425 Dental
425 Dental Evaluation
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" indicates required fields
Team Member
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Role
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Hire Date
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MM slash DD slash YYYY
Team Member E-mail
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Dept. Lead
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Who's Evaluating
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Current Compensation:
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PTO used/available:
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Attendance
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Days Late
Days Sick
Days PTO
Benefits Review Completed
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Yes
No
Leads Feedback Received
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Yes
No
Self Reflection Completed
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Yes
No
Core Values Evaluation (1 being most important to focus on in descending order)
1)
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2)
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3)
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4)
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Notes on Feedback from Team Member:
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Focus over next 6 months:
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Outcome will be measured:
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Job Performance Evaluation (1 being most important to focus on in descending order)
1)
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2)
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3)
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4)
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Notes on Feedback from Team Member:
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Focus over next 6 months:
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Outcome will be measured:
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Action/Growth Plan:
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Next touchpoint:
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Future desired growth within 425:
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Next touchpoint when/who/how:
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