Employee Confirmation Form
Employee Confirmation Form
Employee Confirmation Form
Name of Employee:
Designation:
Department:
Immediate Supervisor:
Date of Evaluation:
The following rating scale guide is being provided to assist the evaluator in assigning the most appropriate measurements of the
employees’ performance factors, behavioral traits and supervisory factors.
1 = UNACCEPTABLE – Consistently fails to meet job requirements; performance clearly below minimum requirements. Immediate
improvement required to maintain employment.
2 = NEEDS IMPROVEMENT – Occasionally fails to meet job requirements; performance must improve to meet expectations of
position.
3 = MEETS EXPECTATIONS – Able to perform 100 % of job duties satisfactorily. Normal guidance and supervision are required.
4 = EXCEEDS EXPECTATIONS – Frequently exceeds job requirements; all planned objectives were achieved above the established
standards and accomplishments were made in unexpected areas as well.
5 = SUPERIOR – Consistently exceeds job requirements; this is the highest level of performance that can be attained.
1. Knowledge, skills, abilities – the degree to which the employee exhibits the required level of job
knowledge and / or skills to perform the job.
1 2 3 4 5
Comments __________________________________________________________________________
2. Quality of Work – Does the employee complete assignments meeting quality standards?
1 2 3 4 5
Comments __________________________________________________________________________
3. Quantity of Work – Does the employee demonstrate the ability to manage several responsibilities
simultaneously; perform work in a productive and timely manner; meet work schedules?
1 2 3 4 5
Comments __________________________________________________________________________
4. Work Habits – To what extent does the employee display a positive, cooperative attitude toward work
assignments and requirements?
1 2 3 4 5
Comments __________________________________________________________________________
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5. Communication – How well the employee demonstrate communication skills to foster teamwork and
improve an open and creative environment?
1 2 3 4 5
Comments __________________________________________________________________________
1 2 3 4 5
Comments __________________________________________________________________________
7. Cooperation – How well does the employee work with co-workers and supervisors as a contributing
team members?
1 2 3 4 5
Comments __________________________________________________________________________
8. Initiative – Consider how well the employee seeks and assumes greater responsibility?
1 2 3 4 5
Comments __________________________________________________________________________
1 2 3 4 5
Comments __________________________________________________________________________
1 2 3 4 5
Comments __________________________________________________________________________
1 2 3 4 5
Comments __________________________________________________________________________
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Immediate Supervisor Head of the Department
To be filled by HR Department
No
Approvals
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