B. PERFORMANCE IMPROVEMENT PLAN - Please identify specific measures and corresponding time frames that will improve performance. Please include educational or training opportunities which could assist in developing work performance.

Plan:




C. STAFF MEMBER'S COMMENTS

This evaluation was discussed with me on .

(Date)

[ ]I believe this is a fair and objective evaluation.[]I do not agree with this evaluation for the

Following reasons:

Comments:

Staff Member's Signature:

Date:

Supervisor's Signature/Title:

Date:

D. SUPERVISOR'S REVIEW OF POSITION DESCRIPTION (Supervisor should check the appropriate box and sign.)

1.[]I have reviewed the current position description dated __________________ (as found on first page of PDQ) and it accurately represents the current job responsibilities.

2.[]I have updated the position description and changed the date to _______________ (date) and it now accurately represents the current job responsibilities.

3.[]A position description did not exist for this position.I have completed a position description and have dated it _____________________ (date) and it accurately represents the current job responsibilities.

_________________________________________________________________

Supervisor's Signature     Date

E. EMPLOYEE'S REVIEW OF POSITION DESCRIPTION (Employee should check the box and sign.)

[]I have reviewed the position description dated __________________ (date) and it accurately represents my current job responsibilities.

__________________________________________________________________

Employee's Signature     Date