Employee Probation Assessment Form

Employee Information

Employee Name Job Title Department Supervisor Start Date Assessment Date

Assessment Criteria

Criteria	Rating	Comments
Quality of Work	Excellent Good Satisfactory Needs Improvement
Punctuality & Attendance	Excellent Good Satisfactory Needs Improvement
Teamwork	Excellent Good Satisfactory Needs Improvement
Communication Skills	Excellent Good Satisfactory Needs Improvement
Initiative & Learning	Excellent Good Satisfactory Needs Improvement

Summary & Recommendation

Overall Performance Summary Recommendation Confirm Employment Extend Probation Terminate Employment

Signatures

Supervisor Name & Signature Employee Name & Signature