EMPLOYEE PERFORMANCE COUNSELING REPORT
EMPLOYEE PERFORMANCE COACHING/COUNSELING REPORT
Employee Name: __________________________________ Date: ______________________
Job Title: _____________________________________________________________________
Department/Division:____________________________________________________________
Supervisor’s Statement
Note specifics of incident(s) and reason for having a performance coaching/counseling meeting with the employee, as well as timetable for improvement and how it should be achieved.
Employee’s Statement
Note response to supervisor’s remarks and what action you will take to meet performance standards.
I have read this performance coaching/counseling report and understand that future issues could result in further disciplinary action, up to and including probation and/or immediate dismissal from employment.
Employee’s Name (please print) Employee Signature Date
Supervisor’s Name (please print) Supervisor’s Signature Date
( Copy to Human Resources for employee file
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