Past Performance Rehire Assessment Form
Employee Name
Previous Position Held
Department
Dates of Employment
Assessment
Quality of Work
Excellent
Good
Satisfactory
Needs Improvement
Punctuality & Attendance
Excellent
Good
Satisfactory
Needs Improvement
Teamwork & Collaboration
Excellent
Good
Satisfactory
Needs Improvement
Reason for Leaving
Would you recommend rehire?
Yes
No
With Reservation
Additional Comments
Assessor Name
Date