Regular Staff Performance Appraisal System
Follow-Up to
Performance Improvement Form
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Employee’s
Name (print) |
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Job
Title |
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Person
ID |
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Department |
1. What
steps has the employee taken to correct the situation since the original
improvement form was prepared?
2. Has
the employee satisfactorily corrected the situation?
Yes No
If
no, what further action is required? Be
specific and include dates by which items must be completed and include
consequences for failure to improve performance. Such consequences may include termination of
employment.
3. Employee’s
comments:
4. Supervisor’s
comments:
5. Department
Director’s comments:
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Employee’s
Signature |
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Date |
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Supervisor’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.