Havre Job Service Employers'
Committee Employer Resource Guide
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Havre Job Service Employers'
Committee Employer Resource Guide
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Sample Evaluation ReportEmployee's
Name:
______________________ Position: ______________ Today's Date:
________ Reporting
Period:
From
_________________ To:
__________________ Ratings: (1)
- Excellent
(2)
-
Good
(3)
-
Fair (4) - Poor
1. 1.
Job
Performance/Specific Work Characteristics: ___ Punctuality ___ Work Quality
___ Work Quantity ___ Following Manager's
instructions ___ Adaptability
and ability to adjust to new duties ___ Prudent and
economical use of supplies and equipment ___ Efficient
use of work-time ___ Inter-personal relations
with co-workers ___ Attendance ___
Public relations skills ___ Understands
and abides by the existing Personnel policies ___ Demonstrates enthusiasm and
initiative ___ Accepts
special assignments ___
Willingness to work over-time 2.
Personal attributes: ___
Cleanliness ___
Appearance Comments: Recommended for retention:
Yes ____
No ______ _____________________________________
____________________________________ *Employee's signature Supervisor's signature*Employee's
signature indicates the receipt of the Evaluation Form,
and does not necessarily signify an agreement.
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