Arthur's annual rev

Performance Review Form

Name Arthur Harris		Social Security Number 222-333-4444	Title Field Services Specialist		Performance Review Form Exempt Employees Form
Department NE Regional Office		Employment Dates 1996- present
Review Type Annual Probationary Annual Review Qualifying Other			Review Period Jan.1, 1997- Jan.1, 1998
			Periodic Feedback		Evaluation
Job Duties	Performance Expectations and Standards		Critical Incidents	Specific Actions for Improvements	Below	Meets	Above
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STATEMENT OF ACCOMPLISHMENTS FOR THE PERIOD IN REVIEW
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GOALS AND OBJECTIVES FOR THE COMING REVIEW PERIOD
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REVIEWER’S COMMENTS:			EMPLOYEE’S COMMENTS:
REVIEWER’S SIGNATURE: Malcolm Wilson/ Malcolm Wilson DATE: December 14, 1997			EMPLOYEE’S SIGNATURE: Arthur Harris		DATE: December 15, 1997
			DEPARTMENT HEAD’S SIGNATURE: Jerry Feldman		DATE: December 15, 1997