Performance Evaluation Form Word

PERFORMANCE EVALUATION AND REVIEW RECORD

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I. EMPLOYEE AND REVIEWER INFORMATION

Employee Name: [___________________________]
Employee ID: [___________________________]
Position/Title: [___________________________]
Department: [___________________________]
Review Period: From [___________] to [___________]
Reviewer Name: [___________________________]
Reviewer Title: [___________________________]
Date of Evaluation: [___________________________]

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II. PERFORMANCE RATING SCALE

Use the following scale to evaluate the competencies listed below:

• 5 – Exceptional: Consistently exceeds expectations.
• 4 – Exceeds Expectations: Often performs above requirements.
• 3 – Meets Expectations: Fully competent and performing as required.
• 2 – Needs Improvement: Performance inconsistent; requires development.
• 1 – Unsatisfactory: Performance does not meet requirements.

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III. COMPETENCY ASSESSMENT

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IV. NARRATIVE EVALUATION

Summary of Key Achievements during this Review Period:
[__________________________________________________________________________]
[__________________________________________________________________________]

Areas Identified for Professional Development:
[__________________________________________________________________________]
[__________________________________________________________________________]

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V. PERFORMANCE GOALS FOR NEXT PERIOD

1. [_________________________________________________________________________]
2. [_________________________________________________________________________]
3. [_________________________________________________________________________]

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VI. EMPLOYEE COMMENTS

The employee may provide additional comments regarding this evaluation:
[__________________________________________________________________________]
[__________________________________________________________________________]

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VII. ACKNOWLEDGMENT AND SIGNATURES

The signatures below indicate that this evaluation has been discussed between the reviewer and the employee. It does not necessarily imply agreement with the contents, but acknowledges that the review has been conducted and received.

Reviewer Signature:

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Date: [___________]

Employee Signature:

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Date: [___________]

Human Resources/Management Representative:

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Date: [___________]

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Confidentiality Notice: This document contains sensitive personnel information and must be filed in accordance with company privacy policies and applicable labor regulations.