Regional Manager Performance Appraisal Form

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Regional M. Name: ________________________

Supervisor Name:   ________________________

Review Period:        ________________________

Review Date:           ________________________

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Instructions: Rate the employee's performance during the review period by checking the most appropriate numerical value in each section. To determine the overall performance rating, add the numerical values together and divide by eight (or 11 if the supervisor section was completed). Prior to the performance discussion with the employee, a detailed plan to address areas rated "needs improvement" or "unacceptable" must be submitted to the department head and human resources for review.

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