Evaluation Session Step #1 - Evaluating Supervisor (SCS Rule 10.2): Signature: Date Given to Second Level Evaluator: Personnel #: Step #2 - Second Level Evaluator (SCS Rule 10.3): Signature Date Approved (Must be on or before evaluation session): Personnel #: Step #3 - Employee: Employee Date: Signature: By signing and dating this form, I am certifying that my evaluating supervisor conducted an evaluation session with me on the date shown. Employee Statement (Only if Employee is NOT Signing Form for purposes of Evaluation): I have decided not to sign this form, but I acknowledge that I received a copy of the evaluation and understand that my failure to sign will not prohibit the evaluation from becoming official for the performance year. If employee did not sign above, or chose not to sign the form, please indicate whether the employee was given or mailed a copy of the evaluation below: Mailed Given Overall Evaluation: Exceptional Successful Needs Improvement/Unsuccessful (Select only one evaluation) Not Evaluated Unrated - If Unrated, select sub-category: Never Rendered Untimely Violation of Chapter 10 Agency Human Resources Office Use Only (Optional) Date Evaluation Second Resources Evaluating Supervisor Received in Human Evaluator Staff Initial: Compliance (Y/N) Resources: Compliance (Y/N)
Evaluation Session Step #1 - Evaluating Supervisor (SCS Rule 10.2): Signature: Personnel #: Date Given to Second Level Evaluator: Step #2 - Second Level Evaluator (SCS Rule 10.3): Signature Personnel #: Date Approved (Must be on or before evaluation session): Step #3 - Employee: Employee Signature: Date: By signing and dating this form, I am certifying that my evaluating supervisor conducted an evaluation session with me on the date shown. Employee Statement (Only if Employee is NOT Signing Form for purposes of Evaluation): I have decided not to sign this form, but I acknowledge that I received a copy of the evaluation and understand that my failure to sign will not prohibit the evaluation from becoming official for the performance year. If employee did not sign above, or chose not to sign the form, please indicate whether the employee was given or mailed a copy of the evaluation below: Mailed Given Overall Evaluation: (Select only one evaluation) Exceptional Successful Needs Improvement/Unsuccessful Not Evaluated Unrated - If Unrated, select sub-category: Never Rendered Untimely Violation of Chapter 10 Agency Human Resources Office Use Only (Optional) Date Evaluation Received in Human Resources: Resources Staff Initial: Evaluating Supervisor Compliance (Y/N) Second Evaluator Compliance (Y/N)
Revised%20PES%20Form%202014%20OMF%20EE.docx