PROBATIONARY EVALUATION

Name:_______________________________________ Date Hired:____________________
Designation:_____________________________ Department/Section:___________________

MONTHLY       1st Month     2nd Month     3rd Month     4th Month     5th Month     6th Month
  RATING           G   F   P       G   F   P         G   F   P        G   F   P       G   F   P        G   F   P
Quality of Work   __ __ __      __ __ __        __ __ __       __ __ __      __ __ __        __ __ __
Cooperation         __ __ __      __ __ __        __ __ __       __ __ __      __ __ __        __ __ __
Dependability       __ __ __      __ __ __        __ __ __       __ __ __      __ __ __        __ __ __
Attendance           __ __ __      __ __ __        __ __ __       __ __ __      __ __ __        __ __ __
LEGEND: G-Good; F-Fair; P-Poor

FIRST MONTH IMPRESSION/REMARKS            DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

_____________________       _____________________
    Signature of Supervisor             Signature of Employee                 ___RETAIN     ___TERMINATE

SECOND MONTH IMPRESSION/REMARKS       DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

_____________________       _____________________
    Signature of Supervisor             Signature of Employee                 ___RETAIN     ___TERMINATE

THIRD MONTH IMPRESSION/REMARKS           DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

_____________________       _____________________
    Signature of Supervisor             Signature of Employee                 ___RETAIN     ___TERMINATE

FOURTH MONTH IMPRESSION/REMARKS       DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

_____________________       _____________________
    Signature of Supervisor             Signature of Employee                 ___RETAIN     ___TERMINATE

FIFTH MONTH IMPRESSION/REMARKS            DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

_____________________       _____________________
    Signature of Supervisor             Signature of Employee                 ___RETAIN     ___TERMINATE

SIXTH MONTH IMPRESSION/REMARKS           DATE____________________197_____
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

_____________________       _____________________
    Signature of Supervisor             Signature of Employee                 ___RETAIN     ___TERMINATE

NOTE TO DEPT HEAD: Please submit this form to the Personnel Department, as accomplished, 5 days after the 30th day from starting date of the above employee and every 30th day of each succeeding months during the 6 months probationary peiod for recording and nformation purposes.

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