CITY OF ATLANTA

PERFORMANCE EVALUATION FORM

OVERALL EVALUATION SUMMARY	EMPLOYEE DATA
Last Name	First Name	Initial
People Soft ID#	Job Class Title	Department
Bureau/ Division	Section	Unit
Evaluation Period (Month/Day/Year)
Form	To
EVALUATION CONFERENCE
Probationary Evaluations:

New Hire

New Officer (end of probation)

Promotion

Annual Evaluation

Close-out Evaluation (e.g., due to transfer or promotion)

Performance Improvement Plan Completed
Other Please
Specify):
Overall Rating (refer to Overall Performance Evaluation Rating Chart in performance manual)
Outstanding
Highly Effective
Effective
Needs Improvement
Unacceptable
Request Extension of Probationary Period Through
(Date)
Rater Signature
Rater PeopleSoft ID#
Date
I have received a copy of my Evaluation and it has been discuused with me.
I agree with the rating.	I disagree with the rating and request a review.
Employee Comments:
Employee Signature
Date
EVALUATION REVIEWED BY
Department Evaluation Reviewer
Date
Bureau Head or Equivalent
Date
Other Signature (if applicable)
Date
Department Head or Designee
Date

Form 002	Revised 06//07/04

CITY OF ATLANTA

AJordan

2004-11-09

Atlanta Police Department