Name: Date:
Completed by:
NOTE: In evaluations where Unsatisfactory or Basic/Needs Improvement is checked, evaluators MUST add
explanatory comments.
1 2 3 4
COOK NA Unsatisfactory Basic/Needs Proficient Distinguished
Improvement
DEPENDABILITY
Displays punctuality
Shows enthusiasm
PERSONAL APPEARANCE/HEALTH
PROFESSIONAL/PERSONAL GROWTH
Supervisor Comments:
By signing this evaluation report, the employee acknowledges having read the contents and if requested, have discussed
the report with their supervisor.