Employee Name:
Designation:
Project Name:
list of major tasks to be completed
Rating
—Please choose an option—Did not achieve outputPartially achieved outputFully achieved outputExceptional output achievement —Please choose an option—Did not achieve outputPartially achieved outputFully achieved outputExceptional output achievement —Please choose an option—Did not achieve outputPartially achieved outputFully achieved outputExceptional output achievement —Please choose an option—Did not achieve outputPartially achieved outputFully achieved outputExceptional output achievement —Please choose an option—Did not achieve outputPartially achieved outputFully achieved outputExceptional output achievement
core competencies accessed:
proficiency rating:
1. communication
—Please choose an option—Not ProficientDeveloping ProficiencyProficientHighly Proficient
2. working with team
3. drive for results
List of additional applicable competencies accessed:
—Please choose an option—Diversity & InclusionIntegrityCommitmentDeciding & Initiating ActionLeading & SupervisingPersuading & InfluencingRelating & NetworkingApplying Technical ExpertiseAnalyzingCreating & InnovatingFormulating Strategies & ConceptsPlanning & OrganizingFollowing Instructions & ProceduresAdapting & Responding to ChangesCoping with Pressure & Setbacks
Proficiency Rating
—Please choose an option—Not ProficientDeveloping ProficiencyProficientHighly Proficient —Please choose an option—Not ProficientDeveloping ProficiencyProficientHighly Proficient —Please choose an option—Not ProficientDeveloping ProficiencyProficientHighly Proficient —Please choose an option—Not ProficientDeveloping ProficiencyProficientHighly Proficient
Any Additional Comments
overall performance rating:
—Please choose an option—UnsatisfactorySatisfactoryGoodExcellent
Choose Period to be Extended:
—Please choose an option—1 Month2 Months3 Months4 Months5 Months6 Months
Confirmation Recommendation:
YesNO
Overall comments by supervisor:
Date
