Regular Staff Performance Appraisal System
Performance
Improvement Form
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Employee’s
Name |
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Job
Title |
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Person
ID |
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Department |
1. State
in detail why the employee’s performance has been rated below standard (a
rating of less than 3). Include specific
incidents and dates of occurrence (attach extra pages if necessary).
2. State
by when improvement must be made and what specific action steps the employee
must take to correct the situation (attach extra pages if necessary).
3. State
what specific action steps the supervisor will take to help the employee
correct the situation (attach extra pages if necessary).
4. What
action will be taken if necessary change is not accomplished within the prescribed
time frame?
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Supervisor’s
Signature |
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Date |
I have met with my supervisor
to discuss the areas and the reasons why I must improve. I agree to adhere to the improvement plan
outlined in item 2 above.
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Employee’s
Signature |
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Date |
Distribution: Original to
Department Director for inclusion in departmental personnel file; copies to
employee, Human Resources, and VP office.