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EMPLOYEE PERFORMANCE APPRAISAL FORM <br />1. NAME EMPLOYMENT DATE <br />DATE <br />DEPARTMENT POSITION <br />++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++ <br />2. REPORT STATUS: <br />3 MONTH REVIEW RECLASSIFICATION <br />6 MONTH OR END PROBATION PROMOTION <br />ANNUAL REVIEW MERIT INCREASE <br />OTHER (EXPLAIN) <br />++++++++++++++++++++++++++++++++++ ++++ ++ + ++ + ++ + ++ + + + ++ ++ +++ + + + + ++ <br />3. EVALUATION CHECKLIST (place an "x" in the appropriate column) <br />A. OUTSTANDING - exceeds expectations <br />B. ABOVE AVERAGE <br />C. SATISFACTORY - HIGH <br />D. SATISFACTORY - LOW <br />E. NEEDS IMPROVEMENT <br />F. UNSATISFACTORY - does not meet expectations <br />G. NOT APPLICABLE <br />A B C D E F G <br />+ + ++ + + ++ + +++ + ++ <br />1. QUALITY OF WORK <br />A. Work Completion <br />B. Meets deadlines <br />C. Use of time <br />D. Accuracy of work <br />E. Thoroughness of work <br />F. Oral expression <br />G. Written expression <br />H. Knowledge of work <br />I. Job skill level <br />+ + + + + + + + + + + ++ ++ <br />+ + + + + + + + ++ + + + ++ 2. WORK HABITS <br />t i : A. Observance of scheduled work hours <br />1 1 1 5 1 1 7' <br />1` 1` 1` 1` 1` 4` 1` <br />1 1 1 1 1 1 1 1 <br />1 4 1 1 1 5- 4 5 <br />• 4 $ 1 5 1 <br />1` 1` 1 1` 5 1` 1 5 <br />411414 <br />1 1 1 1 1 1 1 1 <br />1` 1` 1- 1` 1 4 5 <br />1 1 1 1 1 4 4 <br />+ + + + + + + + + + + + + ++ <br />B. Willing to work extra hours when needed <br />C. Attendance <br />D. Follows rules and instructions <br />E. Follows safety rules <br />F. Operation and care of equipment <br />G. Reliability <br />