Performance Expectations & Review Mid-Year Form

 

 

Employee Name:

 

Manager Name:

Job Title:

 

Review Period Start Date:

Department:

 

Discussion Date:

 

Goals for the Review Period

Performance Goals

On Track

     Yes                No

1

 


 

2

 

 
 

 

3

 

 
 

 

 

If “No” was selected for any goal above, please specify modifications/recommendations for change to specific
behaviors that should help the employee accomplish these goals.  If a particular goal is no longer relevant,
 make note of it on the original evaluation form and replace it with a new goal (if applicable).

 

Goal #

Modifications/Recommendations

 

 

 

 

 

 

 

 

 

 

 

 

 

Development Plan for the Review Period

Development Activity

On Track

     Yes                No

1

 

 

 

 

2

 

 

 

3

 

 

 

 

If “No” was selected for any development activity listed, please specify modifications/recommendations for
change to specific behaviors that should help the employee accomplish these activities.  If a development
activity is no longer relevant, make note of it on the original evaluation form and replace it with a new activity
 (if applicable).

 

 

Activity #

Modifications/Recommendations

 

 

 

 

 

 

 

 

From the expected behaviors below, please indicate whether the employee is meeting expectations (ME) or
needs improvement (NI) in the specific behavior areas.  (Please refer back to the original evaluation form for
specific examples related to each behavior)

 

Behaviors Expected for the Review Period

Behavior

 ME    NI

Behavior

 ME    NI

Job Knowledge & Skills

Quality Orientation

Teamwork

Customer Focus

Takes Initiative

Solves Problems

Communicates Effectively

Develops Self

Follows Guidelines & Acts w/ Integrity

 

 

If improvement is needed in any behavioral areas, please offer suggestions/recommendations to the employee
that should help them improve in this specific area.

 

Behavior

Suggestions/Recommendations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employee Acknowledgement

I have reviewed this document and discussed the contents with my manager/supervisor.

 

______________________________________________     ______________________________________________

Employee Signature                                Date               Manager/Supervisor Signature                     Date

 

 

______________________________________________

Language Interpreter Signature                Date