ANNUAL REVIEW CONFIRMATION

Employee Name:
Banner ID:
Classification:
Position No.:
Department:
Period Covered:	From
to
Name of Supervisor:

Review	Date Completed	Supervisor’s Initials	Employee’s Initials

Phase One

Phase Two

Phase Three

Please return this form, an updated position description including the signed cover sheet, and an organizational chart to the Office of Human Resources, Box 1040, by June 30.

If you have any questions about the review process, please call the Office of Human Resources at extension 2190. Thank you for your cooperation.

4/08

ANNUAL REVIEW CONFIRMATION

OIT

2012-02-10

Joyree Chura

SIUE