Probation Period Review Form
Employee Information
Employee Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department
Title
Date Hired
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Probation Period
Supervisor Name
First Name
Last Name
Probation Review
Please complete the following evaluation form.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Notes
Knowledge
1
2
3
Application of Skills
4
5
6
Quality of Work
7
8
9
Productivity
10
11
12
Team Work
13
14
15
Punctuality
16
17
18
Dependability
19
20
21
Comments:
With the above evaluation, choose the appropriate option for the employee.
This employee has completed the probationary period.
This employee's probation is to be extended.
This employee will be terminated.
Overall Rating:
Not Satisfied
Somewhat Satisfied
Satisfied
Probation Extended To:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Termination Date:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor Signature
Evaluation Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: