Probationary Assessment Evaluation Form
Probationary Assessment Evaluation Form
Probationary Assessment Evaluation Form
EMPLOYEE INFORMATION
Department: _____________________________
SUPERVISOR RESPONSIBILITIES
Responsibilities of the Supervisor include the following:
establish and communicate expectations, standards or objectives for the work to be done;
periodically review progress with the new employee regarding how well expectations are being met;
maintain on-going documentation of performance; and
make a determination regarding the employee’s suitability for continued employment.
Unsatisfactory: Performance does not meet expected standards and requirements of the job. Significant improvement is
needed. When this rating is given it is a warning that an employee’s job may be in jeopardy if
performance continues at the current level.
PERFORMANCE EVALUATION
First Final
Evaluation Evaluation
Rating () S U S U
Core Capabilities:
Has a positive attitude and has productive relationships with others; displays interpersonal skills; is
continuously looking for improvements. Comments to Support Rating Decision:
Page 1 of 2
Decision Making and Judgment:
Analyzes and solves problems; accountable and takes responsibility for decisions taken; is
effective and flexible; consults others when appropriate. Comments to Support Rating Decision:
Organizational Ability:
Plans work and organizes its completion; is able to cope with a variety of activities and distractions;
is able to establish priorities. Comments to Support Rating Decision:
Punctuality/Attendance:
Consistently arrives to work on time; observes proper timekeeping for breaks and leaving work;
attends work regularly. Comments to Support Rating Decision:
Initiative:
Uses independent judgement and innovation within his/her limits of authority; uses time effectively
and productively; requires minimal supervision to complete tasks. Comments to Support Rating
Decision:
Job Knowledge:
Understands and applies his/her knowledge of the techniques, methods and skills involved in the
job; complies with health and safety rules. Comments to Support Rating Decision:
EMPLOYEE SIGNATURE
In signing this form, I am indicating that I have read the evaluation/assessment and discussed it with my Supervisor. My
signature does not necessarily signify that I agree with the evaluation, but that the evaluation has been reviewed with me.
_________________________________ ___________________
Employee Signature Date
SUPERVISOR RECOMMENDATION
Retain Employee
Extend Probationary/Assessment Period to the following date: _________________ (please contact Human Resources)
Do Not Retain Employee (please contact Human Resources)
Page 2 of 2