Performance Evaluation Intake Form
Please provide the necessary information for the performance evaluation.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Evaluation Period Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluation Period End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Performance Rating
*
1
1
2
3
4
Best
5
1 is , 5 is Best
Strengths and Accomplishments
*
Areas for Improvement
*
Additional Comments
*
Submit
Should be Empty: