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Completing the Mid-Year Discussion: Sample Mid-Year Discussion
I.
Identifying Information
Employee Name, Review Cycle, Budget Title, Local Title, Department,
Supervisor
Name and Title, Secondary Source, Relationship, Date of review of
Performance Program
II. Progress on Goals Comments from Supervisor and
III. Performance Feedback Comments from Supervisor

Evaluate the employee's progress on goals and provide feedback on overall
performance. This is an opportunity to recognize and reward positive
performance and if necessary, to redirect performance that is not on target.
This is not intended to take the place of day-to-day feedback but is a
means of documenting feedback. Be specific -- reference individual
goals and give examples whenever possible.
IV.
The following action was taken...
Check the appropriate box to indicate whether there have been changes
in the performance program. If changes have been made, attach a
new performance program and forward it with the form. Do not eliminate
any goal that has been accomplished since it will be evaluated at the
end-of-year evaluation.
V.
Signatures
Route the mid-year discussion form to the appropriate individuals for
signatures. After the Vice President has signed it, the form is
forwarded to Human Resource Management. The form is returned to
the office of the Vice President where the original is filed and copies
are made for the supervisor and employee.
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