Employee Performance Format

EMPLOYEE PERFORMANCE FORMAT

Personal Information

Position & Review Period

Review Period: From to .

Performance Summary & Objectives

Brief summary of overall performance during the review period:

Key accomplishments and results:

Status of prior goals (describe achievement or shortfall):

Core Competencies — Rating (1 = Unacceptable to 5 = Exceptional)

Job Knowledge:    Quality of Work:    Productivity:

Teamwork:    Communication:    Initiative:

Dependability:    Leadership (if applicable):

Development & Training

Recommended training, development actions, or resources required for improvement or advancement:

Corrective Action / Performance Improvement (if any)

Is a formal Performance Improvement Plan (PIP) required? Yes

If PIP required, describe required improvements, timeline, and measurable outcomes:

Administrative Recommendations

Overall rating (select numeric or descriptive):

Salary increase recommended: Yes    Amount (if recommended):

Reviewer Comments

Employee Comments / Acknowledgment

Employee may include comments regarding this evaluation. Employee signature indicates receipt and opportunity to discuss, not necessarily agreement.

Employment History (for HR records)

Employer 1

Dates Employed:

Employer 2

Dates Employed:

Education

Graduation Date:

Professional References

Reference 1

Reference 2

Reference 3

Legal & Administrative Notices

At-Will Employment: Nothing in this performance evaluation creates an express or implied contract of employment. Employment remains at-will and may be terminated by the employer or employee at any time, with or without cause or notice, except where otherwise provided by law or written agreement.

Equal Employment Opportunity: The employer evaluates performance in a manner consistent with equal opportunity and nondiscrimination laws. Decisions based on this evaluation will be applied without regard to race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

Confidentiality: Performance evaluations are confidential personnel records. Access is limited to authorized HR staff and management. Disclosure outside authorized channels may result in disciplinary action.

Authorization: By signing below, the employee authorizes the employer to contact prior employers and references provided for employment verification and background checks, as permitted by law. Check to authorize: Authorized

Certification

I certify that the information I have provided in this form is true and complete to the best of my knowledge. I acknowledge receipt of this performance evaluation and that I have had the opportunity to discuss its contents with my reviewer. My signature below indicates receipt and discussion, not necessarily agreement.

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