Employee name and title	[Employee name], [Title]	Evaluation for the period:	[Start date] – [End date]
Supervisor name and title	[Supervisor name], [Title]	Department:

GOALS AND OBJECTIVES DURING THIS EVALUATION PERIOD

[Goals and objectives]

[Goals and objectives]

[Goals and objectives]

ACHIEVEMENTS, ACCOMPLISHMENTS, AND RESPONSIBILITIES (completed by employee)

[Achievements, accomplishments, and responsibilities]

[Achievements, accomplishments, and responsibilities]

[Achievements, accomplishments, and responsibilities]

evaluation (completed by supervisor)

[Evaluation]

[Evaluation]

[Evaluation]

STRENGTHS AND AREAS FOR DEVELOPMENT

[Strengths and areas for development]

[Strengths and areas for development]

[Strengths and areas for development]

CAREER DEVELOPMENT PLAN

[Career development plan]

[Career development plan]

[Career development plan]

GOALS AND OBJECTIVES FOR NEXT EVALUATION PERIOD

[Goals and objectives]

[Goals and objectives]

[Goals and objectives]

employee SIGNATUREsupervisor signature

Signature	Signature
Name	[Employee name]	Name	[Supervisor name]
Date	[End date]	Date	[End date]