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<br />Employee Evaluation Form <br /> <br /> <br />Name: ________________________________ Date: _______________________________ <br /> <br />Department: ____________________________ Job Title: ____________________________ <br /> <br />Areas to grow, improve, and develop include: <br /> <br />1. ____________________________________________________________________________ <br />2. ____________________________________________________________________________ <br />3. ____________________________________________________________________________ <br /> <br /> And this can be accomplished by doing the following: ________________________________ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br /> <br />Major strong points are: <br /> <br />1. ____________________________________________________________________________ <br />2. ____________________________________________________________________________ <br />3. ____________________________________________________________________________ <br /> <br /> <br />By signing below, the “Employee” being evaluated is verifying that this evaluation <br />has been discussed with them and a copy of this has been given to them. <br /> <br />Salary/Wage Increase (if applicable): <br /> <br />Present Amount: $____________ Increase to: $___________ <br /> <br /> <br />_____________________________ __________________________________________ <br />Employee’s Name (please print) Employee’s Signature Date <br /> <br /> <br />_____________________________ __________________________________________ <br />Manager/Supervisor’s Name (please print) Manager/Supervisor’s Signature Date <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE