Fillable Printable Employee Probation Form - University of Virginia

Employee Probation Form - University of Virginia

Probationary Progress Review/Extension/Completion Form

Planning: All employees will use the Lead@UVa system to document performance expectations within 30 days of their start date.

6-Month Probationary Review: Supervisors must meet with probationary employees at six months to inform the employee of progress made

toward their performance plans. A written six-month evaluation, documented on this form, is expected for all probationary employees. Once this

form has been completed and reviewed with the employee, the document should be attached to the employee’s current Lead@UVa performance

record.

Extensions: All extensions of the probationary period must be documented on this form, submitted to UHR, communicated in writing to the

employee, and attached to the employee’s current Lead@UVa performance record.

Completion of Probationary Period: Successful completion of an employee’s probationary period must be documented on this form, provided to

the employee and UHR, and attached to the employee’s current Lead@UVa performance record.

For additional questions relating to the probationary period, refer to the Probationary Period for University Staff policy.

Section 1. Today’s Date: Hire Date:

Purpose of this form (check one):

6 month Review (Section 2) Probationary Period Extension (Section 3) Probationary Period Completion (Section 4)

Employee Name (Last, First, Middle)

Employee ID Number

Position Number

Job Title

Work Title

Organization

Employment Date

Supervisor’s Name

Supervisor’s Title

Section 2. (As entered in Lead@UVa)

Progress made toward performance goals:

Progress made toward competency development:

Progress made toward development activity:

Overall Results of Review

Exceptional

significantly and consistently exceeds expected performance level

Highly Effective

consistently achieves and often exceeds expected performance level

Effective

consistently achieves expected performance level

Inconsistent

inconsistently achieves expected performance level; needs improvement

Unsatisfactory

(note improvement plan below)

rarely achieves expected performance level; requires significant and

immediate corrective action

Improvement Plan:

Section 3. Complete this section for Probationary Period Extensions only.

The employee’s probationary period has been extended. Period of extension (not to exceed 6 months)

Reasons for extension(absence, change in supervisor, job changes):

Section 4. Signatures

Employee has successfully completed probation.

Employee’s probation has been extended.

Employee has not successfully completed probation and termination is recommended (Consult UHR Employee Relations).

Employee resigned prior to the end of probation.

Supervisor’s Signature:

Date:

Employee’s Signature:

Date:

Reviewer’s Signature (required for terminations and extensions only):

Date: