Employee Conference Form printable pdf download

Employee Conference Form

EMPLOYEE CONFERENCE FORM

Employee Name:

Title:

Department:

Supervisor Name

Ext #

This Report Confirms in Writing That You Are Aware Of The Following:

Refer to Performance Improvement Plans - Guidelines for Supervisors document on the Web

DOCUMENTATION OF CONCERN(S), ISSUE(S) OR INCIDENT(S) INVOLVING:

__ Conduct or Behavior (Interpersonal Skills)

__ Department or University Rules

__ Safety or Work Environment

__ Work Performance (Productivity or Quality of Work)

__ Attendance - Dependability

__ Customer Service

__ Other ________________________________________

Describe performance concern or issue (be specific, include dates and examples):

Describe agreed upon solution(s) or course of action:

Note follow-up review plan date(s), etc:

Employee's Signature:

Date:

Supervisor's Signature:

Date:

Level Supervisor's Name & Initials:

Date:

DISTRIBUTION: (ck all that apply):

___Employee ___Spvr

____Dept

____Human Resource Services

Employee Conference Form