Employee Name (type or print)	Employee ID#	Rating (check one for each employee)
O	HE	E	NI	U
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Total Ratings (in each category)
Evaluating Supervisor Name (type or print):

Supervisor ID#

Division/Section/Unit (type or print)

Rating Key:

O Outstanding

HE Highly Effective

E Effective

NI Needs Improvement

U Unacceptable

Division Coordinator Signature and Date
Personnel Representative Signature and Date (type or print)

Form APD 234

ATLANTA POLICE DEPARTMENT

Performance Evaluation Transmittal Form

Performance Evaluation

PGreenway

2004-08-05

AJordan

Atlanta Police Department