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NEBRASKA DEPARTMENT OF ECONOMIC DEVELOPMENT <br />PERFORMANCE REVIEW FORM <br /> July 2001 (Revised September 21, 2001) <br /> <br />Employee Name: <br /> <br />Position: <br />Supervisor Name: <br />Title <br /> <br />Team (s) <br /> <br />Time Period Covered: <br />Type of Appraisal __lnitial 6-months __Probationary Annual __Other <br />Rating Scale: <br />Performance exceeds expectations; Performance meets expectations; <br />Performance below expectations <br /> <br />Performance Rating (Rating is based on job description, workplan and overall <br />performance..) <br /> <br />Section I Interpersonal and Team Exceeds Meets Below <br />Relationships <br />1. Cooperates with others and offers to help <br />others <br />2. Effectively resolves conflict/problem <br />situations with others <br />3. Deals well with outside contacts and <br />customers <br />4. Demonstrates a commitment to the work ~ f <br />the team by listening and contributing to <br />the work of the team <br />5. Listens and communicates well with othei <br />6. Other <br /> <br />Supervisor's Comments (must be completed if Below expectations). <br />Employee's Comments (must be completed for items marked Below expectations). <br />Continual Improvement Actions <br /> <br />Perfonmance Review Form 1 Issued July 16, 2001 <br /> <br /> <br />