Performance Review

Name:

Department:

Manager’s Name:

Review Period: to

Primary job responsibilities:

Changes to primary responsibilities during review period:

 Major Goals/Activities (Three to six typical):

1.

2.

3.

4.

5.

6.

7.

Other contributions or accomplishments:

Other important performance factors (teamwork, flexibility, patron service, etc.):

Comments on performance: Satisfactory Unsatisfactory y

1.

2.

3.

4.

5.

6.

7.
(Attach additional sheets, if
necessary) Employee’s career goals:

Describe how the current position meshes with career goals:

Performance Improvement or Development Plan (record details on separate Action Plan form):

Employee Comments (if any):

Employee Signature: Date:

Manager Signature: Date: