CONFIDENTIAL
Print Form
EMPLOYEE PERFORMANCE FEEDBACK FORM
PROCESS & GUIDELINES
The UNBC performance feedback form was designed to enable dialogue between the employee and
their supervisor. It may be a helpful document or opportunity to provide feedback. This template can be
used for all employee groups. It can provide an opportunity to clarify job responsibilities, the
supervisor’s expectations, the employee’s progress towards those expectations, and to foster employee
development. Ideally, there should be no surprises when the parties meet to discuss, as any areas of
concern would/should have been identified and previously discussed as they occurred.
NOTE: This is not intended for use in disciplinary matters. Please consult with Human Resources for
advice and assistance on dealing with discipline or the respective employee agreement.
Supervisors may wish to familiarize themselves with the employee’s responsbilities in advance to help
guide discussions. Some areas to consider might be: teamwork, cooperation, creativity, initiative,
judgment, decision‐making, impact, effort, supervision (if applicable), communication, attendance,
professionalism, other specific skill sets (abilities) and any specific concerns the supervisor or employee
may have.
The performance feedback form may be used at anytime, but ideally at least once a year for regular or
term employees. It can be used as a guideline to help assess probationary employees as well. Any
request by the employee to have a representative present should be referred to the Senior Human
Resources Advisor.
Recommended process:
• Schedule the performance feedback meeting in advance and ensure it is held in private without
interruption. Schedule enough time for discussion (1 ‐ 1½ hours).
• The employee and supervisor should complete their respective sections in advance of the
meeting, which will be reviewed collaboratively.
• Emphasize strengths and areas that need improvement. Be honest and end on a positive note.
• Develop a plan and timeline for reviewing progress towards the goals/objectives in the
upcoming year.
• Submit a completed and signed original to Human Resources within 14 days of the meeting
being conducted. Make a copy for yourself and the employee.
o This performance feedback becomes part of the employee’s personnel file.
~ February 2010 ~
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Note: Responses are
limited to text box size.
EMPLOYEE PERFORMANCE FEEDBACK FORM
Please review and refer to the guidelines provided on the covering page.
Employee Name Job Title/Position Department
Supervisor Name Supervisor Title Date of Review (meeting)
Start Date in Current Position Probationary /Trial Period
or
Regular Review
Accomplishments / Contributions / Strengths
Employee:
Supervisor:
Areas for Development
Employee:
Supervisor:
Current Department/Program Goals (Supervisor to complete)
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Current Department/Program Goals
Supervisor:
Employee Goals for Next Year (to be completed together; aligned with current department goals)
Training Needs
Employee:
Supervisor:
Work Environment (Employee to complete)
a) What do you like & dislike about working for your department/program?
b) What elements of your job do you find most challenging?
c) What elements of your job interest you the most, and least?
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Employee Comments
Supervisor Comments
Employee Signature ______________________________________ Date:
Supervisor Signature ______________________________________ Date:
One‐up Signature ______________________________________ Date:
(Dean/Director/VP/President)
Distribution Print Form
9 Original to Human Resources
9 Copy to Supervisor
9 Copy to Employee
