Attachment D
Interim Evaluation Form
Employee Name:  	

Supervisor Name: 		Meeting Date: 	

Performance Areas Fully Meeting Job Criteria or Job Responsibilities	
	
Performance Areas Identified for Improvement/Substandard	
	
Additional Discussion Items (e.g., project updates, progress on priorities, training and professional development, employee’s concerns)	
	
Next Steps in Employee Development (for both the supervisor and employee)	

Employee’s Signature: 		Date: 	

Supervisor’s Signature: 		Date: