| Name: |
- Current
- Position
|
- Current
- Salary
|
- Date of
- Last Review
|
|
❏ Annual review ❏ Special review ❏ Probation
|
| Work quality (accuracy, neatness, thoroughness) |
❏ Needs improvement
❏ Meets job requirements
❏ Above average |
| Attendance & punctuality |
❏ Needs improvement
❏ Meets job requirements
❏ Above average |
| Skills and understanding of job duties |
❏ Needs improvement
❏ Meets job requirements
❏ Above average |
| Ability to work with employees, vendors & residents |
❏ Needs improvement
❏ Meets job requirements
❏ Above average |
| Extent to which employee accepts and follows through on assignments |
❏ Needs improvement
❏ Meets job requirements
❏ Above average |
| Care of equipment, observation of policies & procedures |
❏ Needs improvement
❏ Meets job requirements
❏ Above average |
| Other
|
Employee comments:
My signature does not mean I agree or disagree with this evaluation only that I received a copy. I understand that I am an at-will employee and any change to my at-will status must be in writing and signed by the Board of Directors.
______________________________ Date: _______________
Employee's signature
______________________________ Date: _______________
Manager/Supervisor