Employee Name:
Position:
Department:
Reason for Evaluation: Quarterly / Other? __________________________
Job Description:
Performance Goals:
List the employee's most important work performance goals for the quarter.
Specific Duty / Goal / Tools Needed for Goal / Completion Date
Additional Tools or Training Needed:
Discussion and Measurement:
Personal and Professional Developmental Goals:
List the employee's most important personal and professional developmental goals for the quarter.
Specific Goal / How will we know it is being achieved? / Tools Needed for Goal / Completion Date
Additional Tools or Training Needed:
Discussion and Measurement:
Employee Comments:
Employee Suggestions for Supervisor or Departmental Development:
Date for Next Development Meeting: (Schedule quarterly.)
Employee’s Signature:
Date:
Supervisor’s Signature:
Date:
