Interim Probation Evaluation for

Exempt Employees

Section I:

Employee:  

Job Classification:

Section:

Supervisor:

Probation Period:

 Interim (6 months) Probation Report Due:

 Final (9 months) Probation Report Due:

Interim Probation Report

 Recommended Action: (Place an “X” in one of the following ( ):

 ( ) Continue on Probation

 Supervisor:______________________________________________________________

       Signature      Title        Date

 Employee:_______________________________________________________________

       Signature      Title        Date

 ( ) Rejection on Probation, effective: ________________________

             Date

Supervisor must contact BHR Site Coordinator (Gale Baird x31696) prior to Rejection on Probation.

 Supervisor:______________________________________________________________

       Signature      Title        Date

 Employee:_______________________________________________________________

       Signature      Title        Date

 Section Manager/Director:

    ________________________________________________________________

       Signature      Title        Date

Note: Comments on performance should support the decision of Rejection on Probation.    

Performance Factors

Basic Work Factors:

Quality/Quantity of work; Timeliness; Use of Resources; Attendance and Punctuality

Comments:

Communications:

Oral and Written Communications Skills

Comments:

Interactions with Others:

Cooperation and Teamwork, Interpersonal Relationships; Client Service; Public Relations

Comments:

Conceptual Skills:

Planning; Problem Solving; Creativity

Comments:

Job Skills:

Job knowledge; Handing Challenges; Initiative; Administration

Comments:

Manager/Supervisor Performance Factors:

Note: Complete this section only if employee is responsible for Supervising others.

Planning and Organizing:

Setting Objectives; Budgeting; Organization and Work Allocation; Coordination / Integration; Monitoring/Tracking Program Compliances

Comments:

Managing/Supervising Employees:

Staffing; Defining Expectations; Feedback and Couching; Performance Reviews; Human Resources Development; Leadership and Motivation

Comments: