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PROBATION PERIOD EVALUATION REPORT Directions: This report is to be completed by this employee’s immediate supervisor and returned to the department head, WITH A COPY TO THE CAYUGA COUNTY CIVIL SERVICE COMMISSION, ON OR BEFORE THE DUE DATE SHOWN BELOW. For each category, check the appropriate adjective describing the probationer’s performance and substantiate this rating in the space provided. The questions are guides and do not require specific answers. EMPLOYEE NAME JOB TITLE/GRADE DATE APPOINTED COUNTY DEPARTMENT DIVISION REPORT DUE DATE Date Probation Ends: 8 Weeks (Minimum) 12 Weeks 26 Weeks (Maximum) 52 Weeks (Maximum) Type of Report (Weeks of Employment): 3 6 12 20 26 36 42 52 A. QUALITY OF WORK: Above Average Average Below Average Unacceptable Does employee work measure up to the Department's or Division's standard? Is employee's work accurate, complete and neat? Comments: B. QUANTITY OF WORK: Above Average Average Below Average Unacceptable Does employee work measure up to the Department's or Division's standard? Does employee meet deadlines? Comments: C. WORK HABITS: Above Average Average Below Average Unacceptable Does employee plan and organize his/her work, making the most effective use of personnel, material, equipment and time? Does employee exercise good judgment? Comments: D. WORK INTEREST: Above Average Average Below Average Unacceptable Is employee interested in his/her assignments? Does employee welcome new assignments? Is employee interested in the work of the Department or Division as a whole? How would you describe employee's work effort? Comments: CAYUGA CIVIL SERVICE COMMISSION COUNTY (315) 253-1284 COUNTY OFFICE BUILDING - 2ND FLOOR 160 GENESEE STREET, AUBURN NY 13021-3489 website: www.co.cayuga.ny.us/civilservice e-mail: [EMAIL REDACTED] f:\civil\forms\Probation Period Evaluation Report ---PAGE BREAK--- E. RESOURCEFULNESS: Above Average Average Below Average Unacceptable Does employee develop constructive ideas and take the necessary steps to get the job done? Does employee meet changing conditions effectively? Does employee pitch in on emergency jobs? Can employee perform without detailed instruction? Comments: F. RELATIONSHIPS WITH PEOPLE: Above Average Average Below Average Unacceptable Is employee accepted by associates? Is employee willing to work for and with others? Does employee demonstrate leadership qualities? Is employee's written and oral expression effective? Comments: G. SUPERVISORY SKILLS: Above Average Average Below Average Unacceptable Does employee accept his/her supervisory responsibilities? Is employee's leadership accepted? Does employee inspire confidence? Comments: H. ADDITIONAL INFORMATION: Include any recommendation for formal training. If a professional employee, please give estimate of his/her potential and staff development needs. Comments: I. I HAVE DISCUSSED THIS REPORT WITH THE EMPLOYEE. EMPLOYEE’S SIGNATURE DATE I recommend that this employee be: (Recommendation for termination must be fully explained above.) Continued in Probation Status Terminated Retained SUPERVISOR’S SIGNATURE DATE Approved Disapproved APPOINTING OFFICER'S SIGNATURE DATE