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: