPERSONAL SKILLS:
How well does this employee get along with: |
| _______ Subordinates | _______ Co-Workers | | |
| _______ Supervisors | _______ Contacts Outside the Company | | |
COMMENTS: |
|
|
III. INDEPENDENCE:
| | _______ Ability to work on his or her own
COMMENTS: |
|
IV. RELIABILITY:
_______ Regarding completion of projects
_______ Regarding attendance
COMMENTS: |
|
V. BACKGROUND AND JOB REQUIREMENTS:
_______ Formal Education
_______ Background Experience
_______ Technical Skills
COMMENTS: |
|
VI. PLEASE GIVE AN OVERALL MARK FOR EMPLOYEE AND EXPLAIN SAME BELOW:
_____ Overall Mark
OVERALL COMMENTS: |
|
| PREPARED BY: | APPROVED BY: |
____________________
Name and Title | ____________________
Name and Title Of Supervisor |
____________________
Signature | ____________________
Signature Of Supervisor |
____________________
Date | ____________________
Date | |
Copyright 1998 Steven M. Sack